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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...

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Autores principales: Batistatou, Evridiki, Mölter, Anna, Kromhout, Hans, van Tongeren, Martie, Crozier, Stuart, Schaap, Kristel, Gowland, Penny, Keevil, Stephen F, de Vocht, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
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.
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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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