Safety Flashcards

1
Q

What items can become projectiles?

A

Ferromagnetic items

A paper clip can travel at 40 mph in 1.5T scanner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

MRI safety issues name 6

A
Static MF bio and mech
Gradient MF auditory and electrical (time varying)
RF MF bio and thermal
Contrast agents
Physiological such as anxiety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Guidelines for safe MR

A
Education
Proper screening
Warning signs
Emergency prep
Routine maintence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ASTM

A

American Standard for testing and materials

F2504

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ASTM labeling

A

Safe - been tested
Unsafe - not tested
Conditional - such as pacemaker and clips on some conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MRI safety zones

A

1- entrance to facility
2- reception and dressing area
3- control room
4- magnet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Screening and tools

A

Patient
Ancillary equipment
Personnel

Metal detector
Bar magnet
Patient contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Assessment and monitoring 3

A

Conscious sedation with medication
Capnometer to measure carbon dioxide levels
Pulse oximetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Contrast media for MRI and what are 4 agents

A

Gadolinium

Magnevist
Multihance
Omniscan
OptiMark

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Gasolinium similarities and distinctions

A

No difference except prices

Physic helical characteristics such osmolarity which is concentration and viscosity which is resistance of agent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Contraindications for GAD

A

None

Only associated effects
Overall reactions is less than 3%
9.8 ha
4.1 nausea
2 vomit
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Gad precautions

A

Pregnancy- can leak to baby
Lactation- pump and dump
Renal failure- can’t process
Respiratory- asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NSF

A

Nephrogenic systemic fibrosis

Causes fibrosis of skin and connective tissue, hardening of tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Renal GFR

A

Normal routine if greater than 60
Half dose if 59-30
Don’t inject if less than 29

Creative levels under 1.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ACR say about contract media

A

Frequency of reactions to gad are 2.3-3.7 time higher in pts with history to iodine agents

8 times higher if precious reaction to gad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Biological concerns for MRI

A

Static MF
Time varying MF
RF
Sound pressure

17
Q

Bio effects on 2T and above

A
Fatigue
Ha
Hypotension
Irritability
Cell dehydration
18
Q

FDA limits MF for adults and babies

A

8 T

New born a to 1 month 4T

19
Q

Bio effects below 2T

A

Magnetic hydrodynamic effect which blood or conductive fluid moves across a MF
Increase T wave in pts EKG

20
Q

Mechanical concern

A

Ferromagnetic torque forces
Surgical stainless steel
Pacemakers, implants, etc

21
Q

Magnetic shielding 2

A

Passive- walls

Active- coils in gantry

22
Q

RF shielding

A

Line walls with copper

23
Q

Safety concerns(5)

A
Cryogen
Physiological
Contrast agents- less than 3%
Environment- temp.. 65-72 to prevent static artifacts and humidity 45-65
Safety line- pacemaker line
24
Q

Fringe fields and pacemaker line

A

Stray magnetic fields outside of bore

Pacemaker line is at 5G line

25
TVMF what it can do and the effects
Induce a current thru any conductive medium Threat is vessels nerves and muscles ``` Effects: Involuntary muscle contractions Cardiac arrhythmia Stimulation of retinal phosphenes Mild cutaneous sensations ```
26
FDA limits with gradient field strength
The change in gradient MF strength to any time rate of change sufficient to produce severe discomfort or painful nerve stimulation
27
Gradient auditory concerns- FDA
Regulation at 149 decibels So use earbuds and headphone. 60-103 is norm Hearing ranges from 20-20000 hertz 43% pts scanned without protection will experience temporary hearing loss
28
TF focal power deposition guidelines and theory
Remove unnecessary electrical conductors from bore Pts tissues and electrical don't form loops Use only MR safe items Add thermal insulation btwn conductors and pts. Pts tissue acts as conductor causing a thermal injury
29
SAR and how measured
``` Bio effect of heating tissue Specific Absorption Rate Amt of energy deposited into tissue Measured as watts/kg Bigger means more sweat ```
30
RF absorption according to FDA whole body, head, torso, extremities What if pregnant?
Whole body is 4 watts Head is 3 watts Torso 8 watts Extremities 12 watts Wait til third trimester but can do earlier if needed
31
Pregnant technologist
Avoid tvmf and RF fields during scanning
32
Absolute contraindications that are conditional (3)
Pacemakers Aneurysm clips Cochlear implants Intra occular bodies
33
Aneurysm clips considered safe
Titanium | Sugita, yasargil, Vari-angel
34
Intravascular filters safe??
Allow to be in place for 4-6 wks to grow into tissue
35
Apparently safe devices
``` Hip prosthesis Dental fillings Braces Sternal wire sutures IUD Abdominal clips post 1 wk ```
36
Quench
Rapid loss of super conductivity Hypothermia Asphyxia Frostbite
37
Helium liquified at what temp? Nitrogen?
4K or -269C expands to 760:1 77K expanding to 695:1
38
Quenching safety
Evacuate all personnel Oxygen near by Ventilation system check