Ken E Sakaie1, Wanyong Shin1, and Lowe J Mark1
1Imaging Institute, The Cleveland Clinic, Cleveland, OH, United States
Synopsis
We share our experience discovering and removing metallic objects
left behind after a routine MRI hardware upgrade. The results suggest
that vigilance is necessary despite the routine nature of such an
upgrade.Purpose
To emphasize the need for vigilance for potentially dangerous objects
introduced during a scanner installation. Installation of an MRI is a
routine process, with approximately 10,000 units installed in the
United State Alone [1]. It is tempting to assume that installation
will proceed seamlessly. Unfortunately, after a recent major hardware
upgrade, we found a number of metal objects that had the potential to
detract from the performance of the machine or, in the worst case,
pose a hazard to personnel. We illustrate the process of discovering
these potential hazards to prevent problems among other sites.
Methods
A Siemens Trio underwent a major hardware upgrade to a Prisma
(Siemens Medical Solutions) in the winter of 2014. This upgrade
entailed replacement of nearly every aspect of the scanner hardware
except the cryostat. Due to the extent of the hardware changes, the
magnet was ramped down during the upgrade. After installation but
before ramp-up of the magnet, we inspected the area underneath the
floor of the imaging room. To accommodate cabling for fMRI stimulus
and other equipment, the imaging room has a removable floor with a
~0.5 meter gap beneath (figure 1). A brief inspection of this gap
(figure 2) revealed a significant amount of debris. Two MR physicists
subsequently spent ~10 man-hours exhaustively cleaning every square
foot of the gap for debris.
Results
Figure 3 illustrates a sampling of items found. A number of the items
are magnetic (figure 4). Among the objects was a knife (figure 5)
which, in addition to being magnetic also poses a severe hazard
should it become a projectile. In addition to the items shown, there
were a number of disconnected cables left behind.
Discussion
The potential hazard of projectiles is well-recognized. However, the
presence of non-magnetic metal objects and loose cables may introduce
intermittent spiking that can detract from imaging quality. The
problems we encountered were exacerbated by the removable floor,
which hides the debris. Rooms without such a floor may not be at as
much risk.
Acknowledgements
We gratefully acknowledge support from the Cleveland Clinic and from
Siemens Medical Solutions.References
[1] http://www.cdc.gov/nchs/data/hus/2010/120.pdf Retrieved 11 Nov
2015