2020 Joint AAPM | COMP Virtual Meeting
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Session Title: Case-based Review: MRI Safety
Question 1: What characteristic of MRI scanners makes it hazardous to place equipment rated for 100 gauss at the 100-gauss line location?
Reference:Siemens Magnetom Verio Typical Room Plan, Siemens Medical Systems USA, https://ftp.siemensmedical.com/pp-cutsheets/mr/verio/Cutsheet-07137.pdf. Accessed June 5, 2020
Choice A:Strong static magnetic fields
Choice B:Large spatial field gradients
Choice C:Fast time-varying field gradients
Choice D:High transmitted RF power
Question 2: MR Unsafe equipment must never be brought into the MRI scan room.
Reference:Manual on MR Safety, American College of Radiology. Version 1.0, 2020. https://www.acr.org/-/media/ACR/Files/Radiology-Safety/MR-Safety/Manual-on-MR-Safety.pdf Accessed June 5, 2020.
Choice A:True
Choice B:False
Question 3: 1. For a given MR scanner, which electromagnetic field(s) can be spatially manipulated to change the volume over which their energy is deposited?
Reference:MagnetVision Software software and manual.
Choice A:Static Magnetic Field
Choice B:Spatial Field Gradient
Choice C:Time-Varying Gradient Magnetic Field
Choice D:RF Magnetic Field
Question 4: IEC required representations of spatial distribution of RF magnetic fields (representing maximum RF energy at isocenter) is an accurate representation of maximum RF exposure potential within the patient-occupiable volume of the MR scanner.
Reference:MagnetVision software and manual
Choice A:True
Choice B:False
Question 5: The SAR limit for an implanted neurostimulator may be a consideration of
Reference:“MRI Procedure Information For Abbott Medical MR Conditional Neurostimulation Systems” (or any neurostimulator instructions for use in MRI manual)
Choice A:the implantable pulse generator conditions
Choice B:the implanted lead condition
Choice C:the RF-excitation coil used
Choice D:anatomic landmark position
Choice E:All of the Above
Question 6: A SAR limit, such as 0.8 W/kg, for an implanted neurostimulator
Reference:MRI Procedure Information For Abbott Medical MR Conditional Neurostimulation Systems”; Allison J, Yanasak N. What MRI Sequences Produce the Highest Specific Absorption Rate (SAR), and Is There Something We Should Be Doing to Reduce the SAR During Standard Examinations?. AJR Am J Roentgenol. 2015;205(2):W140. doi:10.2214/AJR.14.14173
Choice A:can only be scanned using a head transmit-receive coil
Choice B:cannot be scanned with the built-in body RF excitation coil
Choice C:may be scanned by managing MR acquisition parameters
Choice D:can be scanned using Normal Operating Mode limits
Choice E:cannot scan landmarks below T7
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