A pacemaker is a device for internal or external battery-operated cardiac pacing to overcome cardiac arrhythmias or heart block. All implanted electronic devices are susceptible to the electromagnetic fields used in magnetic resonance imaging. Therefore, the main magnetic field, the gradient field, and the radio frequency (RF) field are potential hazards for cardiac pacemaker patients.
The pacemaker's susceptibility to static field and its critical role in life support have warranted special consideration. The static magnetic field applies force to magnetic materials. This force and torque effects rise linearly with the field strength of the MRI machines. Both, RF fields and pulsed gradients can induce voltages in circuits or on the pacing lead, which will heat up the tissue around e.g. the lead tip, with a potential risk of thermal injury.
Regulations for pacemakers provide that they have to switch to the magnet mode in static magnetic fields above 1.0 mT. In MR imaging, the gradient and RF fields may mimic signals from the heart with inhibition or fast pacing of the heart. In the magnet mode, most of the current pacemakers will pace with a fix pulse rate because they do not accept the heartsignals. However, the state of an implanted pacemaker will be unpredictable inside a strong magnetic field. Transcutaneous controller adjustment of pacing rate is a feature of many units. Some achieve this control using switches activated by the external application of a magnet to open/close the switch. Others use rotation of an external magnet to turn internal controls. The fringe field around the MRI magnet can activate such switches or controls. Such activations are a safety risk.
Areas with fields higher than 0.5 mT (5 Gauss Limit) commonly have restricted access and/or are posted as a safety risk to persons with pacemakers.

A Cardiac pacemaker is because the risks, under normal circumstances an absolute contraindication for MRI procedures.
Nevertheless, with special precaution the risks can be lowered. Reprogramming the pacemaker to an asynchronous mode with fix pacing rate or turning off will reduce the risk of fast pacing or inhibition. Reducing the SAR value reduces the potential MRI risks of heating. For MRI scans of the head and the lower extremities, tissue heating also seems to be a smaller problem. If a transmit receive coil is used to scan the head or the feet, the cardiac pacemaker is outside the sending coil and possible heating is very limited.

A RF coil, often a transmit receive coil with a number of wires running along the z-direction, arranged to give a cosine current variation around the circumference of the coil, which looks like a bird cage. The bird cage coil works on a different principle to conventionally tuned local and surround coils in that it behaves like a tuned transmission line with one complete cycle of standing wave around the circumference. The frequency supply is generated by an oscillator, which is modulated to form a shaped pulse by a product detector controlled by the waveform generator. The signal must be amplified to 1000's of watts. This can be done using either solid state electronics, valves or a combination of both.
The bird cage coil design provides the best field homogeneity of all RF imaging coils.
One advantage is that it is simple to produce an exceedingly uniform B1 radio frequency field over most of the coil's volume, with the result of images with a high degree of uniformity.
A second advantage is that nodes with zero voltage occur 90° away from the driven part of the coil, thus facilitating the introduction of a second signal in quadrature, which produces a circularly polarized radio frequency field.
This type of volume coil is used for brain (head) MRI, or MR imaging of joints, such as the wrist or knees.

See also the related poll result: '3rd party coils are better than the original manufacturer coils'

An undesirable background interference or disturbance that affects image quality.
The Noise is commonly characterized by the standard deviation of signal intensity in the image of a uniform object (phantom) in the absence of artifacts. The measured noise may depend on the particular phantom used due to variable effects on the Q of the receiver coil.
Noisy images appear when the SNR-Rate is too low - this is induced by the operator. Image artifacts and RF noise can often be caused by the presence and/or operation of a medical device in the MR environment. There are various noise sources in any electronic system, including Johnson noise, shot noise, thermal noise. Materials produce their own characteristic static magnetic field that can perturb the relationship between position and frequency essential to accurate image reconstruction.
RF noise, which often appears as static on the image, can be caused by a medical device located anywhere in the MR procedure room. RF noise is a result of excessive electromagnetic emissions from the medical device that interfere with the proper operation of the MR scanner. Since the MR procedure room is shielded from extraneous RF fields entering the room (Faraday cage), operation of electromagnetically noisy equipment outside the room does not typically affect the MR scanner.

See Signal to Noise Ratio and Radio Frequency Noise Artifact.

Duty cycle is the time during which the gradient system can be run at maximum power. The duty cycle is based on the total time and includes the cool down phase. The duty cycle on the RF pulse during MRI is restricted based on the specific absorption rate (SAR) limit.
SAR limits restrict radio frequency heating effects. The specific absorption rate increases with field strength, radio frequency power and duty cycle, type of the transmitter coil and body size. The especially in high and ultrahigh magnetic fields, important SAR issue can be readily addressed by reducing the RF duty cycle due to longer repetition times (TR) and the use of parallel imaging techniques. A TR longer than the minimum needed provides time for the tissue to cool down, but for the cost of a longer scan time. A parallel imaging technique reduces the RF exposure and the scan time.

See also High Field MRI.

Hardware components from MRI systems. The radio frequency (RF) amplifier increases the power (measured in Watt) of the pulses from mW to kW and the gradient amplifier increases the power of the gradient pulses for the gradient coils.

See also Hardware.