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MRI Procedure
 
The MRI device is located within a specially shielded room (Faraday cage) to avoid outside interference, caused by the use of radio waves very close in frequency to those of ordinary FM radio stations.
The MRI procedure can easily be performed through clothing and bones, but attention must be paid to ferromagnetic items, because they will be attracted from the magnetic field. A hospital gown is appropriate, or the patient should wear clothing without metal fasteners and remove any metallic objects like hairpins, jewelry, eyeglasses, clocks, hearing aids, any removable dental work, lighters, coins etc., not only for MRI safety reasons. Metal in or around the scanned area can also cause errors in the reconstructed images (artifacts). Because the strong magnetic field can displace, or disrupt metallic objects, people with an implanted active device like a cardiac pacemaker cannot be scanned under normal circumstances and should not enter the MRI area.
The MRI machine can look like a short tunnel or has an open MRI design and the magnet does not completely surround the patient. Usually the patient lies on a comfortable motorized table, which slides into the scanner, depending on the MRI device, patients may be also able to sit up. If a contrast agent is to be administered, intravenous access will be placed. A technologist will operate the MRI machine and observe the patient during the examination from an adjacent room. Several sets of images are usually required, each taking some minutes. A typical MRI scan includes three to nine imaging sequences and may take up to one hour. Improved MRI devices with powerful magnets, newer software, and advanced sequences may complete the process in less time and better image quality.
Before and after the most MRI procedures no special preparation, diet, reduced activity, and extra medication is necessary. The magnetic field and radio waves are not felt and no pain is to expect.
Movement can blur MRI images and cause certain artifacts. A possible problem is the claustrophobia that some patients experience from being inside a tunnel-like scanner. If someone is very anxious or has difficulty to lie still, a sedative agent may be given. Earplugs and/or headphones are usually given to the patient to reduce the loud acoustic noise, which the machine produces during normal operation. A technologist observes the patient during the test. Some MRI scanners are equipped with televisions and music to help the examination time pass.
MRI is not a cheap examination, however cost effective by eliminating the need for invasive radiographic procedures, biopsies, and exploratory surgery. MRI scans can also save money while minimizing patient risk and discomfort. For example, MRI can reduce the need for X-ray angiography and myelography, and can eliminate unnecessary diagnostic procedures that miss occult disease.

See also Magnetic Resonance Imaging MRI, Medical Imaging, Cervical Spine MRI, Claustrophobia, MRI Risks and Pregnancy.
For Ultrasound Imaging (USI) see Ultrasound Imaging Procedures at Medical-Ultrasound-Imaging.com.

See also the related poll result: 'MRI will have replaced 50% of x-ray exams by'
 
Images, Movies, Sliders:
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 Breast MRI Images T2 And T1 Pre - Post Contrast  Open this link in a new window
 Sagittal Knee MRI Images T1 Weighted  Open this link in a new window
      

 
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• Related Searches:
    • MRI Scan
    • Pulse Sequence
    • MRI History
    • Open MRI
    • Pregnancy
 
Further Reading:
  News & More:
MRI technology visualizes heart metabolism in real time
Friday, 18 November 2022   by medicalxpress.com    
Are synthetic contrast-enhanced breast MRI images as good as the real thing?
Friday, 18 November 2022   by healthimaging.com    
Ultrafast MRI protocol reduces scan time by 10 minutes for cervical imaging
Monday, 26 September 2022   by healthimaging.com    
Study: Fast MRI can diagnose TBI without radiation
Wednesday, 18 September 2019   by www.aappublications.org    
Metamaterials boost sensitivity of MRI machines
Thursday, 14 January 2016   by www.eurekalert.org    
Working with MRI machines may cause vertigo: Study
Wednesday, 25 June 2014   by www.cos-mag.com    
Searchterm 'Noise' was also found in the following services: 
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Radiology  (15) Open this link in a new windowUltrasound  (15) Open this link in a new window
MRI SafetyMRI Resource Directory:
 - Safety -
 
There are different types of contraindications that would prevent a person from being examined with an MRI scanner. MRI systems use strong magnetic fields that attract any ferromagnetic objects with enormous force. Caused by the potential risk of heating, produced from the radio frequency pulses during the MRI procedure, metallic objects like wires, foreign bodies and other implants needs to be checked for compatibility. High field MRI requires particular safety precautions. In addition, any device or MRI equipment that enters the magnet room has to be MR compatible. MRI examinations are safe and harmless, if these MRI risks are observed and regulations are followed.

