Shellock F G, Crues J V
Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048.
AJNR Am J Neuroradiol. 1988 Mar-Apr;9(2):287-91.
Tissue heating caused by exposure to RF radiation is a primary safety concern in MR imaging. Therefore, to determine temperature changes caused by high field strength MR imaging of the brain with a head coil, we measured body and skin temperatures in 35 patients immediately before and after clinical MR imaging. MR imaging was performed with a 1.5 T MR system using a 28-cm, open-bore RF transmit/receive head coil specifically designed for examinations of the brain. The average body temperature was 36.6 +/- 0.2 degrees C before MR imaging and 36.6 +/- 0.2 degrees C immediately afterward (mean +/- SD, p = not significant). The average forehead skin temperature increased from 32.6 +/- 0.6 to 32.8 +/- 0.5 degrees C (p less than .01), and the average outer canthus skin temperature increased from 32.1 +/- 0.6 to 32.7 +/- 0.6 degrees C (p less than .01) after MR imaging. The highest skin temperature recorded was 34.2 degrees C, and the largest temperature change was +2.1 degrees There were no statistically significant changes in the average skin temperatures of the upper arm and hand. We conclude that patients undergoing MR imaging of the brain with a head coil at the RF radiation exposure we studied experience no significant changes in average body temperature and statistically significant increases in local (i.e., areas within the head coil) skin temperatures. The observed elevations in skin temperatures were physiologically inconsequential.
在磁共振成像(MR成像)中,暴露于射频辐射下导致的组织发热是一个主要的安全问题。因此,为了确定使用头部线圈进行脑部高场强MR成像所引起的温度变化,我们在35例患者进行临床MR成像前后立即测量了他们的身体和皮肤温度。使用1.5T MR系统进行MR成像,该系统配备一个专门为脑部检查设计的28厘米开放式射频发射/接收头部线圈。MR成像前平均体温为36.6±0.2℃,成像后立即为36.6±0.2℃(平均值±标准差,p值无统计学意义)。MR成像后,前额皮肤平均温度从32.6±0.6℃升至32.8±0.5℃(p<0.01),外眦皮肤平均温度从32.1±0.6℃升至32.7±0.6℃(p<0.01)。记录到的最高皮肤温度为34.2℃,最大温度变化为+2.1℃。上臂和手部的平均皮肤温度无统计学显著变化。我们得出结论,在我们研究的射频辐射暴露情况下,使用头部线圈进行脑部MR成像的患者平均体温无显著变化,而局部(即头部线圈内区域)皮肤温度有统计学显著升高。观察到的皮肤温度升高在生理上无重要影响。