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金属支架:磁共振成像安全性评估

Metallic stents: evaluation of MR imaging safety.

作者信息

Shellock F G, Shellock V J

机构信息

Department of Radiology, School of Medicine, University of Southern California, Los Angeles 90036, USA.

出版信息

AJR Am J Roentgenol. 1999 Sep;173(3):543-7. doi: 10.2214/ajr.173.3.10470877.

Abstract

OBJECTIVE

The objective of our investigation was to evaluate safety during MR imaging (i.e., magnetic field interactions, heating, and artifacts) for metallic stents.

MATERIALS AND METHODS

Different types of metallic stents were tested for magnetic field interactions, heating, and artifacts using a 1.5-T MR system. Magnetic field-related translational attraction and torque were assessed using previously described techniques. Heating was evaluated using an infrared thermometer to record temperatures immediately before and after performing MR imaging using a whole-body-averaged specific absorption rate of 1.3 W/kg. Artifacts were assessed by placing the stents inside a fluid-filled phantom and performing MR imaging using fast spoiled gradient-echo and T1-weighted spin-echo pulse sequences.

RESULTS

For the 10 different stents evaluated, we found no magnetic field interactions. the highest temperature change was < or = +0.3 degrees C, and the artifacts involved signal voids that would not create diagnostic problems as long as the area of interest was not positioned exactly where a particular stent was located.

CONCLUSION

The findings of the safety tests indicated that the 10 different metallic stents would be safe for patients undergoing MR imaging procedures using MR systems with static magnetic fields of 1.5 T or less.

摘要

目的

我们研究的目的是评估金属支架在磁共振成像期间的安全性(即磁场相互作用、发热和伪影)。

材料与方法

使用1.5-T磁共振系统对不同类型的金属支架进行磁场相互作用、发热和伪影测试。使用先前描述的技术评估与磁场相关的平移吸引力和扭矩。使用红外温度计在以1.3 W/kg的全身平均比吸收率进行磁共振成像之前和之后立即记录温度来评估发热情况。通过将支架放置在充满液体的体模内并使用快速扰相梯度回波和T1加权自旋回波脉冲序列进行磁共振成像来评估伪影。

结果

对于评估的10种不同支架,我们未发现磁场相互作用。最高温度变化≤+0.3℃,并且伪影涉及信号缺失,只要感兴趣区域未恰好位于特定支架所在位置,就不会产生诊断问题。

结论

安全性测试结果表明,对于使用1.5 T或更低静磁场的磁共振系统进行磁共振成像检查的患者,这10种不同的金属支架是安全的。

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