mr imaging bioeffects and safety · 1 of 95 mr imaging bioeffects and safety hsiao-wen chung...
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![Page 1: MR Imaging Bioeffects and Safety · 1 of 95 MR Imaging Bioeffects and Safety Hsiao-Wen Chung (鍾孝文), Ph.D., Professor Dept. Electrical Engineering, National Taiwan Univ. Dept](https://reader033.vdocuments.site/reader033/viewer/2022060500/5f1a91e8b59f054c39347c63/html5/thumbnails/1.jpg)
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MR Imaging
Bioeffects and Safety
Hsiao-Wen Chung (鍾孝文), Ph.D., Professor
Dept. Electrical Engineering, National Taiwan Univ.
Dept. Radiology, Tri-Service General Hospital
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MRI Safety Issues
• MRI bioeffects
• MRI safety & protection
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Bioeffects
• Is MRI harmful?
• Try not to be scanned?
• Should I change my job?
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Is MRI This Dangerous?
Let’s just take a look at your heart … briefly
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Generation of MRI
• M : source of signals
• R : excitation & detection
• I : turning signals into images
• What equipments do we need?
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MRI Hardware
• M : strong magnetic field
• R : RF coils
• I : gradient coils
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MRI Hardware
• M : strong magnetic field
• R : RF coils
• I : gradient coils
• Are they harmful ?
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MRI Bioeffects
• Strictly personal opinion:
• Minimal, or none
• Soon recoverable even if yes
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But I Often Encounter …
• “I don’t believe you …”
• “There must be something …”
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MRI Hardware
• M : strong magnetic field
• R : RF coils
• I : gradient coils
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MRI Hardware
• M : strong magnetic field
• R : RF coils
• I : gradient coils
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Bioeffects of Main Field
• Always going toward north?
• Reduced reproductive ability?
• Abnormal (mitotic) cell division?
• Enhanced T-wave in ECG ?
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Enhanced T-wave in Electrocardiogram
A known effect from MRI main field
P
Q
R
S
T
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Enhanced ECG T-wave
• Magnetohydrodynamic effect
• Blood is electrically conductive
• Electrical induction from moving
conductor in magnetic field
• Detected by ECG surface electrodes
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Magnetohydrodynamic Effect
Electrical induction from moving conductor
Bo
vessel
blood flow
Bo
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Is It Dangerous?
• Perhaps not for the patients
• Gating error (mistaken as R wave)
• Also a sign for cardiac infarction
• Check ECG before/after MRI
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Research on Bo Bioeffect
• Sickle cells aligned?
• Cone/rod cells aligned?
• Change in BBB permeability?
• Increased phantom limb pain?
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Bo Bioeffects
• None from research so far
• Or highly debatable
• Are there real examples?
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Klitzing (1986) at 0.35 T
• Alterations in somatosensory
evoked potential in brain stem
• Against by four research papers
– Hong (1990), Muller (1990),
Vogl (1991), Buettner (1992)
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Other Bo Bioeffects
• Bed oriented along north/south to be
parallel with earth magnetic field?
• Magnet under pillow for mental
stabilization?
• Health magnetic belt for slim body?
• Magnetic field from rock crystal improves
your working environment?
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Bioeffects of Bo
• Do you believe in scientific
research or commercial
advertisement?
• Give it a try without loss?
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MRI Hardware
• M : strong magnetic field
• R : RF coils
• I : gradient coils
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RF Bioeffects
• Is RF excitation like microwave?
• RF is like radio broadcasting
• Local temperature increases with
too much RF
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Multi-Slice Gradient-Echo
Several slices excited in one TR (lots of RF)
B1 t
t
...
...
t ...
t ...
TR
Gp
Gs
Gr
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Multi-Slice Spin-Echo
t
t
t
t
sampling
...
RF
Gs
Gp
Gr
900 1800
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RF Bioeffects
• Worry? No! FDA SAR limits:
– Mean < 3.2 W/Kg in head
– Mean < 0.4 W/Kg whole-body
– Mean < 8.0 W/Kg locally
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Heating Effects from RF
• Homeostasis for maintaining
body temperature in human
• Blood flow carries away the heat
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MRI Hardware
• M : strong magnetic field
• R : RF coils
• I : gradient coils
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Gradient Bioeffects
• Rapid Bo change on conductive
human body ...
– Electrical induction?
• Electric shock on patient?
