2018 AAPM Annual Meeting
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Session Title: MR Safety - Hybrid Environment
Question 1: MRI Safety Zone IV is the scanner room itself. Every entrance to Zone 4 must have a sign stating?
Reference:Kanal et. al. ACR Guidance Document on MR Safe Practices: 2013. Journal of Magnetic Resonance Imaging 37:501–530 (2013)
Choice A:The magnet is always on.
Choice B:Danger – MRI Zone 4.
Choice C:Caution – MRI Zone 4.
Choice D:A and B only.
Question 2: Equipment, objects, and devices entering Zone III or Zone IV must be evaluated and labeled appropriately for compatibility with the MRI environment. The possible labels are:
Reference:ASTM F2503-13. Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment.
Choice A:MR Safe.
Choice B:MR Unsafe.
Choice C:MR Conditional
Choice D:A and B only
Choice E:All of the above.
Question 3: MRI related thermal injuries (RF-induced burns) may result from _____.
Reference:ASTM F2182. Standard test method for measurement of radiofrequency induced heating on or near passive implants during magnetic resonance imaging.
Choice A:Conductive paths formed by patient tissues.
Choice B:Direct contact with the scanner bore.
Choice C:Rapidly switching magnetic field gradients.
Choice D:All of the above.
Choice E:A and B only.
Question 4: A device or object is classified as MRI-Safe if it is:
Reference:Establishing Safety and Compatibility of Passive Implants in the Magnetic Resonance (MR) Environment – Guidance for Industry and Food and Drug Administration Staff (2013)
Choice A:Not magnetic.
Choice B:Not metallic.
Choice C:Not electrically conductive.
Choice D:All of the above.
Choice E:A and b only.
Question 5: Per American College of Radiology recommendations, who is permitted to enter Zone IV (the room that contains the magnet)?
Reference:Kanal, E., Barkovich, A.J., Bell, C., Borgstede, J.P., Bradley, W.G., Froelich, J.W., Gimbel, J.R., Gosbee, J.W., Kuhni‐Kaminski, E., Larson, P.A. and Lester, J.W., 2013. ACR guidance document on MR safe practices: 2013. Journal of Magnetic Resonance Imaging, 37(3), pp.501-530.
Choice A:Any member of the general public.
Choice B:Unscreened radiation therapy patients.
Choice C:Non-MR Personnel.
Choice D:Level 2 MR Personnel.
Question 6: When considering the effect of the magnetic field on linear accelerator reference dosimetry, the smallest magnetic field correction factors are found when the chamber is parallel to the magnetic field?
Reference:Magnetic field correction factors varied in magnitude with detector orientation with the smallest corrections found when the chamber was parallel to the magnetic field. Reference: O’Brien, D.J., Roberts, D.A., Ibbott, G.S., Sawakuchi, G.O. Reference dosimetry in magnetic fields: formalism and ionization chamber correction factors. Med Phys., 43(8):4915
Choice A:True.
Choice B:False.
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