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ACR Guidance Document for Safe MR Practices: 2007

Emanuel Kanal1, A. James Barkovich2, Charlotte Bell3, James P. Borgstede4, William G. Bradley, Jr.5, Jerry W. Froelich6, Tobias Gilk7, J. Rod Gimbel8, John Gosbee9, Ellisa Kuhni-Kaminski1, James W. Lester, Jr.10, John Nyenhuis11, Yoav Parag1, Daniel J. Schaefer12, Elizabeth A. Sebek-Scoumis1, Jeffrey Weinreb13, Loren A. Zaremba14, Pamela Wilcox15, Leonard Lucey15, Nancy Sass15 the ACR Blue Ribbon Panel on MR Safety

1 Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA.
2 Neuroradiology Section, University of California San Francisco, San Francisco, CA.
3 American Society of Anesthesiologists and Department of Anesthesiology, New York University School of Medicine, New York, NY.
4 Colorado Springs Radiologists, Colorado Springs, CO.
5 Professor and Chairman, Department of Radiology, University of California San Diego, San Diego, CA.
6 Department of Radiology, University of Minnesota, Minneapolis, MN.
7 MRI-Planning, Kansas City, MO.
8 East Tennessee Heart Consultants, Lenoir City, TN.
9 University of Michigan Health System and Red Forest Consulting, Ann Arbor, MI.
10 Chapel Hill, NC.
11 Department of Electrical and Computer Engineering, Purdue University, West Lafayette, IN.
12 MR Systems Engineering, GE Healthcare, Milwaukee, WI.
13 Yale University School of Medicine, New Haven, CT.
14 U.S. Food and Drug Administration, Rockville, MD.
15 American College of Radiology, 1891 Preston White Dr., Reston, VA 20191.


Figure 1
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  		Fig. 1 —Idealized sample floor plan illustrates site access restriction considerations. Other MR potential safety issues, such as magnet site planning related to fringe magnetic field considerations, are not meant to be include herein. See Appendix 1 for personnel and zone definitions. Note—In any zone of the facility, there should be compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations in regard to privacy of patient information. However, in Zone III, there should be a privacy barrier so that unauthorized persons cannot view control panels.

 

Figure 2
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  		Fig. 2 —U.S. Food and Drug Administration labeling criteria (developed by ASTM [American Society for Testing and Materials] International) for portable objects taken into Zone IV. Square green "MR safe" label is for wholly nonmetallic objects, triangular yellow label is for objects with "MR conditional" rating, and round red label is for "not MR safe" objects.

 

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