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MUHAMMED SWALIH MP
FINAL YEAR
BSc RADIOLOGY AND IMAGING TECHNOLOGY
GANGA INSTITUTE OF HEALTH SCIENCES
WHY?
STATIC MAGNETIC FIELD
1.5 T is 30,000 x the strength of earth’s
IT IS TOO SRONG……….
30,000 Than Earth’s Magnetic
field
THE MAGNETIC FIELD
IS AT FULL POWER
ALWAYS ….IT IS
ALWAYS
“ON”.
SOO… IS IT HAZARDOUS
• STATIC MAGNETIC FIELD
• BIOLOGICAL EFFECTS-MISSILE EFFECT
• MECHANICAL EFFECTS-EFFECT ON FERROMAGNETIC IMPLANTS
• GRADIENT FIELD
• INDUCED CURRENTS (PERIPHERAL NERVOUS SYSTEM)
• AUDITORY DAMAGE
• RF FIELD
• RF POWER DEPOSITION
• BURNS
ZONE
1
THIS REGION INCLUDES ALL AREAS THAT ARE FREELY
ACCESSIBLE TO THE GENERAL PUBLIC.
UNSCREENED MRI PATIENTS ALSO MAY BE ATTENDERS
ALSOZONE
2
THIS AREA IS THE REGION IN WHICH SCREENED MRI PATIENTS AND
PERSONNEL
ZONE
3
ZONE
4
THE MRI ROOM WHERE ONLY SCREENED PATIENTS ARE ALLOWED
AND ON A DIRECT SUPERVISION OF MRI PERSONEL
5 GAUSS LINE
INSTRUCTIONS TO THE PATIENT
1. YOU ARE URGED TO USE THE EAR PLUGS OR HEADPHONES THAT WE SUPPLY FOR
USE DURING YOUR MRI EXAMINATION
2. REMOVE ALL MAKE UP AND JEWELRY (E.G., NECKLACES, PINS, RINGS).
3. REMOVE ALL DENTURES, FALSE TEETH, PARTIAL DENTAL PLATES.
4. REMOVE HEARING AIDS.
5. REMOVE EYEGLASSES.
6. REMOVE YOUR WATCH, CELL PHONE, CREDIT AND BANK CARDSAND ALL OTHER
CARDS WITH A MAGNETIC STRIP.
7. USE GOWN, IF PROVIDED, OR REMOVE ALL CLOTHING WITH METAL FASTENERS,
ZIPPERS, ETC.
8.SQUEEZE BULB IS GIVEN TO THE PATIENT FOR EMERGENCY PURPOSES
• H/O MEDICAL DISEASE.
• H/O SURGERY , CANCER TREATMENT (RADIATION SEEDS).
• H/O TRAUMA, WAR INJURY, OCCUPATIONAL HISTORY,
TATTOO
• ALLERGY OR PROBLEM DURING PREVIOUS MRI
• HISTORY OF PREGNANCY AND BREAST FEEDING, LMP
• CLAUSTROPHOBIA AND ANXIETY
Cerebral
aneurysm
clips
Metallic foreign body
in
the eye
Shrapnel,
bullets
(in critical area)
Metallic Ocular implants
Pacemakers Pacing wires
Cochlear implantsNeurostimulators
Implants and metal
Electrical devices
• ONLY METALS THAT ARE MRI COMPATIBLE SUCH AS…
TITANIUM ALUMINUM BRASS
• IF YOU ARE NOT SURE IF AN OBJECT IS MRI
SAFE…DON’T TAKE IT INTO THE ROOM. ASK A
TECHNOLOGIST!!!!!!!!
Usually MRI compatible
Cardiac
• Sternal wires
• Heart valves &
annuloplasty rings
• Coronary stents
• Epicardial wires (cut
short and taped)
• Other vascular
stents, coils and
filters
Other
• Orthopaedic implants
• Contraceptive devices
• Dental implants
MRI PERSONAL SCREENING
• PRE-EMPLOYMENT SCREENING
• REPORTING OF THE EVENTS LIKE TRAUMA, SURGERY ETC.
EMPLOYEE SAFETY
ALL EMPLOYEES MUST BE SCREENED
TO WORK IN A MAGNETIC FIELD
ENVIRONMENT JUST LIKE THE
PATIENTS.
NO EXCEPTIONS.
