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[高场磁共振成像中的安全问题]

[Safety aspects in high-field magnetic resonance imaging].

作者信息

Mühlenweg M, Schaefers G, Trattnig S

机构信息

Exzellenzzentrum Hochfeld-Magnetresonanz, Universitätsklinik für Radiodiagnostik, Medizinische Universität Wien.

出版信息

Radiologe. 2008 Mar;48(3):258-67. doi: 10.1007/s00117-007-1598-1.

DOI:10.1007/s00117-007-1598-1
PMID:18060656
Abstract

With more and more 3 Tesla high-field magnetic resonance (MR) scanners entering clinical routine, the safety notion in MR imaging has also reached a new dimension. The first part of this paper deals with the three most important sources of physical interaction (static magnetic field, gradient and HF fields). The paper discusses the differences compared with the traditional clinical 1.5 T standard scanners, the impact on human beings, the interactions with metallic objects and the relevant safety standards. The second part of the paper examines the issue of MR safety as seen in clinical practice and tries to demonstrate optimization potentials. This includes structural optimization in information distribution and hospital organization as well as test standards and labeling guidelines.

摘要

随着越来越多的3特斯拉高场磁共振(MR)扫描仪进入临床常规使用,MR成像中的安全概念也达到了一个新的层面。本文的第一部分探讨了物理相互作用的三个最重要来源(静磁场、梯度场和高频场)。本文讨论了与传统临床1.5T标准扫描仪相比的差异、对人体的影响、与金属物体的相互作用以及相关的安全标准。本文的第二部分研究了临床实践中所见的MR安全问题,并试图展示优化潜力。这包括信息传播和医院组织方面的结构优化以及测试标准和标签指南。

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J Eur Acad Dermatol Venereol. 2007 Sep;21(8):1140-1. doi: 10.1111/j.1468-3083.2006.02126.x.
2
[Nephrogenic systemic fibrosis (NSF)--implications for radiology].[肾源性系统性纤维化(NSF)——对放射学的影响]
Radiologe. 2007 Sep;47(9):785-93. doi: 10.1007/s00117-007-1537-1.
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Testing methods for MR safety and compatibility of medical devices.医疗器械的磁共振安全性与兼容性测试方法。
Minim Invasive Ther Allied Technol. 2006;15(2):71-5. doi: 10.1080/13645700600640865.
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Acute neurobehavioral effects of exposure to static magnetic fields: analyses of exposure-response relations.暴露于静磁场的急性神经行为效应:暴露-反应关系分析
J Magn Reson Imaging. 2006 Mar;23(3):291-7. doi: 10.1002/jmri.20510.
5
Specific absorption rate as a poor indicator of magnetic resonance-related implant heating.比吸收率作为磁共振相关植入物发热的一个不佳指标。
Invest Radiol. 2005 Dec;40(12):773-6. doi: 10.1097/01.rli.0000185898.59140.91.
6
RF-induced temperature elevation along metallic wires in clinical magnetic resonance imaging: influence of diameter and length.临床磁共振成像中射频诱导金属导线的温度升高:直径和长度的影响
Magn Reson Med. 2004 Nov;52(5):1200-6. doi: 10.1002/mrm.20246.
7
Increased time rate of change of gradient fields: effect on peripheral nerve stimulation at clinical MR imaging.梯度场变化时间率增加:对临床磁共振成像中周围神经刺激的影响
Radiology. 2004 Nov;233(2):548-54. doi: 10.1148/radiol.2332030428. Epub 2004 Sep 9.
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Medical magnetic resonance (MR) procedures: protection of patients.
Health Phys. 2004 Aug;87(2):197-216. doi: 10.1097/00004032-200408000-00008.
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Sound-level measurements and calculations of safe noise dosage during EPI at 3 T.3T场强下心脏磁共振成像期间的声级测量及安全噪声剂量计算。
J Magn Reson Imaging. 2000 Jul;12(1):157-63. doi: 10.1002/1522-2586(200007)12:1<157::aid-jmri17>3.0.co;2-m.
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Review of patient safety in time-varying gradient fields.
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