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Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK
BACKGROUND: MRI has developed into one of the most important medical diagnostic imaging modalities, but it exposes staff to static magnetic fields (SMF) when present in the vicinity of the MR system, and to radiofrequency and switched gradient electromagnetic fields if they are present during image...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116531/ https://www.ncbi.nlm.nih.gov/pubmed/26675205 http://dx.doi.org/10.1136/oemed-2015-103194 |
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author | Batistatou, Evridiki Mölter, Anna Kromhout, Hans van Tongeren, Martie Crozier, Stuart Schaap, Kristel Gowland, Penny Keevil, Stephen F de Vocht, Frank |
author_facet | Batistatou, Evridiki Mölter, Anna Kromhout, Hans van Tongeren, Martie Crozier, Stuart Schaap, Kristel Gowland, Penny Keevil, Stephen F de Vocht, Frank |
author_sort | Batistatou, Evridiki |
collection | PubMed |
description | BACKGROUND: MRI has developed into one of the most important medical diagnostic imaging modalities, but it exposes staff to static magnetic fields (SMF) when present in the vicinity of the MR system, and to radiofrequency and switched gradient electromagnetic fields if they are present during image acquisition. We measured exposure to SMF and motion-induced time-varying magnetic fields (TVMF) in MRI staff in clinical practice in the UK to enable extensive assessment of personal exposure levels and variability, which enables comparison to other countries. METHODS: 8 MRI facilities across National Health Service sites in England, Wales and Scotland were included, and staff randomly selected during the days when measurements were performed were invited to wear a personal MRI-compatible dosimeter and keep a diary to record all procedures and tasks performed during the measured shift. RESULTS: 98 participants, primarily radiographers (71%) but also other healthcare staff, anaesthetists and other medical staff were included, resulting in 149 measurements. Average geometric mean peak SMF and TVMF exposures were 448 mT (range 20–2891) and 1083 mT/s (9–12 355 mT/s), and were highest for radiographers (GM=559 mT and GM=734 mT/s). Time-weighted exposures to SMF and TVMF (GM=16 mT (range 5–64) and GM=14 mT/s (range 9–105)) and exposed-time-weighted exposures to SMF and TVMF (GM=27 mT (range 11–89) and GM=17 mT/s (range 9–124)) were overall relative low—primarily because staff were not in the MRI suite for most of their shifts—and did not differ significantly between occupations. CONCLUSIONS: These results are comparable to the few data available from the UK but they differ from recent data collected in the Netherlands, indicating that UK staff are exposed for shorter periods but to higher levels. These data indicate that exposure to SMF and TVMF from MRI scanners cannot be extrapolated across countries. |
format | Online Article Text |
id | pubmed-5116531 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-51165312016-11-29 Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK Batistatou, Evridiki Mölter, Anna Kromhout, Hans van Tongeren, Martie Crozier, Stuart Schaap, Kristel Gowland, Penny Keevil, Stephen F de Vocht, Frank Occup Environ Med Exposure Assessment BACKGROUND: MRI has developed into one of the most important medical diagnostic imaging modalities, but it exposes staff to static magnetic fields (SMF) when present in the vicinity of the MR system, and to radiofrequency and switched gradient electromagnetic fields if they are present during image acquisition. We measured exposure to SMF and motion-induced time-varying magnetic fields (TVMF) in MRI staff in clinical practice in the UK to enable extensive assessment of personal exposure levels and variability, which enables comparison to other countries. METHODS: 8 MRI facilities across National Health Service sites in England, Wales and Scotland were included, and staff randomly selected during the days when measurements were performed were invited to wear a personal MRI-compatible dosimeter and keep a diary to record all procedures and tasks performed during the measured shift. RESULTS: 98 participants, primarily radiographers (71%) but also other healthcare staff, anaesthetists and other medical staff were included, resulting in 149 measurements. Average geometric mean peak SMF and TVMF exposures were 448 mT (range 20–2891) and 1083 mT/s (9–12 355 mT/s), and were highest for radiographers (GM=559 mT and GM=734 mT/s). Time-weighted exposures to SMF and TVMF (GM=16 mT (range 5–64) and GM=14 mT/s (range 9–105)) and exposed-time-weighted exposures to SMF and TVMF (GM=27 mT (range 11–89) and GM=17 mT/s (range 9–124)) were overall relative low—primarily because staff were not in the MRI suite for most of their shifts—and did not differ significantly between occupations. CONCLUSIONS: These results are comparable to the few data available from the UK but they differ from recent data collected in the Netherlands, indicating that UK staff are exposed for shorter periods but to higher levels. These data indicate that exposure to SMF and TVMF from MRI scanners cannot be extrapolated across countries. BMJ Publishing Group 2016-11 2015-12-16 /pmc/articles/PMC5116531/ /pubmed/26675205 http://dx.doi.org/10.1136/oemed-2015-103194 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Exposure Assessment Batistatou, Evridiki Mölter, Anna Kromhout, Hans van Tongeren, Martie Crozier, Stuart Schaap, Kristel Gowland, Penny Keevil, Stephen F de Vocht, Frank Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK |
title | Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK |
title_full | Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK |
title_fullStr | Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK |
title_full_unstemmed | Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK |
title_short | Personal exposure to static and time-varying magnetic fields during MRI procedures in clinical practice in the UK |
title_sort | personal exposure to static and time-varying magnetic fields during mri procedures in clinical practice in the uk |
topic | Exposure Assessment |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116531/ https://www.ncbi.nlm.nih.gov/pubmed/26675205 http://dx.doi.org/10.1136/oemed-2015-103194 |
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