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Bioeffects of Static Magnetic Fields
Bioeffects of Static Magnetic Fields
The introduction of MR technology as a clinical imaging modality in the early 1980s is responsible for a substantial increase in human exposure to strong static magnetic fields. Most MR systems in use today operate at fields ranging from 0.2- to 3-Tesla. According to the latest guidelines from the U.S. Food and Drug Administration, clinical MR systems using static magnetic fields up to 8.0-Tesla are considered a “non-significant risk” for adult patients. The exposure of research subjects to fields above this level requires approval of the research protocol by an Institutional Review Board and the informed consent of the subjects. Currently, the most powerful MR system in the world used for human subjects operates at a static magnetic field strength of 9.4-Tesla. Investigations by Atkinson et al. and Vaughan et al. describe findings obtained in human subjects relative to the use of the 9.4-Tesla MR system.
With respect to short-term exposures, the available information that pertains to the effects of static magnetic fields on biological tissues is extensive. Investigations include studies on alterations in cell growth and morphology, cell reproduction and teratogenicity, DNA structure and gene expression, pre- and post-natal reproduction and development, blood brain barrier permeability, nerve activity, cognitive function and behavior, cardiovascular dynamics, hematological indices, temperature regulation, circadian rhythms, immune responsiveness, processing of visual and auditory information by the brain, and other biological processes.
The majority of these studies concluded that exposures to static magnetic fields produce no substantial harmful bioeffects. Although there have been reports of potentially injurious effects of static magnetic fields on isolated cells or organisms, no effect has been verified or firmly established as a scientific fact. The documented serious injuries and few fatalities that have occurred with MR system magnets were in associated with the inadvertent introduction or presence of ferromagnetic objects (e.g., oxygen tanks, wheelchairs, aneurysm clips, etc.) into the MR environment.
Regarding the effects of long-term exposures to static magnetic fields, there are several physical mechanisms of interaction between tissues and static magnetic fields that could theoretically lead to pathological changes in human subjects. However, quantitative analysis of these mechanisms indicates that they are below the threshold of significance with respect to long-term adverse bioeffects.
Presently, the peer-reviewed literature does not contain carefully controlled studies that support the absolute safety of chronic exposure to powerful magnetic fields. With the increased clinical use of interventional MR procedures, there is a critical need for such investigations. In addition, although there is no evidence for a cumulative effect of magnetic field exposure on health, further studies of the exposed populations (MR healthcare professionals, patients that undergo repeat studies, interventional MR users, etc.) will be helpful in establishing guidelines for occupational and patient exposures to powerful static magnetic fields.
REFERENCES Atkinson IC, Renteria L, Burd H, Pliskin NH, Thulborn KR. Safety of human MRI at static fields above the FDA 8 T guideline: sodium imaging at 9.4 T does not affect vital signs or cognitive ability. J Magn Reson Imaging. 2007;26:1222-7.
Besson J, Foreman E, Eastwood L, Smith F, Ashcroft G. Cognitive evaluation following NMR imaging of the brain. Journal of Neurology, Neurosurgery, and Psychiatry 1984;47:314-316.
Brockway J, Bream P. Does memory loss occur after MR imaging? Journal of Magnetic Resonance Imaging 1992;2:721-728.
Brody A, Sorette M, Gooding C, et al. Induced alignment of flowing sickle erythrocytes in a magnetic field: A preliminary report. Investigative Radiology 1985;20:560-566.
Brody A, Embury S, Mentzer W, Winkler M, Gooding C. Preservation of sickle cell blood flow pattern(s) during MR imaging: An in vivo study. American Journal of Roentgenology 1988; 151:139-141.
Budinger TF. Nuclear magnetic resonance (NMR) in vitro studies: known thresholds for health effects. J Comput Assisted Tomog 1981;5:800-811.
Cavin ID, Glover PM, Bowtell RW, Gowland PA. Thresholds for perceiving metallic taste at high magnetic field. J Magn Reson Imaging. 2007;26:1357-61.
