Bassen H, Schaefer D J, Zaremba L, Bushberg J, Ziskin M, Foster K R
U.S. Food and Drug Administration, Center for Devices and Radiological Health, 12725 Twinbrook Parkway, Rockville, MD 20852, USA.
Health Phys. 2005 Dec;89(6):684-9. doi: 10.1097/01.hp.0000172545.71238.15.
Open magnetic resonance imaging (MRI) systems enable performing image-guided medical procedures for long periods of time very close to, or inside, the patient imaging area. Medical personnel can be exposed to relatively high static, gradient, and radiofrequency fields compared to most other MRI systems. The Committee on Man and Radiation of the Institute of Electrical and Electronics Engineers calculated or used existing data on magnetic flux densities and field strengths in or near the patient area to assess occupational exposure levels. Potential exposures to each field type were analyzed and compared to relevant values specified in international exposure limits including those of the Institute of Electrical and Electronics Engineers and the International Commission on Nonionizing Radiation Protection. Exposures of the head or torso of a worker to gradient fields near the center of the patient-imaging area can exceed most exposure limits even for times less than a second. Exposures to radiofrequency fields can exceed limits if sustained exposures (minutes or more) occur to parts of the body. Static magnetic fields used by present Open MRI systems are below exposure limits of all of the standards that address these fields. Overall results of this study suggest that manufacturers and others who program or operate Open MRI systems should take care to ensure that operating parameters produce exposures that comply with the relevant exposure limits. Also, since field levels fall off rapidly with increasing distance, user practices may be implemented that reduce exposures significantly.
开放式磁共振成像(MRI)系统能够在非常靠近患者成像区域或在其内部长时间进行图像引导的医疗程序。与大多数其他MRI系统相比,医护人员可能会暴露于相对较高的静磁场、梯度场和射频场中。电气和电子工程师协会的人与辐射委员会计算或使用了患者区域内或附近的磁通密度和场强的现有数据,以评估职业暴露水平。分析了每种场类型的潜在暴露情况,并与国际暴露限值(包括电气和电子工程师协会以及国际非电离辐射防护委员会的限值)中规定的相关值进行了比较。即使时间不到一秒,工人的头部或躯干在患者成像区域中心附近暴露于梯度场时也可能超过大多数暴露限值。如果身体的某些部位持续暴露(数分钟或更长时间),则射频场暴露可能会超过限值。目前的开放式MRI系统使用的静磁场低于所有涉及这些场的标准的暴露限值。这项研究的总体结果表明,生产开放式MRI系统以及对其进行编程或操作的制造商和其他人员应注意确保操作参数产生符合相关暴露限值的暴露情况。此外,由于场强会随着距离的增加而迅速下降,因此可以实施一些用户操作方法来显著降低暴露水平。