Safety concerns in magnetic resonance imaging include:
•
the magnetic field strength;
•
possible 'missile effects' caused by magnetic forces;
•
the potential for heating of body tissue due to the application of the radio frequency energy;
•
the effects on implanted active devices such as cardiac pacemakers or insulin pumps;
•
magnetic torque effects on indwelling metal (clips, etc.);
•
the audible acoustic noise;
•
danger due to cryogenic liquids;
•
the application of contrast medium;
mri safety guidance
MRI Safety Guidance
It is important to remember when working around a superconducting magnet that the magnetic field is always on. Under usual working conditions the field is never turned off. Attention must be paid to keep all ferromagnetic items at an adequate distance from the magnet. Ferromagnetic objects which came accidentally under the influence of these strong magnets can injure or kill individuals in or nearby the magnet, or can seriously damage every hardware, the magnet itself, the cooling system, etc.. See MRI resources Accidents.
The doors leading to a magnet room should be closed at all times except when entering or exiting the room. Every person working in or entering the magnet room or adjacent rooms with a magnetic field has to be instructed about the dangers. This should include the patient, intensive-care staff, and maintenance-, service- and cleaning personnel, etc..
The 5 Gauss limit defines the 'safe' level of static magnetic field exposure. The value of the absorbed dose is fixed by the authorities to avoid heating of the patient's tissue and is defined by the specific absorption rate. Leads or wires that are used in the magnet bore during imaging procedures, should not form large-radius wire loops. Leg-to-leg and leg-to-arm skin contact should be prevented in order to avoid the risk of burning due to the generation of high current loops if the legs or arms are allowed to touch. The patient's skin should not be in contact with the inner bore of the magnet.
The outflow from cryogens like liquid helium is improbable during normal operation and not a real danger for patients.
The safety of MRI contrast agents is tested in drug trials and they have a high compatibility with very few side effects. The variations of the side effects and possible contraindications are similar to X-ray contrast medium, but very rare. In general, an adverse reaction increases with the quantity of the MRI contrast medium and also with the osmolarity of the compound.

See also 5 Gauss Fringe Field, 5 Gauss Line, Cardiac Risks, Cardiac Stent, dB/dt, Legal Requirements, Low Field MRI, Magnetohydrodynamic Effect, MR Compatibility, MR Guided Interventions, Claustrophobia, MRI Risks and Shielding.
Radiology-tip.comradRadiation Safety,  Ionizing Radiation
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Medical-Ultrasound-Imaging.comUltrasound Safety,  Absorbed Dose
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• View the DATABASE results for 'MRI Safety' (42).Open this link in a new window


• View the NEWS results for 'MRI Safety' (13).Open this link in a new window.
 
Further Reading:
  Basics:
MRI Safety
2001   by www.fda.gov    
What MRI Sequences Produce the Highest Specific Absorption Rate (SAR), and Is There Something We Should Be Doing to Reduce the SAR During Standard Examinations?
Thursday, 16 April 2015   by www.ajronline.org    
Contrast Agents: Safety Profile
   by www.clinical-mri.com    
  News & More:
How safe is 7T MRI for patients with neurosurgical implants?
Thursday, 17 November 2022   by healthimaging.com    
Newer Heart Devices Safe During MRI
Monday, 23 August 2004   by www.hospimedica.com    
Study: Face Masks Unsafe in MRI Machines
Wednesday, 13 July 2022   by www.laboratoryequipment.com    
COVID-19: Attention shifts to MRI infection control
Thursday, 9 July 2020   by https://www.auntminnieeurope.com/index.aspx?sec=ser§sub=def§pag=dis§ItemID=619012    
FDA Releases New Guidance On Establishing Safety, Compatibility Of Passive Implants In MR Environments
Tuesday, 16 December 2014   by www.meddeviceonline.com    
Modern Implantable Heart Devices Safe For Use In MRI Scans
Wednesday, 16 March 2005   by www.sciencedaily.com    
MRI Resources 
Implant and Prosthesis pool - MRI Centers - Safety Training - Journals - Most Wanted - Pathology
 
