Document Detail


Burn injury by nuclear magnetic resonance imaging.
MedLine Citation:
PMID:  20630342     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nuclear magnetic resonance imaging has become a standard diagnostic procedure in clinical medicine and is well known to have hazards for patients with pacemaker or metallic foreign bodies. Compared to CT, the frequency of MRI examinations is increasing due to the missing exposure of the patients by X-rays. Furthermore, high-field magnetic resonance tomograph (MRT) with 3 T has entered clinical practice, and 7-T systems are installed in multiple scientific institutions. On the other hand, the possibility of burn injuries has been reported only in very few cases. Based on a clinical finding of a burn injury in a 31-year-old male patient during a routine MRI of the lumbar spine with standard protocol, the MR scanner was checked and the examination was simulated in an animal model. The patient received a third-degree burn injury of the skin of the right hand and pelvis in a small region of skin contact. The subsequent control of the MRI scanner indicated no abnormal values for radiofrequency (RF) and power. In the subsequent animal experiment, comparable injuries could only be obtained by high RF power in a microwave stove. It is concluded that 'tissue loops' resulting from a contact between hand and pelvis must be avoided. With regard to forensic aspects, the need to inform patients of such a minimal risk can be avoided if the patients are adequately positioned using an isolating material between the hands and pelvis. These facts must be emphasized more in the future, if high-field MRI with stronger RF gradients is available in routine imaging.
Authors:
Ernst G Eising; Justin Hughes; Frank Nolte; Walter Jentzen; Andreas Bockisch
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical imaging     Volume:  34     ISSN:  1873-4499     ISO Abbreviation:  Clin Imaging     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911831     Medline TA:  Clin Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  293-7     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Clinic for Nuclear Medicine, University of Duisburg/Essen, Germany. e-g-e@web.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Burns, Electric / etiology*
Humans
Magnetic Resonance Spectroscopy / adverse effects*
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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