Importance of bone-conducted sound transmission on patient hearing in the MR scanner

Health effects related to exposure of static magnetic fields and acoustic noise-comparison between MR and CT radiographers

OBJECTIVES

We explored the prevalence of health complaints subjectively associated with static magnetic field (SMF) and acoustic noise exposure among MR radiographers in Sweden, using CT radiographers as a control group. Additionally, we explored radiographers' use of strategies to mitigate adverse health effects.

METHODS

A cross-sectional survey was sent to all hospitals with MR units in Sweden. MR and/or CT personnel reported prevalence and attribution of symptoms (vertigo/dizziness, nausea, metallic taste, illusion of movement, ringing sensations/tinnitus, headache, unusual drowsiness/tiredness, forgetfulness, difficulties concentrating, and difficulties sleeping) within the last year. We used logistic regression to test associations between sex, age, stress, SMF strength, working hours, and symptom prevalence. Data regarding hearing function, work-environmental noise, and strategies to mitigate adverse symptoms were also analysed.

RESULTS

In total, 529 out of 546 respondents from 86 hospitals were eligible for participation. A ≥ 20 working hours/week/modality cut-off rendered 342 participants grouped into CT (n = 75), MR (n = 121), or mixed personnel (n = 146). No significant differences in symptom prevalence were seen between groups. Working at ≥ 3T increased SMF-associated symptoms as compared with working at ≤ 1.5T (OR: 2.03, CI95: 1.05-3.93). Stress was a significant confounder. Work-related noise was rated as more troublesome by CT than MR personnel (p < 0.01). MR personnel tended to use more strategies to mitigate adverse symptoms.

CONCLUSION

No significant differences in symptom prevalence were seen between MR and CT radiographers. However, working at 3T increased the risk of SMF symptoms, and stress increased adverse health effects. Noise nuisance was considered more problematic by CT than MR personnel.

KEY POINTS

• No significant differences in symptom prevalence were seen between MR and CT radiographers. • Working at ≥ 3 T doubled the odds of experiencing SMF symptoms (vertigo/dizziness, nausea, metallic taste, and/or illusion of movement) as compared to working exclusively at ≤ 1.5 T. • Work-related acoustic noise was less well mitigated and was rated as more troublesome by CT personnel than by MR personnel.

Evaluation of magnetic resonance imaging acoustic noise reduction technology by magnetic gradient waveform control

BACKGROUND

ComforTone is a noise reduction technology used in magnetic resonance imaging (MRI) systems; it suppresses acoustic noise by modifying pulse sequences, which appropriately changes the magnetic field gradient waveforms. Although ComforTone can be used to solve the acoustic noise problems that affect patients who are exposed to acoustic noise from MRI, to the best of our knowledge, the associated technical details have not been published and its effects on acoustic noise reduction remain unclear.

PURPOSE

To evaluate the efficacy of acoustic noise reduction and the impact of acoustic noise reduction technology involving magnetic field gradient waveform control on image quality.

POPULATION

The study included 18 healthy volunteers (11 males and 7 females; median age, 34 years; age range, 24-51 years).

FIELD STRENGTH

1.5 T Philips Ingenia using a SENSE head-spine coil.

ASSESSMENT

The sound pressure level (SPL) and 1/3 octave spectra of MRI acoustic noise with the human head positioned in the iso-center of the MRI system were measured for five different pulse sequences used in clinical MRI. This subjective evaluation of noise included 18 healthy volunteers. The degree of discomfort experienced by the subjects was measured using a visual analog scale. The image quality was assessed objectively and subjectively. For objective assessment, signal-to-noise ratio (SNR) and contrast-to -noise ratio (CNR) of diffusion-weighted images were measured; for subjective assessment, visual evaluation was performed by two radiologists.

STATISTICAL TESTS

Data were analyzed using Welch's t-test, and a p value <0.05 defined significance.

RESULTS

ComforTone could recognize a decrease in sound pressure, and the sound pressure of the acute high-frequency portion of the auditory characteristics was reduced. As reported by the subjects, discomfort caused by the sound pressure was significantly alleviated with ComforTone (p < 0.01). The sound pressure reduction in the high-frequency region with high audibility characteristics was recognized by ComforTone. The visual evaluation of the image quality of the diffusion-weighted images revealed that although there was no difference between SNR and CNR, the image quality was reduced by distortion artifacts.

DATA CONCLUSION

ComforTone reduced the SPL in the frequency range where auditory characteristics were sensitive, suggesting that ComforTone was useful for auditory protection and alleviation of discomfort in patients undergoing MRI. However, because magnetic field gradient waveform control is involved, such noise-reducing techniques should be used by considering their possible influence on the image quality.

Modeling hemodynamic responses in auditory cortex at 1.5 T using variable duration imaging acoustic noise

A confound for functional magnetic resonance imaging (fMRI), especially for auditory studies, is the presence of imaging acoustic noise generated mainly as a byproduct of rapid gradient switching during volume acquisition and, to a lesser extent, the radiofrequency transmit. This work utilized a novel pulse sequence to present actual imaging acoustic noise for characterization of the induced hemodynamic responses and assessment of linearity in the primary auditory cortex with respect to noise duration. Results show that responses to brief duration (46 ms) imaging acoustic noise is highly nonlinear while responses to longer duration (>1 s) imaging acoustic noise becomes approximately linear, with the right primary auditory cortex exhibiting a higher degree of nonlinearity than the left for the investigated noise durations. This study also assessed the spatial extent of activation induced by imaging acoustic noise, showing that the use of modeled responses (specific to imaging acoustic noise) as the reference waveform revealed additional activations in the auditory cortex not observed with a canonical gamma variate reference waveform, suggesting an improvement in detection sensitivity for imaging acoustic noise-induced activity. Longer duration (1.5 s) imaging acoustic noise was observed to induce activity that expanded outwards from Heschl's gyrus to cover the superior temporal gyrus as well as parts of the middle temporal gyrus and insula, potentially affecting higher level acoustic processing.

Simulation study on active noise control for a 4-T MRI scanner

The purpose of this work is to study computationally the possibility of the application of a hybrid active noise control technique for magnetic resonance imaging (MRI) acoustic noise reduction. A hybrid control system combined with both feedforward and feedback loops embedded is proposed for potential application on active MRI noise reduction. A set of computational simulation studies were performed. Sets of MRI acoustic noise emissions measured at the patient's left ear location were recorded and used in the simulation study. By comparing three different control systems, namely, the feedback, the feedforward and the hybrid control, our results revealed that the hybrid control system is the most effective. The hybrid control system achieved approximately a 20-dB reduction at the principal frequency component. We concluded that the proposed hybrid active control scheme could have a potential application for MRI scanner noise reduction.