EXAM #10 — PHYSICS UNIT 03 Flashcards

1
Q

define the following term:

specific absorption rate (SAR).

A

a measure of energy (RF) dissipation in the body

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2
Q

define the following term:

time varying magnetic fields.

A

magnetic fields whose strength varies over time

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3
Q

define the following term:

exclusion zone.

A

the area around the MRI magnet where the field strength is 5 Gauss or stronger

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4
Q

identify the 3 types of electromagnetic fields that are used in MRI.

A

static field, gradient fields, RF

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5
Q

identify the maximum static magnetic field strength allowed by the FDA for clinical imaging of patients over 1 month old.

A

8 Tesla

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6
Q

discuss the risk of irreversible biological effects of static magnetic field strengths less than 2T.

A

no known risk of irreversible biological effects

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7
Q

identify the primary safety hazard associated with static magnetic fields.

A

interaction with metallic objects

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8
Q

identify the primary safety hazard associated with gradient magnetic fields.

A

induced electrical currents in conductors

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9
Q

identify 3 reversible, temporary biological effects associated with very rapidly
switching gradient magnetic fields.

A

visual flashes, skin sensation, and muscle contractions

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10
Q

identify the unit of measure of specific absorption rate (SAR).

A

Watts/kilogram (Wlkg)

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11
Q

identify the maximum SAR values for:

a. whole-body imaging in the US. ___ W/kg
b. head imaging in the US. ___ W/kg

A

identify the maximum SAR values for:

a. whole-body imaging in the US. 4.0 W/kg
b. head imaging in the US. 3.0 W/kg

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12
Q

discuss the primary potential biological response to RF in the MRI environment.

A

tissue heating

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13
Q

discuss the primary hazard associated with RF in the MRI environment.

A

burns or fires caused by the induction of electrical currents in conductors

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14
Q

state the patient information that directly affects SAR calculation.

A

weight and age

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15
Q

state 4 ways in which an implanted cardiac pacemaker is dangerous in the MRI environment.

A

deflection of pacemaker generator, reed switch malfunction, pacemaker reprogramming, induction of electrical current in pacemaker leads

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16
Q

identify 2 objects that are often present in an MRI site and have wires that can form conductive loops.

A

surface coils, patient monitoring equipment (EKG)

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17
Q

discuss 3 hazards associated with metallic implants and MR imaging.

A

deflection, heating, artifacts that can cause misdiagnosis

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18
Q

safe / unsafe / conditionally

cardiac pacemaker.

A

Unsafe

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19
Q

safe / unsafe / conditionally

intracranial aneurysm clip.

A

Conditionally safe (depends on specific model)

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20
Q

safe / unsafe / conditionally

intravascular filter or stent.

A

Conditionally safe (depends on time since implantation)

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21
Q

safe / unsafe / conditionally

vascular access port.

A

Conditionally safe (depends on specific model)

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22
Q

safe / unsafe / conditionally

prosthetic heart valve.

A

Safe

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23
Q

safe / unsafe / conditionally

otologic implant.

A

Conditionally safe (depends on specific model)

24
Q

safe / unsafe / conditionally

ocular implant.

A

Conditionally safe (depends on specific model)

25
safe / unsafe / conditionally bullet, pellet, or shrapnel.
Conditionally safe ( depends on location in body)
26
safe / unsafe / conditionally surgical staples in abdomen.
Safe
27
safe / unsafe / conditionally halo vest, external fixation device.
``` Conditionally safe (depends on specific model) ```
28
safe / unsafe / conditionally orthopedic internal fixation.
Safe
29
safe / unsafe / conditionally neurostimulator.
Conditionally safe (depends on several factors, must rely on specific manufacturer's guidelines)
30
safe / unsafe / conditionally bone growth stimulator.
Conditionally safe ( depends on several factors, must rely on specific manufacturer's guidelines)
31
safe / unsafe / conditionally intraocular metallic foreign body.
Unsafe
32
safe / unsafe / conditionally internal cardiac defibrillator.
Unsafe
33
safe / unsafe / conditionally internal drug infusion pump.
Conditionally safe (depends on several factors, must rely on specific manufacturer's guidelines)
34
deflection / current / malfunction cardiac pacemaker.
All
35
deflection / current / malfunction intracranial aneurysm clip.
Deflection
36
deflection / current / malfunction intravascular filter or stent.
Deflection
37
deflection / current / malfunction vascular access port.
Heating
38
deflection / current / malfunction prosthetic heart valve.
Deflection, malfunction
39
deflection / current / malfunction otologic implant.
Deflection
40
deflection / current / malfunction ocular implant.
Deflection
41
deflection / current / malfunction bullet, pellet, or shrapnel.
Deflection, heating
42
deflection / current / malfunction surgical staples in abdomen.
Deflection
43
deflection / current / malfunction halo vest, external fixation device.
Deflection
44
deflection / current / malfunction orthopedic internal fixation.
Deflection
45
deflection / current / malfunction neurostimulator.
All
46
deflection / current / malfunction bone growth stimulator.
All
47
deflection / current / malfunction intraocular metallic foreign body.
Deflection
48
deflection / current / malfunction internal cardiac defibrillator.
All
49
deflection / current / malfunction internal drug infusion pump.
Deflection, malfunction
50
state the fringe field strength that defines the exclusion zone.
5 Gauss
51
identify the most reliable source for MRl safety information on a specific implant.
implant manufacturer
52
discuss the primary hazard associated with a superconducting magnet quench.
asphyxiation by gaseous helium in the magnet room
53
discuss 2 safety issues related to the acoustic noise generated by MRl systems.
difficult patient/technologist communication, hearing loss
54
discuss the US FDA guidelines for scanning pregnant patients.
the scanning of pregnant patients is neither recommended nor prohibited
55
discuss the Society of Magnetic Resonance Imaging (SMRl) Safety Committee's recommendation for scanning pregnant patients.
the risk of injury to the fetus should be weighed with the potential benefit to the mother and fetus