• Electrophysiology disturbed?
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Gradient Echo
t
t
t
t
...
RF
Gs
Gp
Gr
Gradient ON/OFF = Bo changes
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Magnetophosphene
• Electric induction due to fast dB/dt
• Flash-like vision when optic nerves
fire action potential
• Peripheral nerve stimulation
• Smaller effects near MRI isocenter
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z Gradient OFF
Maxwell pair
Bo
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z Gradient ON
Bo changed rapidly everywhere
Bo
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z Gradient OFF Again
Smaller effects near MRI isocenter
Bo
large Bo change small Bo change
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Magnetophosphene
• Peripheral nerve stimulation
• Response gone after scan stops
• Optic nerves unharmed
• Present in EPI scan only
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EPI Pulse Sequence
Echo Planar Imaging
RF
Gs
Gp
Gr
t
t
t
t
...
...
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PNS Issues
• Eyes: scary although harmless
• Myocardium excited as well?
• At least 10 times larger intensity
for myocardium
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Summary: MRI Bioeffects
• Increased T-wave amplitude (Bo)
• Local temperature increase (RF)
• Magnetophosphene (gradient)
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Summary: MRI Bioeffects
• Patient, clinician, technologist:
all basically harmless
• No worry under normal operation
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Well, after class …
• You may say …
• “Believe it or not, it is up to me.”
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Dr. Chung You’re Wrong!
• My friend said that her eyes hurt
after the MRI scan ...
• Is it really due to MRI?
• You still don’t believe me?
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Let’s Ask This Question:
• Is TaiPower Company willing to build
nuclear power plant in their backyard?
• Are clinicians willing to get X-ray
exams frequently?
• Is Dr. Chung willing to get MR scans?
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Risk vs. Benefit
• Patient: better diagnosis
• Technologist: work environment
without ionizing radiation
• Clinician: tomographic vision
• Dr. Chung: source of $ income
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Is MRI This Dangerous?
Let’s just take a look at your heart … briefly
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Are You Afraid of MRI?
• Go ahead & quit your job
• Don’t force yourself
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MRI Safety Issues
• MRI bioeffects
• MRI safety & protection
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Protection for MRI Safety
• What a hell of protection do
we need if MRI is so safe?
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MRI Safety
• No worry under normal operation
• Abnormal operation can be
extremely dangerous!
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Warning Sign Near MR Scan Room
WARNING !
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The Strong MRI Magnet
• Earth field: 0.5 Gauss
• Toy magnets: ~ 50 Gauss
• MRI magnet: 15,000 Gauss
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Compare Magnetic Field
• 0.5 Gauss: compass
• 50 Gauss: paper clips
• 15,000 Gauss: television?
• MRI weight: 4~9 tons
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Danger of Strong Bo
• Huge attractive force for appliance!
– Nail, scissors, tweezers, …
– Wrench, screwdriver, hammer, …
– Computer, chair, oscilloscope, …
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Danger of Ferromagnetic Object in MRI
Power amplifier De-humidifier
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Danger of Ferromagnetic Object in MRI
Chair Buffer
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Danger of Ferromagnetic Object in MRI
Nitrous oxide tank Oxygen cylinder
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Danger of Ferromagnetic Object in MRI
Vacuum cleaner i.v. injector
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MRI Safety Film
• If the classroom is like a movie
theater …
– From GE education video
• Kids, don’t do this at home!
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Danger of Ferromagnetic Object in MRI
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Danger of Strong Bo
• MRI: 4~9 tons in weight
• Heavy ferromagnetic objects
become lethal weapons!
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Other Dangerous Stuff
• Cardiac pacemaker
• Dysfunction in strong magnetic field
• At least one death reported (1990)
• Not only patients, but also
accompanying family members
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About Pacemakers
• Highly depend on manufacturer
and year of production
• Circ ’04: safe Circ ’05: 3 letters
• Follow new investigations!
• Better be careful
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Other “Bad” Things
• Metal or magnetic stuff
– Implants
– Carry-on
• Discomfort or image distortions
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Metal Implants
• Surgical clips
• Cochlear implants
• Injection pump
• Prosthesis ...
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Metal Carry-on
• Dental work
• Leather belt
• Make-up (eye shadow)
• Hair pin ...