MSK-Extreme™InfoSheet: - Devices -
Intro, 
Types of Magnets, 
Overview, 
etc.MRI Resource Directory:
 - Devices -
 
www.onicorp.com/ From ONI Medical Systems, Inc.;
MSK-Extreme™MRI system is a dedicated high field extremity imaging device, designed to provide orthopedic surgeons and other physicians with detailed diagnostic images of the foot, ankle, knee, hand, wrist and elbow, all with the clinical confidence and advantages derived from high field, whole body MRI units. The light weight (less than 650 kg) of the OrthOne System performs rapid patient studies, is easy to operate, has a patient friendly open environment and can be installed in a practice office or hospital, all at a cost similar to a low field extremity machine.
New features include a more powerful operating system that offers increased scan speed as well as a 160-mm knee coil with higher signal to noise ratio, and the option of a CD burner.
Device Information and Specification
CLINICAL APPLICATION
Dedicated extremity imaging
CONFIGURATION
16 cm knee, 18 cm lower extremity;; 12.3 cm upper extremity, additional high resolution v-SPEC Coils: 80 mm, 100 mm, or 145 mm.
SYNCHRONIZATION
No
PULSE SEQUENCES
SE, FSE, GE2D, GE3D, Inversion recovery (IR), Driven Equilibrium, Fat Saturation (FS), STIR, MT, PD, Flow Compensation (FC), RF spoiling, MTE, No Phase Wrap (NPW)
IMAGING MODES
Scout, single, multislice, volume
TR
10-10,000ms; 1ms steps
TE
5-150ms; 1 ms steps
SINGLE/MULTI SLICE
2D less than 200 msec/image
4cm-16cm
2D: 2mm-10mm/.1mm incr.
Up to 1,000x1,000
MEASURING MATRIX
X/Y: 64-512; 2 pixel steps
PIXEL INTENSITY
4,096 grey lvls; 256 lvls in 3D
28cm ID x 50cm L
MAGNET WEIGHT
635 kg
H*W*D
146 x 69 x 84 cm
POWER REQUIREMENTS
115VAC, 1phase, 20A; 208VAC, 3 phase, 30A
COOLING SYSTEM TYPE
LHe with 2 stage cold head
Negligible
STRENGTH
15 mT/m
5-GAUSS FRINGE FIELD
1.25m radial x 1.8m axial
Passive
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Further Reading:
  Basics:
MSK Extreme Brochure(.pdf)
   by www.nova-logic.ch    
MSK Extreme Specifications(.pdf)
   by www.nova-logic.ch    
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Magnetic ForcesMRI Resource Directory:
 - MRI Accidents -
 
Forces can result from the interaction of magnetic fields. Pulsed magnetic field gradients can interact with the main magnetic field during the MRI scan, to produce acoustic noise through the gradient coil.
Magnetic fields attract ferromagnetic objects with forces, which can be a lethal danger if one is hit by an unrestrained object in flight. One could also be trapped between the magnet and a large unrestrained ferromagnetic object or the object could damage the MRI machine.
Access control and personnel awareness are the best preventions of such accidents. The attraction mechanism for ferromagnetic objects is that the magnetic field magnetizes the iron. This induced magnetization reacts with the gradient of the magnetic field to produce an attraction toward the strongest area of the field. The details of this interaction are very dependent on the shape and composition of the attracted object. There is a very rapid increase of force as one approaches a magnet. There is also a torque or twisting force on objects, e.g. a long cylinder (such as a pen or an intracranial aneurysm clip) will tend to align along the magnet's field lines. The torque increases with field strength while the attraction increases with field gradient.
Depending on the magnetic saturation of the object, attraction is roughly proportional to object mass. Motion of conducting objects in magnetic fields can induce eddy currents that can have the effect of opposing the motion.

