[Show abstract][Hide abstract] ABSTRACT: The most common methods to determine the signal-to-noise ratio (SNR) of magnetic resonance imaging (MRI) are based on the signal statistics in regions of interest (ROIs) in a magnitude image. For this, methods to calculate the ROI have still several discussions; we assumed SNR of a magnitude image could be estimated from standard deviation of a phase image (the phase method). The purpose of this study is to evaluate the validity of the phase method to determine the SNR. The simulation using digital phantom was carried out for evaluation of the effect to measure SNR; fluctuation in the phase image and SNR of the magnitude image. The phantom study was also performed for evaluation of the validity of estimation using the phase method in comparison with the conventional method (the identical ROI method and the subtraction method). The result of the simulation showed that SNR of magnitude image is larger than 4 for the SNR measurement using the phase method and this results reliable. The influence of fluctuation of the phase image should be eliminated for practical purposes. In the phantom study, phase method showed similar results compared to conventional methods in condition with elimination of the fluctuation of the phase image. Though there was a difference in the results of the phase method and the subtraction method according to the position of the ROI, the error was less than 4%. In this study, the method using the phase image to determine the SNR was identified as valuable.
[Show abstract][Hide abstract] ABSTRACT: To improve magnetic resonance (MR) safety, we surveyed the accidents caused by large ferromagnetic materials brought into MR systems accidentally. We sent a questionnaire to 700 Japanese medical institutions and received 405 valid responses (58%). A total of 97 accidents in 77 institutions were observed and we analyzed them regarding incidental rate, the detail situation and environmental factors. The mean accident rate of each institute was 0.7/100,000 examinations, which was widely distributed (0-25.6/100,000) depending on the institute. In this survey, relatively small institutes with less than 500 beds tend to have these accidents more frequently (p<0.01). The institutes in which daily MR examination counts are more than 10 patients have fewer accidents than those with less than 10 daily examinations. The institutes with 6-10 MR examinations daily have significantly more accidents than that with more than 10 daily MR examinations (p<0.01). The main mental factors of the accidents were considered to be "prejudice" and "carelessness" but some advocate "ignorance." Though we could not find significant reduction in the institutes that have lectures and training for MR safety, we should continue lectures and training for MR safety to reduce accidents due to "ignorance."
No preview · Article · Jan 2013 · Nippon Hoshasen Gijutsu Gakkai zasshi
[Show abstract][Hide abstract] ABSTRACT: Using a questionnaire, we surveyed 2,500 facilities in Japan to clarify medical accidents concerning the magnetic resonance device and its environment. Data derived from 1,319 valid responses (52.8%), allowed us to analyze the situation of (or the reason for) the occurrence of the accidents and their environmental factors. Five hundred and nine facilities (39% of all facilities) had the experience of magnetically induced displacement of the large ferromagnetic material. Intravenous (I.V.) drip stands were involved the largest number of them: 31% (228 cases). Oxygen bottles had the second largest number of incidents: 20%. There were also many incidents involving various materials brought in by non-medical staff (e.g. stepladder for construction). About 20% of the accidents occurred outside of working hours. Patients in 12% of the facilities (154 facilities) experienced burns. In 39 of the cases, burns were received to the inside of the thighs. In 38 of the cases, patients received burns from an electrical cable touching the skin. There were also frequent incidents of burning regarding the boa. We received reports of burns and pain from the halo vest even though it's required to be worn for MR safety. Regarding incidents of contraindications, 280 patients with pacemakers were brought into the magnetic resonance (MR) inspection room. Twelve percent of the facilities experienced natural quench. Lack of training for the staff who introduce and operate high magnetic field devices are considered involving frequently occurring accidents of attractions and burns at hospitals with over 500 beds caused by carrying in materials.
No preview · Article · Jan 2011 · Nippon Hoshasen Gijutsu Gakkai zasshi
[Show abstract][Hide abstract] ABSTRACT: Diffusion weighted imaging (DWI) is now widely used in magnetic resonance (MR) imaging of the head and body. Moreover, the Apparent diffusion coefficient (ADC) value is often used for the differential diagnosis of the tumor. However, the effect of the surroundings on the ADC value has not been reported. In this study, we used the phantom completely sealed up to measure the change in the ADC value depending on the surroundings material. The results showed that the ADC value decreased according to the density of superparamagnetic iron oxide (SPIO) in the surroundings. Clinically, hemorrhage or iron deposit around the tumor may affect the ADC value of the tumor and result in under-estimation.
No preview · Article · Oct 2010 · Nippon Hoshasen Gijutsu Gakkai zasshi