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Some Known “Bad Things”
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Iron Hair Pin MRI
Spin echo Gradient echo
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Importance of Prevention
• No disorganized stuff near MRI
• Routine query pt’s on implants
• Remove carry-on, change clothes
• No entrance unless admitted!
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http://www.mrisafety.com/list_search.asp
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In An Emergency
• Patient life threatened:
– Discomfort: leave MRI at once
– Stuck: emergent quench
• Life not threatened: report to
manufacturer honestly at once
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Emergent Quench
• Quench: turn off superconductivity
• Magnet “may” be destroyed
• Don’t do it unless life threatening!
• Don’t hesitate when necessary!
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Quench
• Helium & nitrogen boil off
• Oxygen expelled (asphyxia)
• Ramp up needed afterwards
• Time ~ 2 weeks, $ ~ million
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Quench of an NMR Spectrometer
Starting … A while later
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MRI Quench Film
• If the classroom is like a movie
theater …
• Pirated without copyright
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From “The One” Starring Jet Lee
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RF Burns
• RF + wire ~ point discharge?
– ECG leads
– Meter needle pointer ...
• (Coil) decoupling circuit broken
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Avoiding RF Burns
• Follow instructions & use only
MR-compatible accessory
• Handle RF coils carefully
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MRI & Pregnancy
• Believed harmless to fetus, but …
• Nobody dared to start until ’95
• More & more at 2~3 trimesters
– 1st trimester: cell differentiation
• Especially with uncertain ultrasound
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… Including My Own Son
Courtesy Cheng-Yu Chen, M.D., Tri-Service General Hospital
5-month photo Future look?
28-week gestation 35-week gestation
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MRI Contrast Agents
• Magnevist, Gadovist (Schering)
• ProHance (Bracco)
• OmniScan (Nycomed GE)
• Dotarem (Guerbet)
• Optimark (Mallinckrodt)
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Some FDA Approved Gd Chelates
Still large compared capillary permeability
Gd-DTPA (Magnevist) Gd-DOTA (Dotarem)
Gd-DTPA-BMA (Omniscan) Gd-HP-DO3A (Prohance)
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Contrast Agent Safety
• Stability: chelate does not degrade
within human body
• Excreted (urine) before degrading
• LD50 study before commercialized
– Dosage at which 50% mice die
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LD50 Study
Gd-DTPA Magnevist 10
Gd-DOPA Dotarem >10
Gd-DTPA-BMA Omniscan 34
Gd-HP-DO3A ProHance 12
GdCl3 0.2~0.5
Gd(OH)3 0.1
Dose at which half mice die (mmol/Kg)
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Intravascular Injection
• Generally safe
• Allergy cases reported (1994) :
– Magnevist: 13 in 5,900,000
– One death, one coma
– 6 deaths unproven to be due to Gd
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Contrast Agent Safety
• LD50 is just overall toxicity
• Not for kidney dysfunction!
• Evolving case: Gd-agents & NSF
– Nephrogenic systemic fibrosis
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Nephrogenic Systemic Fibrosis
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Possible Reasons
• All NSF patients had CE-MR & kidney
dysfunction (not the opposite)
– Contrast excretion route altered
– Gd found from skin biopsy
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Possible Reasons
• Gd has not been proven as the actual
origin (perhaps the chelate?)
• Evidence all points on Gd agents
• Worldwide warning (RSNA, ISMRM,
FDA, Dept. of Health …)
• Follow-up warranted
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MRI Acoustic Noise
• Origin: gradient coil ON/OFF
• Often louder (or higher pitch) for
faster scan
• Give ear plugs
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Claustrophobia
• Psychological fear (closed space)
• Patients afraid of entering MRI
• Explain MRI being harmless
• Calm down without forcing
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Summary: MRI Bioeffects
• Some, believed to be harmless
• Dr. Chung is not worried
• Readers do not have to obey me
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Summary: MRI Protection
• No ferromagnetic objects
• Avoid RF burns
• Pay attention to patient comfort
• Careful attitude without fear
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http://www.mrisafety.com/safety_info.asp
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http://www.stmichaelshospital.com/content/programs
/medical_imaging/mri/mri_safety.asp
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Summary: MRI Safety
• No worry under normal operation!
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MR Imaging
Bioeffects and Safety
Hsiao-Wen Chung (鍾孝文), Ph.D., Professor
Dept. Electrical Engineering, National Taiwan Univ.
Dept. Radiology, Tri-Service General Hospital