MR安全性和禁忌症__培训课件.ppt

MAGNETIC RESONANCE IMAGING AND ACOUSTIC NOISE The acoustic noise produced during MRI represents a potential risk to patients. Acoustic noise is associated with the activation and deactivation of electrical current that induces vibrations of the gradient coils. This repetitive sound is enhanced by higher-gradient duty cycles and sharper pulse transitions. Thus acoustic noise is likely to increase with decreases in section thicknesses and decreased fields of view, repetition times, and echo times. Gradient magnetic field–related noise levels measured on several commercial MR scanners were in the range of 65 to 95 dB, considered to be within the recommended safety guidelines set forth by the FDA.52 However, there have been reports that acoustic noise generated during MRI has caused patient annoyance, interference with oral communication, and reversible hearing loss in patients who did not wear ear protection.28,189 A study of patients undergoing MRI without earplugs reported temporary hearing loss in 43% of the subjects.28 Furthermore, the possibility exists that significant gradient coil–induced noise may produce permanent hearing impairment in certain patients who are particularly susceptible to the damaging effects of relatively loud noises.28,189 The safest and least expensive means of preventing problems associated with acoustic noise during clinical MRI is to encourage the routine use of disposable earplugs.28,189 The use of hearing protection has been demonstrated to successfully avoid the potential temporary hearing loss that can be associated with clinical MR examinations.28,189 MR-compatible headphones that significantly muffle acoustic noise are also commercially available. An acceptable alternative strategy for reducing sound levels during MRI is to use an antinoise or destructive interference technique that effectively reduces noise and permits better patient communication.63 This technique calls for a real-time Fourier analysis of the noise emitted f