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Which of the following may present a hazard in the scanning of patients with passive implants?
All of the above.
The magnetic translational force for a strongly saturated ferromagnetic object depends upon:
The static fringe field spatial gradient dB/dz
Which of the following is true? The magnetic torque
Depends upon the square of B0
Which of the following is ferromagnetic?
Nickel
Which of the following will show the greatest resistance to movement in a field gradient due to the Lenz effect?
Copper
A patient with a ferromagnetic aneurysm clip is inadvertently introduced into the MR environment. The most dangerous effect is:
Magnetic torque within the bore of the scanner
A ferromagnetic implant that saturates at 1.5 T is introduced into a 3 T scanner by accident. Compared to a 1.5 T scanner with a similar magnitude of static field spatial gradient the attractive force will be approximately:
The same
A non‐ferromagnetic metal is introduced into a 3 T scanner by accident. Compared to a 1.5 T scanner with similar magnitude of static field spatial gradients the attractive force will be approximately:
Double
A patient with a non‐ferromagnetic implant is introduced into a 3 T scanner. Compared to a 1.5 T scanner with a lower magnitude of static field spatial gradients the magnetic torque will be approximately:
Quadruple
Which identical device made from the following will have the highest SAR?
Silver
A passive implant has undergone the ASTM deflection test with a deflection angle less than 45° for a maximum spatial gradient of 7.2 T m−1 on a 1.5 T magnet. This means that
The magnetic force is less than the force due to gravity
Which of the following is most likely to experience RF heating in MRI:
An external limb fixation frame.
Which of the following is true regarding active implants?
All active devices use electrical energy
Risks inherent in the MR scanning of active devices include:
All of the above.
Active implants can be safety scanned in MRI as long as:
You follow the appropriate conditions.
In which of the following is not a contraindication for MRI with an MR conditional pacemaker?
The capture threshold is less than 2 volts for a 0.4 ms pulse width
A neurostimulator has a B1+rms condition of 2 μT. Your next pulse sequence exceeds this. To comply with the condition, you could:
Increase TR
Use low SAR RF pulses
Reduce flip angle
In a horizontal bore MRI system, a deep brain stimulator extension lead is coiled under the scalp. Which lead configuration is likely to experience the least induced power from the RF?
Smaller loops but with more turns concentric with B0, lying in an axial plane
You attended an MR safety course where a presentation showing that conventional cardiac pacemakers have been safety scanned in MRI. How does this change your practice?
Scanning may be undertaken “off‐label” in specialist institutions only after a positive benefit v risk analysis under a strict protocol, appropriate clinical authorization and supervision, with patient consent.
Since 2012 what is the major cause of death from MRI‐related adverse events?
Drug overdose from implantable infusion pumps
Which of the following adverse events may occur when scanning patients with cochlear implants in MRI?
All of the above
The Fixed Parameter Option:
Limits the RF and gradient dB/dt values to predefined values
A passive implant has a MR condition of maximum spatial gradient of 7.2 T/m. Your scanner’s maximum spatial gradient is 11 T/m. What do you do?
Check your spatial gradient map to see where the implant may lie.
In the MR conditions RF heating is measured over:
15 minutes.
Which of the following is not part of the MR conditions?
Imaging gradient amplitude
Which of the following is most relevant for a paramagnetic or unsaturated weakly ferromagnetic object?
Static field‐spatial gradient product B.dB/dz
In a typical closed bore magnet
The maximum spatial gradient occurs near the bore entrance
An implant has a condition for the spatial gradient to be less than or equal to 120 mT/cm. This is equal to:
12 T/m
The scanner console informs you that the B1+ RMS is 5 μT. The MR condition states 4 μT. Which of the following parameter changes will ensure compliance with the condition?
Reducing the flip angle from 180° to 140°
The scanner console informs you that the whole‐body SAR is 2 W kg−1. The MR condition states 1 W kg−1. Which of the following parameter changes does not ensure compliances with the condition?
Reducing the flip angle from 180° to 140°
Regarding ferromagnetic detection systems. They
can act as final confirmatory check, provided they are situated in an environment where there is no moving ferromagnetic material
During a quench
all of the above.
Which of the follow are not essential safety features of an MRI scanner:
Ferromagnetic detection system
An MRI unit lacks a Zone 2. Which of the following are true?
Additional control measures may be required to ensure safety of staff, visitors and patients & It does not comply with accepted safety guidance.
Which of the following should be on an MR project group?
All of the above.
The MR controlled access area or Zone IV is usually defined by:
The extent of the 0.5 mT contour