Geraldine N Tran1, Maria K Pamatmat1, Craig Devincent1, Gail Lee2, and Alastair J Martin1
1Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2Sustainability, University of California, San Francisco, San Francisco, CA, United States
Synopsis
Healthcare is a leading
producer of carbon emissions with radiology as a key contributor. Our study
describes the GE Premier's energy consumption. When operational for 10 hours in a 24 hour day, the GE
Premier consumed 57.69 kwh, which is over double
the energy consumption of the average household. Individual scans require
2.44-4.98 kwh; refrigerators use 1-2 kwh a day. Ready-to-scan and scanning
modes require 4-10x the power of off mode. Optimizing the use of off mode will
yield energy savings, and comparison to other models may guide environmentally
conscious expansion of radiology services.
Introduction
Reports this year show that
the United States’ (US) health system is the 7th largest producer of
carbon dioxide in the world.1 Healthcare in the US emitted 10% of carbon
dioxide produced in the country during 2011, which equates to 20,000 premature
deaths.2,3 At our 800 bed tertiary care hospital, the University of
California, San Francisco (UCSF), Radiology was
found to be within the top two departments for energy consumption. Internationally, hospitals have investigated the energy use for magnetic
resonance imaging (MRI) scanners and found that lower energy modes represent an
opportunity for savings.4,5 This year, UCSF installed the highly anticipated GE
Healthcare Signa Premier 3T MRI (GE Premier), a 70cm bore scanner equipped with
a high performance gradient coil.6 Despite expansion of radiology services and knowledge
of imaging’s significant carbon footprint, research and strategies for MRI
energy efficiency has yet to be implemented throughout healthcare systems. This
project aims to define the energy usage for one of the most advanced MRI
scanners available and patterns of use at a tertiary care medical center. Our
efforts are timely as UCSF is currently upgrading and replacing older MRI
scanners. Also, the data
from this project can elucidate areas for energy conservation, provide
persuasion for manufacturers to prioritize technological advances in energy
savings, and inform future MRI purchasing decisions for growing institutions.Methods
This is a descriptive study
examining a single MRI scanner at a tertiary care medical center. The MRI scanner studied was the GE Healthcare
Signa Premier 3T with software 27x and a dedicated cooling system. Power usage
was measured by Power AnalyticsTM with a power quality analyzer (PowerSight
PS4500), which was installed within the power distribution unit of the
scanner’s equipment room. Power was captured at single-second intervals for
15-18 hours a day for 5 days, and was described by kilowatt x hour (kwh) and
kilowatt per hour (kw/h). Scatterplots were constructed with kilowatt (kw) values
on the vertical “y” axis and hours as the values on the horizontal “x” axis.
The area under the curves (AUC) approximated the amount of kwh, and thus power
used by the MRI scanner. Right-sided Riemann’s sums were specifically used to
approximate the area under the kw by hour graph. The rate of power consumption,
kw/h, was calculated by averaging the kw values over a certain duration. For
types of exams done more than once, the energy usage and scanning duration were
averaged. Microsoft Excel 2011 was used to perform graphing, estimation of AUC,
and descriptive statistics.
Equation:
“y” value in kw * “x” value in hours = “power used” kwhResults
The GE Premier has three distinct modes of operation: off, ready-to-scan, and scanning (Figure
1). The average rate of power consumption when off was 0.76 kw/h. Ready-to-scan
required 4 times as much power as off mode, a rate of 3.06 kw/h. Scanning can
consume 5.5 – 10.7 times as much as off mode for rates of 4.18 -8.14 kw/h
(Table 1). Compared to household items, a modern refrigerator uses 1-2 kwh per
day.8 Exams last between 0.62-1.48 hours (37-88 minutes).
The total power needed per scan ranged from 2.44 – 4.98 kwh. Off mode is used overnight
and during significant wait times between scans. Over 5 days, the GE Premier performed 3-10 exams daily with an average of 7 (SD 3) for a total of 35. Of these exams,
13 were analyzed for energy consumption (Table 1). During the busiest day, the
GE Premier was active for 10 hours and performed 10 scans. Total energy
consumption on this day was 57.69 kwh, which includes 45.99
kwh for 10 hours in either ready-to-scan or scanning modes, and 11.70 kwh
for the 14 hours in off mode. For comparison, a 3-person household in California uses 22 kwh per day.7Conclusion
With the addition of a GE
Premier, UCSF has been able to perform up to 10 outpatient scans daily; each
scan lasting 0.62-1.48 h. The scanner operates in off, ready-to-scan, and scanning
modes. Ready-to-scan requires 4x as much power, while scanning can take up to
10x the power as off mode. MRI scans with the GE Premier consume between 2.44-4.98 kwh. The energy efficient off mode is used between scans
and overnight. Future directions include metering older GE Healthcare models at UCSF and compare their energy consumption with that of the GE Premier.
Also, we will compare the energy usage from standard models and models equipped
with energy-saving technology.Acknowledgements
Dr. Geraldine Tran was supported by the UC President’s Bonnie Reiss Carbon Neutrality Fellowship and the National Institutes of Health (NIBIB) T32 Training Grant, T32EB001631.
We thank Jeff Rodriguez of PowerAnalyticsTM for installation of the power quality analyzer.
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