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Table of Contents

Оглавление

Cover

Foreword: essentials

Acknowledgments

1 Systems and safety: MR hardware and fields INTRODUCTION OVERVIEW OF MRI OPERATION MRI HARDWARE ELECTROMAGNETIC FIELDS OTHER MEDICAL DEVICES CONCLUSIONS References Further reading and resources

2 Let’s get physical: fields and forces BASIC LAWS OF MAGNETISM MAGNETIC MATERIALS FORCES AND TORQUE LORENTZ AND HYDRODYNAMIC FORCES LAWS OF INDUCTION CONCLUSIONS References Further reading and resources

3 Bio‐effects 1: static field INTRODUCTION PHYSICAL MECHANISMS CELLULAR EFFECTS ANIMAL EFFECTS EPIDEMIOLOGY HUMAN PHYSIOLOGICAL EFFECTS ACUTE SENSORY EFFECTS COGNITIVE EFFECTS STATIC FIELD EXPOSURE LIMITS CONCLUSIONS References Further reading and resources

4 Bio‐effects 2: time‐varying gradient fields INTRODUCTION PHYSICAL INTERACTION ELF TIME‐VARYING MAGNETIC FIELD EFFECTS MAGNETIC STIMULATION PERIPHERAL NERVE STIMULATION IN MRI EXPOSURE LIMITS CONCLUSIONS References Further reading and resources

5 Bio‐effects 3: radio‐frequency fields INTRODUCTION PHYSICAL INTERACTION TISSUE HEATING BIOLOGICAL EFFECTS RF EXPOSURE LIMITS CONCLUSIONS References Further reading and resources

6 Acoustic noise INTRODUCTION GENERATION OF ACOUSTIC NOISE IN MRI MEASURING NOISE: dB(A), dB(C), dB(Z) ANATOMY AND PHYSIOLOGY OF HUMAN HEARING MRI NOISE EXPOSURE REDUCING ACOUSTIC NOISE IN PRACTICE HEARING PROTECTION ACOUSTIC NOISE LIMITS CONCLUSIONS References Further reading and resources

10  7 Pregnancy INTRODUCTION CELLULAR EFFECTS AND ANIMAL STUDIES HUMAN STUDIES AND EPIDEMIOLOGY GADOLINIUM‐BASED CONTRAST AGENTS EXPOSURE LIMITS AND GUIDANCE CONCLUSIONS References Further reading and resources

11  8 Contrast agents INTRODUCTION PHYSICAL AND CHEMICAL PROPERTIES CONTRAST REACTIONS AND ADVERSE EVENTS PREGNANCY AND LACTATION CONCLUSIONS References Further reading and resources National guidance documents

12  9 Passive implants INTRODUCTION RISKS FROM PASSIVE IMPLANTS ASTM TESTING EXAMPLES OF PASSIVE IMPLANTS ARTEFACTS CONCLUSIONS References Further reading and resources

13  10 Active implants INTRODUCTION RISKS FROM ACTIVE IMPLANTS PACEMAKERS AND ICDS NEUROSTIMULATORS COCHLEAR IMPLANTS ENDOSCOPIC CAMERAS IMPLANTABLE INFUSION PUMPS KEEPING WITHIN THE CONDITIONS CONCLUSIONS References Further reading and resources

14  11 Would you scan this? Understanding the conditions INTRODUCTION MRI CONDITIONS UNDERSTANDING FRINGE FIELD SPATIAL GRADIENT MAPS UNDERSTANDING RF CONDITIONS GRADIENT SLEW RATE CONDITION MORE EXAMPLES OFF‐LABEL SCANNING WHAT TO DO WHEN YOU DO NOT KNOW THE CONDITIONS? CONCLUSIONS References Further reading and resources

15  12 Location, location, location INTRODUCTION ACR ZONING SCHEME FRINGE FIELD HELIUM EXHAUST AND QUENCH PIPE SECURITY SAFETY FEATURES MRI PROJECT MANAGEMENT SPECIALIST SYSTEMS CONCLUSIONS References Further reading and resources

16  13 But what about us? Occupational exposure INTRODUCTION OCCUPATIONAL EXPOSURE LIMITS NATIONAL AND INTERNATIONAL LIMITS SURVEYS OF OCCUPATIONAL EXPOSURE LEVELS SURVEY INSTRUMENTATION INCIDENCE OF BIO‐EFFECTS AMONG MAGNET FACILITY AND MR WORKERS CONCLUSIONS References Further reading and resources

17  14 Organisation and management INTRODUCTION ROLES IN MR SAFETY POLICY AND SAFETY DOCUMENTATION CHECKLIST AND SCREENING INCIDENTS EMERGENCIES TRAINING ACCREDITATION AND CERTIFICATION STANDARDS AND GUIDANCE EXPOSURE LIMITS CONCLUSIONS: THE LAST WORD References Further reading and resources

18  Appendix 1: One hundred equations you need to know MAXWELL’S EQUATIONS MAGNETIC FIELD INDUCTION MAGNETIC MATERIALS FORCES AND TORQUE FORCES ON MOVING CHARGES LAWS OF INDUCTION RF INDUCTION FROM THE RADIOFREQUENCY FIELD SAR AND TISSUE HEATING References

19  Appendix 2: Maths toolkit COORDINATE SYSTEMS VECTOR ALGEBRA VECTOR CALCULUS

20  Appendix 3: Symbols and constants

21  Answers to revision questions

22  Index

23  End User License Agreement

Essentials of MRI Safety

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