See also Duty Cycle.

See also the related poll result: 'Most outages of your scanning system are caused by failure of'
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• View the DATABASE results for 'Magnetic Forces' (4).Open this link in a new window

 
Further Reading:
  Basics:
How strong are magnets?
   by my.execpc.com    
Magnetic Field of the Strongest Magnet
2003   by hypertextbook.com    
  News & More:
Imaging chain faces regulators after inmate, guard get stuck to MRI machine
Friday, 1 December 2023   by healthimaging.com    
Measuring magnetic force field distributions in microfluidic devices: Experimental and numerical approaches
Saturday, 2 December 2023   by analyticalsciencejournals.onlinelibrary.wiley.com    
Two stuck to MRI machine for 4 hrs
Tuesday, 11 November 2014   by www.mumbaimirror.com    
New imaging project for new applications in cancer diagnostics
Monday, 27 March 2017   by www.news-medical.net    
Searchterm 'Noise' was also found in the following services: 
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Radiology  (15) Open this link in a new windowUltrasound  (15) Open this link in a new window
Motion ArtifactInfoSheet: - Artifacts - 
Case Studies, 
Reduction Index, 
etc.MRI Resource Directory:
 - Artifacts -
 
Quick Overview
Please note that there are different common names for this artifact.
Artifact Information
NAME
Motion, phase encoded motion, instability, smearing
DESCRIPTION
Blurring and ghosting
REASON
Movement of the imaged object
HELP
Compensation techniques, more averages, anti spasmodic
Patient motion is the largest physiological effect that causes artifacts, often resulting from involuntary movements (e.g. respiration, cardiac motion and blood flow, eye movements and swallowing) and minor subject movements.
Movement of the object being imaged during the sequence results in inconsistencies in phase and amplitude, which lead to blurring and ghosting. The nature of the artifact depends on the timing of the motion with respect to the acquisition. Causes of motion artifacts can also be mechanical vibrations, cryogen boiling, large iron objects moving in the fringe field (e.g. an elevator), loose connections anywhere, pulse timing variations, as well as sample motion. These artifacts appear in the phase encoding direction, independent of the direction of the motion.
mri safety guidance
Image Guidance
Motion artifacts can be flipped 90° by swapping the phase//frequency encoding directions.
The artifacts can be reduced by using breath holding, cardiac synchronization or respiratory compensation techniques: triggering, gating, retrospective triggering or phase encoding artifact reduction. Flow effects can be reduced by using gradient moment nulling of the first order of flow, gradient moment rephasing or flow compensation, depending of the MRI system.
Peristaltic motion can be reduced with the intravenous injection of an anti-spasmodic (e.g. Buscopan).
By using multiple averages, respiratory motion can be reduced in the same way that multiple averages increase the signal to noise ratio. Noticeable motion averaging is seen when four averages are obtained, six averages are often as good as respiratory compensation techniques and higher averages will continue to improve image quality.
In some cases will help a presaturation of the anatomy that was generating the motion.

See also Phase Encoded Motion Artifact.
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• View the DATABASE results for 'Motion Artifact' (24).Open this link in a new window

 
Further Reading:
  Basics:
The Effects of Breathing Motion on DCE-MRI Images: Phantom Studies Simulating Respiratory Motion to Compare CAIPIRINHA-VIBE, Radial-VIBE, and Conventional VIBE
Tuesday, 7 February 2017   by www.kjronline.org    
  News & More:
Patient movement during MRI: Additional points to ponder
Tuesday, 5 January 2016   by www.healthimaging.com    
Motion-compensation of Cardiac Perfusion MRI using a Statistical Texture Ensemble(.pdf)
June 2003   by www.imm.dtu.dk    
MRI Resources 
Shielding - Safety Training - IR - Chemistry - Intraoperative MRI - Universities
 
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