Device and Object
Screening
• As part of the Zone III site
restriction and equipment
testing and clearing
responsibilities, all sites
should have ready access to
a strong handheld magnet
(1000-Gauss) and/or a
handheld ferromagnetic
detection device.
Few Signs Regarding safety………………………
MRI SAFE MRI Conditional MRI Unsafe
GRADIENT SYSTEM
SAFETY
AUDITORY DAMAGE
 WILL PRODUCE TYPICAL KNOCKING SOUND
INDUCED CURRENTS
(PERIPHERAL NERVOUS SYSTEM)
RESULTS FROM ELECTRO MAGNETIC FIELDS
RESULTS IN HEATING OF HUMAN BODY
o Always apply hearing protection for patients
Auditory damage
o PATIENT MUST BE INFORMED ABOUT THE POSSIBILITY PERIPHERAL
NERVE STIMULATION
o THOSE WHO CLOSE TO THE PATIENT ALSO EXPERIENCE A MILD
PERIPHERAL NERVE STIMULATION
Induced currents
(peripheral nervous system)
RF power deposition
Burns
So..,
It may cause
 Prevent skin to skin contact creating current loops
 Keep sufficient distance between patients skin
and RF coil
 Keep RF Coils straight and parallel to main magnetic
field
RF SAFETY
 In the event of an emergency, you should
first remove the subject from the MRI
scan room
 Stand near the doors to the scan room to
insure no unauthorized emergency
personnel can enter
 NO CODE OR CODE LIKE PROCEDURES
WILL BE RUN IN THE MRI ROOM
HANDLING EMERGENCY SITUATIONS
Emergency stopper button
EMERGENCY STOP BUTTON DOES NOT
QUENCH THE MAGNET THIS TURN OFF MOST
ELECTRICAL POWER IN THE SCANNER ROOM
AND OPERATOR AREA
Stop button
QUENCH
Quench is done in an emergency ,to run the
magnetic field ZERO in order to remove
projectile /patient from the scanner in
An emergency
If these done Cryogens
( Helium and Nitrogen ) BOIL OFF and
DEACTIVATE the magnet
Quench button
FIRE AND
SAFETY
MRI Compatible Fire Extinguisher
REMEMBER THIS MNEMONIC:
MRI =
METAL RESULTS (IN)
INJURY
THANK
YOU

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MRI Safety Basics

  • 1. MUHAMMED SWALIH MP FINAL YEAR BSc RADIOLOGY AND IMAGING TECHNOLOGY GANGA INSTITUTE OF HEALTH SCIENCES
  • 3. STATIC MAGNETIC FIELD 1.5 T is 30,000 x the strength of earth’s IT IS TOO SRONG………. 30,000 Than Earth’s Magnetic field
  • 4. THE MAGNETIC FIELD IS AT FULL POWER ALWAYS ….IT IS ALWAYS “ON”.
  • 5. SOO… IS IT HAZARDOUS
  • 6. • STATIC MAGNETIC FIELD • BIOLOGICAL EFFECTS-MISSILE EFFECT • MECHANICAL EFFECTS-EFFECT ON FERROMAGNETIC IMPLANTS • GRADIENT FIELD • INDUCED CURRENTS (PERIPHERAL NERVOUS SYSTEM) • AUDITORY DAMAGE • RF FIELD • RF POWER DEPOSITION • BURNS
  • 7. ZONE 1 THIS REGION INCLUDES ALL AREAS THAT ARE FREELY ACCESSIBLE TO THE GENERAL PUBLIC.
  • 8. UNSCREENED MRI PATIENTS ALSO MAY BE ATTENDERS ALSOZONE 2
  • 9. THIS AREA IS THE REGION IN WHICH SCREENED MRI PATIENTS AND PERSONNEL ZONE 3
  • 10. ZONE 4 THE MRI ROOM WHERE ONLY SCREENED PATIENTS ARE ALLOWED AND ON A DIRECT SUPERVISION OF MRI PERSONEL
  • 12.
  • 13.
