IRCCS, Scientific Hospitalization and Care Institute, Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.
IFAC-CNR, Nello Carrara, Institute for Applied Physics of the Italian National Research Council, Via Madonna del Piano 10, Sesto Fiorentino, 50019 Florence, Italy.
Int J Environ Res Public Health. 2021 Mar 27;18(7):3475. doi: 10.3390/ijerph18073475.
This work is the result of a campaign of measures of exposure levels to magnetic field gradients (GMF) generated by magnetic resonance imaging (MRI) tomographs, to which both healthcare staff and any persons accompanying patients who remain inside the magnet room are exposed while performing a diagnostic Investigation. The study was conducted on three MRI tomographs with a static magnetic induction field up to 1.5 T installed in two hospitals of Lombardy. The study aims to characterize electromagnetic emissions within the magnet room and the definition of a measurement method suitable for assessing the level of exposure of healthcare personnel and any persons accompanying patients. The measurements performed concerned the determination of the weighted peak index for magnetic induction, due to the diagnostic GMF, relating to the action levels for the workers and the reference levels for the general population, in force in the European Union. Thanks to the defined experimental setup, the use of two different measuring instruments, and the software resources of the WEBNIR platform, it was possible to identify, for both categories of exposed persons, the "clearance" space, i.e., the distance from the magnet of the tomograph that guarantees health protection concerning the exposure to GMF, according to the indications of the standards in force. The method used showed that the exposure levels to GMF are substantially safe for professionally exposed workers who do not carry specific risks. For workers particularly sensitive to the specific risk, as well as to individuals part of the population, it is however advisable to maintain a distance from the magnet of about one meter to prevent sensorial neuromuscular stimulation effects.
这项工作是一系列磁场梯度(GMF)暴露水平测量措施的结果,这些措施是针对磁共振成像(MRI)断层扫描仪产生的 GMF,在进行诊断检查时,医疗保健人员和任何陪同患者留在磁体室内的人员都会暴露于此。该研究在伦巴第的两家医院中进行,使用了三台最大静态磁感应强度为 1.5T 的 MRI 断层扫描仪。该研究旨在描述磁体室内的电磁发射,并定义一种适合评估医疗保健人员和任何陪同患者的人员暴露水平的测量方法。进行的测量涉及确定由于诊断性 GMF 而导致的磁感应加权峰值指数,该指数与欧盟现行的工人行动水平和一般人群参考水平相关。得益于定义的实验设置、两种不同测量仪器的使用以及 WEBNIR 平台的软件资源,对于这两类暴露人员,可以根据现行标准的指示,确定距断层扫描仪磁体的“净空”距离,即保证 GMF 暴露健康保护的距离。所使用的方法表明,对于没有特定风险的职业暴露工人,GMF 的暴露水平基本是安全的。然而,对于对特定风险特别敏感的工人以及属于特定人群的个体,建议与磁体保持约一米的距离,以防止感觉神经肌肉刺激效应。