Amir Basrun

Azlan Safian Safety in MRI

Outline
Introduction
What is MRI safety?
Who is at risks?
 Term
• MR Safe – device that has shown no
additional risk to patient or other individual
but may affect quality of diagnostic
information.

• MR Compatible - MR safe and has no affect

on quality of diagnostic information and its
function is not affected by MR
Static Magnetic Field :
Site Access Restriction
 Sign of MR Safety

Old ‘Warning’ sign New ‘Danger’ sign

• Outdated and simply  More prominent and
incorrect accurate
 Sign Placement of MR Safety

 The door or
 The door that  Near the doorframe
entrance to the serves as so that it can be view
MR system exterior if the door to MR
entrances to system is open
the MR
environment
 Projectile Accidents
• The most immediate danger associated with the
static magnetic field environment is the attraction
between the magnet and ferromagnetic metal
objects

• There is a STRONG fringe magnetic field around

the magnets

• The fringe magnetic field is confined to the scan

room
As you approach the magnet, the fringe
magnetic field gets STRONGER
 Fringe Field

0.5 T 1.0 T 1.5 T

Radial (x and y) 2.1 m 2.3 m 2.4 m
Axial (z) 2.8 m 3.3 m 3.8 m
 Projectile Accidents
• The fringe magnetic field can cause ferrous metal
objects (ferromagnetic) to fly into the bore of the
magnet with great force and speed
• Definition: ferromagnetic material as any ferrite
material (a mineral containing iron oxide that occurs
as small grains in a variety of rocks) that can be
magnetise.
• Stronger or higher the magnetic field, the velocity of
airborne projectile became greater.
• Paper clips, hair pins’ velocity 40mph @ 1.5T.
• Larger objects (scissors, etc.) have higher velocities and may be
fatal.
Projectile Effects – Media
Magnet
Gradient magnetic field : auditory
considerations
Radiofrequency magnetic field :
Thermal
Radiofrequency magnetic field :
Thermal (cont….)
 Cryogen Gases / Quench

• In the event of a system quench

– Evacuate all personnel/patient – as quickly as safely
feasible.
– Immediately restrict all individual form entering MR
scanner room.
– Cryogenic gases – partially or completely vented
(white ‘clouds’ or ‘fog’)
– Confirm that the magnetic field - successfully
dissipated before security/fire response enter the
MR room.
Cryogen Gases / Quench
Thank You Very Much
For
Your Attention and Remain
Awake Through Out The
Presentation
 Safety in MRI
For more than 30 years, MRI
Amir Basrun was invented by
Azlan Safian Raymond Damadian have
changes the world of
medical imaging. And
there been continues
study of research toward
the establishment of the
Safety Guideline for the
MRI procedures.
Now presenting for you…
FOUR CATEGORIES OF
SAFETY GUIDELINE FOR MRI
4 CATEGORIES
 ST

4 PA AF
CATEGORIES
(P TI F S
A EN A
PU P) T FE
B SA SA TY
LI F F
C ET ET
SA Y Y
FE
TY
1
STAFF
SAFETY
The need for an officer
safety should never be
questioned.
Administrators must
have a clear
understanding of the
responsibilities and
duties of all staff and
ensure that staff
safety is the first and
foremost concern.
Staffradiologists Allied
MR personnel / General
staff
Pregnant staff and
MRI
2 Patient
 “Patient
safety is a
fundamental
principle of
health care”
Requests
for
Examinati
ons
Pregnant
Patient
and MRI
Scanning
 MRI
Contrast
 MRI
Contrast
Consent
for MRI
MRI PROCEDURE
SCREENING
FORM FOR THE
PATIENT
3 PERSON

PATIENT
(PAP)
MRI ENVIRONMENT
SCREENING FORM
FOR
ACCOMPANYING
INDIVIDUALS
4
 “The public safety also
must to be consider, it is
involves the prevention
and protection from event
that could endanger the
safety of the general
public from significant
danger, harm, injury or
damage “
 GENERAL
• No person, whether patient, staff,
SAFETY ‘PAP’ or other personnel, who has
PRECAUTIO a cardiac pacemaker or other
N electromechanically activated
device, should be allowed into
the gantry room nor closer than
the 5 gauss line

(unless he has been specially cleared and

then only in exceptional circumstances).
 ES
RI
GO PA
ST

TI
AF
F
SA
FE
EN TY
PE T
RS SA
TE
PU ON FE
BL AC TY
FA IC CO
CI SAF MP
LI ET AN
TY
CA

SA Y Y
PA
FE TI
TY EN
T
SA
FE
TY
 Q&A
SESSION
THANK
YOU
FOR YO
UR
ATTEN
TION
 Refferences

 Peer-reviewed published articles (> 250)

 Published textbooks
 Website
– www.MRIsafety.com
– www.imrser.org
– www.radiology.upmc.edu/MRsafety/