  • 14. INSTRUCTIONS TO THE PATIENT 1. YOU ARE URGED TO USE THE EAR PLUGS OR HEADPHONES THAT WE SUPPLY FOR USE DURING YOUR MRI EXAMINATION 2. REMOVE ALL MAKE UP AND JEWELRY (E.G., NECKLACES, PINS, RINGS). 3. REMOVE ALL DENTURES, FALSE TEETH, PARTIAL DENTAL PLATES. 4. REMOVE HEARING AIDS. 5. REMOVE EYEGLASSES. 6. REMOVE YOUR WATCH, CELL PHONE, CREDIT AND BANK CARDSAND ALL OTHER CARDS WITH A MAGNETIC STRIP. 7. USE GOWN, IF PROVIDED, OR REMOVE ALL CLOTHING WITH METAL FASTENERS, ZIPPERS, ETC. 8.SQUEEZE BULB IS GIVEN TO THE PATIENT FOR EMERGENCY PURPOSES
  • 15. • H/O MEDICAL DISEASE. • H/O SURGERY , CANCER TREATMENT (RADIATION SEEDS). • H/O TRAUMA, WAR INJURY, OCCUPATIONAL HISTORY, TATTOO • ALLERGY OR PROBLEM DURING PREVIOUS MRI • HISTORY OF PREGNANCY AND BREAST FEEDING, LMP • CLAUSTROPHOBIA AND ANXIETY
  • 16. Cerebral aneurysm clips Metallic foreign body in the eye Shrapnel, bullets (in critical area) Metallic Ocular implants Pacemakers Pacing wires Cochlear implantsNeurostimulators Implants and metal Electrical devices
  • 17. • ONLY METALS THAT ARE MRI COMPATIBLE SUCH AS… TITANIUM ALUMINUM BRASS • IF YOU ARE NOT SURE IF AN OBJECT IS MRI SAFE…DON’T TAKE IT INTO THE ROOM. ASK A TECHNOLOGIST!!!!!!!!
  • 18. Usually MRI compatible Cardiac • Sternal wires • Heart valves & annuloplasty rings • Coronary stents • Epicardial wires (cut short and taped) • Other vascular stents, coils and filters Other • Orthopaedic implants • Contraceptive devices • Dental implants
  • 19. MRI PERSONAL SCREENING • PRE-EMPLOYMENT SCREENING • REPORTING OF THE EVENTS LIKE TRAUMA, SURGERY ETC.
  • 20. EMPLOYEE SAFETY ALL EMPLOYEES MUST BE SCREENED TO WORK IN A MAGNETIC FIELD ENVIRONMENT JUST LIKE THE PATIENTS. NO EXCEPTIONS.
  • 21. Device and Object Screening • As part of the Zone III site restriction and equipment testing and clearing responsibilities, all sites should have ready access to a strong handheld magnet (1000-Gauss) and/or a handheld ferromagnetic detection device.
  • 22. Few Signs Regarding safety……………………… MRI SAFE MRI Conditional MRI Unsafe
  • 23. GRADIENT SYSTEM SAFETY AUDITORY DAMAGE  WILL PRODUCE TYPICAL KNOCKING SOUND INDUCED CURRENTS (PERIPHERAL NERVOUS SYSTEM) RESULTS FROM ELECTRO MAGNETIC FIELDS RESULTS IN HEATING OF HUMAN BODY
  • 24. o Always apply hearing protection for patients Auditory damage
  • 25. o PATIENT MUST BE INFORMED ABOUT THE POSSIBILITY PERIPHERAL NERVE STIMULATION o THOSE WHO CLOSE TO THE PATIENT ALSO EXPERIENCE A MILD PERIPHERAL NERVE STIMULATION Induced currents (peripheral nervous system)
  • 26. RF power deposition Burns So.., It may cause  Prevent skin to skin contact creating current loops  Keep sufficient distance between patients skin and RF coil  Keep RF Coils straight and parallel to main magnetic field RF SAFETY
  • 27.  In the event of an emergency, you should first remove the subject from the MRI scan room  Stand near the doors to the scan room to insure no unauthorized emergency personnel can enter  NO CODE OR CODE LIKE PROCEDURES WILL BE RUN IN THE MRI ROOM HANDLING EMERGENCY SITUATIONS
  • 28. Emergency stopper button EMERGENCY STOP BUTTON DOES NOT QUENCH THE MAGNET THIS TURN OFF MOST ELECTRICAL POWER IN THE SCANNER ROOM AND OPERATOR AREA Stop button
  • 29. QUENCH Quench is done in an emergency ,to run the magnetic field ZERO in order to remove projectile /patient from the scanner in An emergency If these done Cryogens ( Helium and Nitrogen ) BOIL OFF and DEACTIVATE the magnet
  • 31. FIRE AND SAFETY MRI Compatible Fire Extinguisher
  • 32. REMEMBER THIS MNEMONIC: MRI = METAL RESULTS (IN) INJURY