Chakeres DW, de Vocht F. Static magnetic field effects on human subjects related to magnetic resonance imaging. Prog Biophys Mol Biol 2005;87:255-265.
de Vocht F, van Drooge H, Engels H, Kromhout H. Acute neurobehavior effects of exposure, health complaints and cognitive performance among employees of an MRI scanners manufacturing department. Journal of Magnetic Resonance Imaging 2006;23:197-204.
de Vocht F, Stevens T, van Wendel-de-Joode B, Engels H, Kromhout H. Acute neurobehavior effects of exposure to static magnetic fields: analysis of exposure-response relations. Journal of Magnetic Resonance Imaging 2006;23:291-297.
de Vocht F, Stevens T, Glover P, Sunderland A, Gowland P, Kromhout H. Cognitive effects of head-movements in stray fields generated by a 7 Tesla whole-body MRI magnet. Bioelectromagnetics. 2007;28:247-55.
Feychting M. Health effects of static magnetic fields--a review of the epidemiological evidence. Prog Biophys Mol Biol. 2005;87:241-6.
Fuentes MA, Trakic A, Wilson SJ, Crozier S. Analysis and measurements of magnetic field exposures for healthcare workers in selected MR environments. IEEE Trans Biomed Eng. 2008;55:1355-64.
Glover PM, Cavin I, Qian W, Bowtell R, Gowland PA. Magnetic-field-induced vertigo: a theoretical and experimental investigation. Bioelectromagnetics. 2007;28:349-61.
Hartwig V, Giovannetti G, et al. Biological effects and safety in magnetic resonance imaging: a review. Int J Environ Res Public Health. 2009;6:1778-98.
Hong CZ, Shellock FG. Short-term exposure to a 1.5 Tesla static magnetic field does not effect somato-sensory evoked potentials in man. Magnetic Resonance Imaging 1989;8:65-69.
Hsieh CH, Lee MC, Tsai-Wu JJ, Chen MH, Lee HS, Chiang H, Herbert Wu CH, Jiang CC. Deleterious effects of MRI on chondrocytes. Osteoarthritis Cartilage. 2007 Sep 3; [Epub ahead of print]
International Electrotechnical Commission (IEC), Medical Electrical Equipment, Particular requirements for the safety of magnetic resonance equipment for medical diagnosis, International Standard IEC 60601-2-33, 2002.
International Commission on Non-Ionizing Radiation Protection (ICNIRP) Statement, Medical magnetic resonance procedures: protection of patients. Health Physics 2004;87:197-216.
Innis NK, Ossenkopp KP, Prato FS, et al. Behavioral effects of exposure to nuclear magnetic resonance imaging: II. Spatial memory tests. Magnetic Resonance Imaging 1986;4:281-284.
Kannala S, et al. Occupational exposure measurements of static and pulsed gradient magnetic fields in the vicinity of MRI scanners. Phys Med Biol. 2009;54:2243-57.
Kangarlu A, Burgess RE, Zhu H, Nakayama T, Hamlin RL, Abduljahl AM, Robitaille PML. Cognitive, cardiac, and physiological safety studies in ultra high field magnetic resonance imaging. Magn Reson Imaging 1999;17:1407-1416.
Karpowicz J, Gryz K. Health risk assessment of occupational exposure to a magnetic field from magnetic resonance imaging devices. Int J Occup Saf Ergon. 2006;12:155-67.
Kay H, Herfkens R, Kay B. Effect on magnetic resonance imaging on Xenopus Laevis embryogenesis. Magnetic Resonance Imaging 1988; 6:501-506.
Laszlo J, Gyires K. 3 T homogeneous static magnetic field of a clinical MR significantly inhibits pain in mice. Life Sci. 2009;84:12-7.
Muller S, Hotz M. Human brainstem auditory evoked potentials (BAEP) before and after MR examinations. Magnetic Resonance in Medicine 1990;16:476-480.
Ossenkopp KP, Innis N, Prato F, Sestini E. Behavioral effects of exposure to nuclear magnetic resonance imaging: I. Open-field avoidance behavior an passive avoidance learning in rats. Magnetic Resonance Imaging 1986;4:275-280.
Prasad N, Wright D, Ford J, Thornby J. Safety of 4-T MR imaging: Study of effects on developing frog embryos. Radiology 1990;174:251-253.
Sakurai T, Terashima S, Miyakoshi J. Effects of strong static magnetic fields used in magnetic resonance imaging on insulin-secreting cells. Bioelectromagnetics. 2008 Jun 2. [Epub ahead of print]
Schenck JF. Health effects and safety of static magnetic fields. In: Shellock FG, ed. Magnetic resonance procedures: health effects and safety. Boca Raton, FL: CRC Press, 2001; pp. 1-30.
