Nordell Anders, Lundh Marcus, Horsch Sandra, Hallberg Boubou, Aden Ulrika, Nordell Bo, Blennow Mats
Karolinska University Hospital, Department of Hospital Physics, Stockholm, Sweden.
Acta Paediatr. 2009 Aug;98(8):1278-83. doi: 10.1111/j.1651-2227.2009.01339.x. Epub 2009 May 8.
Magnetic resonance imaging (MRI) is today the imaging modality of choice to investigate the neonatal brain. However, the acoustic noise during scanning is very loud, often exceeding 100 dBA.
To reduce the acoustic noise during MRI for neonatal patients. If effective, this would create a safer environment and also result in fewer aborted examinations due to poor image quality from patient motion.
A passive acoustic noise protector, the acoustic hood, was built out of dampening material. Sound pressure measurements with and without the acoustic hood were performed using our clinical neonatal scan protocol, consisting of eight imaging sequences. The acoustic hood is placed over the newborn inside the MR scanner tunnel during the examination to absorb acoustic noise.
The acoustic noise level was substantially reduced using the acoustic hood. Peak sound pressure was reduced 16.18-22.21 dBA depending on the pulse sequence. For the entire frequency spectra, reduction were between 4-13.59 dBA again varying with the pulse sequence.
Acoustic noise can be reduced further than before by using the patient-independent acoustic hood in addition to other noise protection. We recommend the use of three passive hearing protections during neonatal MRI: (1) dental putty, (2) paediatric ear muffs, and (3) the acoustic hood.
磁共振成像(MRI)如今是用于新生儿脑部检查的首选成像方式。然而,扫描过程中的噪音非常大,常常超过100分贝。
降低新生儿患者MRI检查期间的噪音。若行之有效,这将营造一个更安全的环境,同时减少因患者移动导致图像质量不佳而中断的检查次数。
用隔音材料制作了一种被动式噪音保护器——隔音罩。按照我们的临床新生儿扫描方案,使用八个成像序列,分别测量有无隔音罩时的声压。检查期间,将隔音罩置于磁共振扫描仪检查通道内的新生儿上方,以吸收噪音。
使用隔音罩后,噪音水平大幅降低。根据脉冲序列不同,峰值声压降低了16.18至22.21分贝。对于整个频谱,声压降低了4至13.59分贝,同样因脉冲序列而异。
除其他噪音防护措施外,使用独立于患者的隔音罩可进一步降低噪音。我们建议在新生儿MRI检查期间使用三种被动听力保护措施:(1)牙科用橡皮泥,(2)儿童耳罩,(3)隔音罩。