Karpowicz Jolanta, Gryz Krzysztof, Politański Piotr, Zmyślony Marek
Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy, Warszawa, Pracownia Zagrozeń Elektromagnetycznych.
Med Pr. 2011;62(3):309-21.
Magnetic resonance imaging (MRI) scanners belong to the most modern imaging diagnostic devices, which involve workers' exposure to static magnetic fields (SMF) during the preparation and performance of MRI examinations. This paper presents the data on workers' exposure to SMF in the vicinity of MRI scanners and the analysis of SMF-related biological effects and health hazards to find out whether softening the legislative requirements concerning protection against SMF exposure of workers involved in MRI diagnostics is justified. Measurements in the vicinity of 1.5 T MRI magnets showed that exposure to SMF by various scanners depends on both SMF of magnets and scanners design, as well as on work organization. In a routine examination of one patient the radiographer is exposed to SMF exceeding 0.5 mT for app. 1.5-7 min, and up to 1.3 min to SMF exceeding 70 mT. In examinations of patients who need more attention, the duration of exposure may be significantly longer. The mean values (B mean) of exposure to SMF are 5.6-85 mT (mean 30 +/- 19 mT, N = 16). These data demonstrate that only well designed procedures, proper organization of workplace and awareness of workers how to attend the patients without being exposed to strong SMF allow for meeting the requirements of labor law concerning workers' exposure to SMF. The analysis of the available literature on biological effects of SMF has disclosed the lack of data on health effects of many years exposure of workers and the abundance of data demonstrating the biological activity of SMF. Therefore, a radical softening of legislative requirements concerning the exposure of workers' head or trunk is premature, and what is more, it is not indispensable for the development of MRI diagnostic. Such an action should be preceded by extensive international investigations on the health status of workers exposed to electromagnetic fields by MRI scanners.
磁共振成像(MRI)扫描仪属于最现代的成像诊断设备,在MRI检查的准备和执行过程中,会使工作人员暴露于静磁场(SMF)中。本文介绍了工作人员在MRI扫描仪附近暴露于SMF的数据,以及对与SMF相关的生物效应和健康危害的分析,以查明放宽有关从事MRI诊断工作的人员免受SMF暴露的立法要求是否合理。在1.5T MRI磁体附近进行的测量表明,不同扫描仪使工作人员暴露于SMF的情况既取决于磁体的SMF和扫描仪的设计,也取决于工作安排。在对一名患者进行常规检查时,放射技师暴露于超过0.5mT的SMF中的时间约为1.5 - 7分钟,暴露于超过70mT的SMF中的时间长达1.3分钟。在对需要更多关注的患者进行检查时,暴露时间可能会显著延长。暴露于SMF的平均值(B均值)为5.6 - 85mT(平均30±19mT,N = 16)。这些数据表明,只有精心设计的程序、合理的工作场所安排以及工作人员了解如何在不暴露于强SMF的情况下照顾患者,才能满足劳动法中关于工作人员暴露于SMF的要求。对有关SMF生物效应的现有文献进行分析后发现,缺乏关于工作人员多年暴露于SMF对健康影响的数据,而有大量数据表明SMF具有生物活性。因此,大幅放宽有关工作人员头部或躯干暴露的立法要求为时过早,而且对于MRI诊断的发展并非必不可少。在采取此类行动之前,应先对MRI扫描仪使工作人员暴露于电磁场的健康状况进行广泛的国际调查。