Pulse oximetry
MR safe pulse oximeters have fibreoptic probe connections
Standard probes can cause burns from induced currents
ECG
MR safe ECG electrodes must be placed in a narrow triangle on the patient’s chest in order to produce a high amplitude signal
ECG leads should be as short as possible, braided, have high impedance and use fibreoptics for transmission
Ventilator
It is preferable to have bedside ventilators that can be made MR conditional, allowing the patient uninterrupted benefit from best available mode of ventilation
Endotracheal tube
Because the metal spring in it may distort the image the pilot balloon should be taped as far away as possible from the area investigated and not be in contact with the patient’s skin
MR Environmental Interference
MRI scanner rooms are RF shielded both to protect that which is outside the room from the RF energy produced by the scanner and to prevent electromagnetic signals from the external environment interfering with MR signal detection. The RF shield is a layer of thin copper or aluminum sheet. The doors and windows are an integral part of this lining and so the door must be closed during scanning. Monitoring cables and medical gas supplies which pass into the shielded room must be made of non-conducting materials and travel through dedicated waveguides so the shield is not breached. This includes gas and drug delivery pipes. Cables that carry power or signals must be fibreoptic or pass through low-pass electrical filters. A number of professional bodies, such as The Association of Anaesthetists of Great Britain and Ireland (AAGBI), recommends that all monitoring devices are placed in the control room outside the MR scan room. Table 13.2 provides a list of common problems that need to be considered by the intensive care team in the MRI scanner.
Table 13.2
Common problems seen when scanning ICU patients in the MRI suite
Access | Difficult access once patient is positioned in the magnet’s core (see Chap. 11) |
Scanning should not be interrupted once started
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