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高场强磁共振成像期间的生理变化。

Physiologic changes during high field strength MR imaging.

作者信息

Kido D K, Morris T W, Erickson J L, Plewes D B, Simon J H

出版信息

AJR Am J Roentgenol. 1987 Jun;148(6):1215-8. doi: 10.2214/ajr.148.6.1215.

DOI:10.2214/ajr.148.6.1215
PMID:3495151
Abstract

High field strength MR imaging systems may require several kilowatts of RF power to obtain images. A fraction of this power is absorbed by the patient, and changes in body temperature have been measured in experimental animals. The purpose of this study was to quantify changes in body surface temperature and other physiologic parameters in humans during MR scanning at 1.5 T. Blood pressure, heart rate, respiration, and axillary temperature measurements were obtained on 27 normal volunteers. Measurements were made at RF power levels of 0, 0.2, and 0.8 W/kg, with the power sequence randomized. In 14 volunteers receiving lumbar scans, statistically significant increases in temperature were observed at RF power levels of 0.2 (+0.2 +/- 0.1 degree C) and 0.8 (+0.5 +/- 0.1 degree C) W/kg. No significant changes related to RF power were observed in blood pressure or respiratory rate. At the 0.8 W/kg level there was a slight increase in heart rate (3 +/- 1.3 beats per minute). In the 13 patients receiving head scans, physiologic changes were substantially smaller. The temperature increases and other physiologic changes observed during MR scanning with the 1.5 T imager at RF powers of 0.2 and 0.8 W/kg were small and of no clinical concern. Additional studies should be performed in patients with cardiac failure, vascular occulusion, and metallic implants or prostheses.

摘要

高场强磁共振成像系统可能需要几千瓦的射频功率来获取图像。其中一部分功率被患者吸收,并且在实验动物身上已测量到体温变化。本研究的目的是量化1.5T磁共振扫描过程中人体体表温度及其他生理参数的变化。对27名正常志愿者进行了血压、心率、呼吸和腋窝温度测量。测量在射频功率水平为0、0.2和0.8W/kg时进行,功率顺序随机。在14名接受腰椎扫描的志愿者中,在射频功率水平为0.2(+0.2±0.1摄氏度)和0.8(+0.5±0.1摄氏度)W/kg时观察到温度有统计学意义的升高。在血压或呼吸频率方面未观察到与射频功率相关的显著变化。在0.8W/kg水平时心率略有增加(每分钟3±1.3次心跳)。在13名接受头部扫描的患者中,生理变化要小得多。在1.5T成像仪以0.2和0.8W/kg的射频功率进行磁共振扫描期间观察到的温度升高及其他生理变化很小,无临床意义。应对心力衰竭、血管阻塞以及有金属植入物或假体的患者进行进一步研究。

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Magn Reson Med. 2014 Oct;72(4):1141-50. doi: 10.1002/mrm.24999. Epub 2013 Nov 20.
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Biological effects of exposure to magnetic resonance imaging: an overview.暴露于磁共振成像的生物学效应:综述
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