MRI Safety: Question on Potential Burns

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    Mri Safety
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Discussion Overview

The discussion revolves around the safety concerns related to MRI scanning, specifically focusing on the potential for patient burns and other hazards associated with unplugged coils during a scan. Participants explore the physical mechanisms that could lead to these issues, considering both the implications for patient safety and image quality.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • One participant suggests that leaving an unplugged coil in the bore during an MRI scan could create a conducting loop that may lead to current flow and potential burns to the patient.
  • Another participant counters that the concern is more about high voltage shock rather than burns, noting that induced voltage could occur on open connectors due to movement or changes in the magnetic field.
  • A different viewpoint highlights that an unplugged coil could absorb significant RF energy, potentially leading to overheating, while also affecting image quality by altering local flip angles and introducing noise.

Areas of Agreement / Disagreement

Participants express differing views on the primary risks associated with unplugged coils, with some emphasizing the risk of burns and others focusing on high voltage shocks and image quality degradation. No consensus is reached on the mechanisms or the severity of the risks involved.

Contextual Notes

Participants mention various assumptions about the behavior of MRI coils and the effects of RF energy, but these assumptions are not fully explored or resolved within the discussion.

Who May Find This Useful

This discussion may be of interest to MRI technicians, medical physicists, and healthcare professionals involved in MRI safety and patient care.

vabamyyr
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Hi,

MRI safety manual says that whenever you are scanning a patient with a certain surface coil you should remove all unplugged coils from the bore during the scan. For example, if you have a head/neck + spine coil matrix with two coil ports and you are scanning only the spine part then you should either connect the head part also or remove head/neck coil from the bore.
I was wondering what is the physical mechanism that can cause patient burns?
For example, if you scan patient's spine and leave the head coil unplugged. I was thinking in the lines that somehow when the patient is in contact with the unplugged coil it could create a conducting loop between the unplugged coil, patient, patient table maybe and when this loop is in a RF field it causes current to flow in that loop that could cause burns to the patient.
 
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Thats not burns, but high voltage shock, what is dangerous.

MRI involves very strong magnetic field, so high voltage could get induced on open connectors of the coil as it changes its position with even small patient's moves or when the magnetic field is switched on/off. That voltage could possibly be dangerous if someone touches the connector. The same coil could also catch RF magnetic fields of other coils and thus got inducted voltage.
 
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I think the concern would be two-fold, burns and bad images. A MRI coil is a structure which is, by design, resonant at the system's frequency. So, when you are running a pulse sequence that deposits a lot of RF then the coil will be absorbing a lot of energy, perhaps a few kilowatts, and could get hot. Plugging the coil into the table allows the system to "detune" the coil so that it is no longer resonant when the system is transmitting RF. Since it is not resonant, it absorbs little energy, perhaps a few milliwatts, and does not get hot.

With the interference of a resonant structure, even if it doesn't get hot, it should degrade your image quality, i.e. change local flip angles, add noise by inductive coupling to a bigger volume, etc.
 
Thank you DaleSpam for your reply.
 
The administrator at this forum (Bertus) is an MRI specialist who might answer your question authoritatively.

www.allaboutcircuits.com

go well
 

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