Schenck JF. Safety of strong, static magnetic fields. J Magn Reson Imaging 2000;12;2-19.
Schenck JF, Dumoulin CL, Redington RW, Kressel HY, Elliott RT, McDougall IL. Human exposure to 4.0-Tesla magnetic fields in a whole-body scanner. Medical Physics 1992;19:1089-1098.
Schwartz J, Crooks L. NMR imaging produces no observable mutations or cytotoxicity in mammalian cells. American Journal of Roentgenology 1982;139:583-585.
Schwenzer NF, Bantleon R, et al. Do static or time-varying magnetic fields in magnetic resonance imaging (3.0 T) alter protein-gene expression?-A study on human embryonic lung fibroblasts. J Magn Reson Imaging. 2007;26:1210-5.
Schwenzer NF, Bantleon R, Maurer B, et al. In vitro evaluation of magnetic resonance imaging at 3.0 Tesla on clonogenic ability, proliferation, and cell cycle in human embryonic lung fibroblasts. Invest Radiol. 2007;42:212-217.
Shellock FG, Crues JV. MR procedures: biologic effects, safety, and patient care. Radiology, 2004;232:635-652.
Shellock FG, Schaefer DJ, Crues JV. Exposure to a 1.5 Tesla static magnetic field does not alter body and skin temperatures in man. Magnetic Resonance in Medicine 1989;1:371-375.
Shellock FG, Schaefer DJ, Gordon CJ. Effect of a 1.5 Tesla static magnetic field on body temperature of man. Magnetic Resonance in Medicine 1986;3:644-647.
Short W, Goodwill L, Taylor C, Job C, Arthur M, Cress A. Alteration of human tumor cell adhesion by high-strength static magnetic fields. Investigative Radiology 1991;27:836-840. Silva AK, Silva EL, Egito ES, Carrico AS. Safety concerns related to magnetic field exposure. Radiat Environ Biophys. 2006;45:245-52.
Tomasi DG, Wang R. Induced magnetic field gradients and forces in the human head in MRI. J Magn Reson Imaging. 2007;26:1340-5.
Toyomaki A, Yamamoto T. Observation of changes in neural activity due to the static magnetic field of an MRI scanner. J Magn Reson Imaging. 2007;26:1216-21
U.S. Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health, Guidance for Industry and FDA Staff. Criteria for Significant Risk Investigations of Magnetic Resonance Diagnostic Devices, July 14, 2003.
Valiron O, Peris L, Rikken G, Schweitzer A, Saoudi Y, Remy C, Didier J. Cellular disorders induced by high magnetic fields. Journal of Magnetic Resonance Imaging 2005;22:334-340.
Vaughan T, DelaBarre L, Snyder C, Tian J, Akgun C, Shrivastava D, Liu W, Olson C, Adriany G, Strupp J, Andersen P, Gopinath A, van de Moortele PF, Garwood M, Ugurbil K. 9.4-T human MRI: preliminary results. Magn Reson Med. 2006;56:1274-1282.
Vecchia P, Hietanen M, et al. Guidelines on limits of exposure to static magnetic fields. International Commission on Non-Ionizing Radiation Protection. Health Physics 2009;96:504-14.
Vogl T, Pasulus W, Fuchs A, Krafczyk S, Lissner J. Influence of magnetic resonance imaging on evoked potentials and nerve conduction velocities in humans. Investigative Radiology 1991; 26:432-437.
Von Klitzing L. Do static magnetic fields of NMR influence biological signals? Clin Phys Physiol Meas 1986;7:157-160.
Weintraub MI, Khoury A, Cole SP. Biologic effects of 3 Tesla (T) MR imaging comparing traditional 1.5-T and 0.6-T in 1,023 consecutive outpatients. J Neuroimaging. 2007;17:241-5.
Weiss M, Herrick R, Tabor K, Contant C, Plishker G. Bioeffects of high magnetic fields: A study using a simple animal model. Magnetic Resonance Imaging 1992;10:689-694.
Yuh WTC, Ehrhardt JC, Fisher DJ, Shields RK, Shellock FG. Phantom limb pain induced in amputee by strong magnetic fields. J Magn Reson Imaging 1992;2:221-223.
Zaremba LA. FDA guidance for magnetic resonance system safety and patient exposures: current status and future considerations. In: Shellock FG, ed. Magnetic resonance procedures: health effects and safety. Boca Raton, FL: CRC Press, 2001; pp. 183-196.
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