Department of Radiology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warszawa, Poland.
Department of Bioelectromagnetics, Central Institute for Labour Protection-National Research Institute (CIOP-PIB), Czerniakowska 16, 00-701 Warszawa, Poland.
Int J Environ Res Public Health. 2021 Dec 22;19(1):76. doi: 10.3390/ijerph19010076.
(1) Background: It has been hypothesised that a significant increase in the use of cardiac magnetic resonance (CMR), for example, when examining COVID-19 convalescents using magnetic resonance imaging (MRI), has an influence the exposure profiles of medical personnel to static magnetic fields (STmf). (2) Methods: Static exposure to STmf (SEmf) was recorded during activities that modelled performing CMR by radiographers. The motion-induced time variability of that exposure (TVEmf) was calculated from SEmf samples. The results were compared with: (i) labour law requirements; (ii) the distribution of vertigo perception probability near MRI magnets; and (iii) the exposure profile when actually performing a head MRI. (3) Results: The exposure profiles of personnel managing 42 CMR scans (modelled using medium (1.5T), high (3T) and ultrahigh (7T) field scanners) were significantly different than when managing a head MRI. The majority of SEmf and TVEmf samples (up to the 95th percentile) were at low vertigo perception probability (SEmf < 500 mT, TVEmf < 600 mT/s), but a small fraction were at medium/high levels; (4) Conclusion: Even under the "normal working conditions" defined for SEmf (STmf < 2T) by labour legislation (Directive 2013/35/EC), increased CMR usage increases vertigo-related hazards experienced by MRI personnel (a re-evaluation of electromagnetic safety hazards is suggested in the case of these or similar changes in work organisation).
(1) 背景:有人假设,例如,当使用磁共振成像(MRI)检查 COVID-19 康复者时,心脏磁共振(CMR)的使用显著增加,这会影响医务人员接触静磁场(STmf)的暴露情况。(2) 方法:在放射技师模拟进行 CMR 的活动期间记录静磁场(SEmf)的静态暴露。从 SEmf 样本中计算出暴露的运动诱导时间变化(TVEmf)。将结果与:(i)劳动法规要求;(ii)MRI 磁铁附近眩晕感知概率的分布;和(iii)实际进行头部 MRI 时的暴露情况进行比较。(3) 结果:管理 42 次 CMR 扫描(使用中(1.5T)、高(3T)和超高(7T)场扫描仪模拟)的人员的暴露情况明显不同于管理头部 MRI 时的暴露情况。大多数 SEmf 和 TVEmf 样本(高达第 95 百分位)处于低眩晕感知概率(SEmf < 500 mT,TVEmf < 600 mT/s),但一小部分处于中/高水平;(4)结论:即使在劳动法规(指令 2013/35/EC)规定的 SEmf(STmf < 2T)的“正常工作条件”下,CMR 使用的增加也会增加 MRI 人员眩晕相关的危害(在这种情况下或类似的工作组织变化,建议重新评估电磁安全危害)。