Professional Documents
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0.5t 1-64
0.5t 1-64
BTI-050
Magnetic Resonance Imaging System
Version: A4
Foreword
The system(BTI-050 magnetic resonance imaging system) include the operation manual,
technical manual and maintenance manual. This manual is technical manual.
The operators, doctors, MR workers and other persons concerned must know and observe
local relevant medical apparatus and instruments law and regulations before using BTI-050
MRI system.
The operators, doctors, MR workers and other persons concerned must read This manual, be
familiar with the relevant data,and know about the equipment performance.
BTI-050 MRI system must be operated by trained and qualified persons strictly according to
This manual. Any problem must be reported to our trained qualified serviceman or our
engineer for service. Otherwise, our company will not assume any responsibility caused by
this.
Warning: do not modify this equipment without authorization of the manufacturer.
Due to continual updating of technology, some detail in This manual may different from the
actual conditions of the product BTI-050 MRI system. Please be assured to refer to our
up-to-date explanation.
1. This system shall not be serviced or maintained while in use with the patient.
2. For the safety of patients and the persons concerned, use hearing protection device when
necessary.
3. Other hospital devices can be influenced when approaching the magnetic field and the MRI
image quality is likely to be influenced by these devices.
4. Metal implant may generate evocation electric current and be heated so that patients bearing
implant are not allowed to take scanning.
5. Must setup warning sign of protected area at the entrance of the scanning room.
6. Warning, if incorrect replacement, it may result in a unacceptable risk, such as electric shock,
degradation of performance ect.
8. Please check the date and time of the operating system, and make them consistent with current
time.
9. Scanning room lighting may bring interference to image! It is recommended to replace the
filament lamp regularly.
11. The load bearing and stress analyses of the scanning room construction is ensured. It is suggested
to evaluate it fully by relevant organizations.
12. The receiving coil contacts with patients frequently, to avoid cross infection,it is necessary to
rinse or wipe the coil with 75% alcohol. Water or other cleaning solution is not suitable in
cleaning!
13. Be cautious to restrict the exposing time for patients as per local regulations on exposition in
magnetic field.
14. During scanning, gradient coil changes magnetic field quickly, which may cause stimulation on
peripheral nerves or tingling on some patients. To reduce possibility of peripheral nerve irritation,
please ensure the patient will not hold or touch their hands, nor cross their feet to avoid forming a
conductor return circuit.
15. Radio frequency will happen during scanning, which may lead to the following hazard: Tissue
heating, Magnetic hole heating, Contact point heating, Metal object heating, Cable/conductor
heating
16. In the scanning room, there must no iron oxygen bomb, iron wheelchair, iron gurney, iron IV
(intravenous transfusion) steeve, iron ventilator and others. Make any people approaching to MRI
system know that only nonferrous objects can be allowed to enter the scanning room,at the same
time set up regulations describing carrying medical devices and others into the scanning room.
17. The use of accessories, transducers and cables other than those specified with the exception of
transducers and cables sold by your company as replacement parts for internal components, may
result in increased emission or decreased immunity of the Magnetic Resonance Imaging System
18. Air conditioner and automatic constant temperature system shall be 24 hour work. The air
conditioner must be turned on in time when power restored after failure and the operating settings
need to be confirmed in correctness. The knockoff of air conditioner and automatic constant
temperature system in a short time may influence state of the system at the moment.
19. Other system's signal input/output can only connect with the pointed equipment. Users should get
our confirmation before connecting them to other devices and follow the Provision IEC601-1-1.
20. Safety of magnetic resonance scanning on fetus and children has not been proved yet. Before
control the harm of scanning on patients, please weight the conflict of interest between magnetic
resonance and the other alternative procedures and let the doctor decide if the pregnant woman or
children patients should take scanning or not.
21. There might be projecting effect around magnetic field. To prevent threat to magnet and personal
safety from ferromagnetic projectiles, the transportation of magnet should be handled or
instructed by our technicians. Please read closely the relevant safety notice.
22. Magnet weight is 27000Kg at least; please note the reliability of lifting tools. And the base
strength for magnetic body should be affirmed in advance!
For your safety and the patients’ safety as well as the safety of device, be sure to follow the
requirements of “Safety Warning”.
Danger and prohibition Symbols & signs used in MRI installations
Figure
Item Meaning
Symbol etc.
Warning sign
1
Warning, risk of strong magnetic field
Warning sign
2
Warning, risk of non-ionizing radiation
Prohibition sign
3
No access for person with pacemaker
Prohibition sign
4
No access with metallic pieces or watches
Prohibition sign
5
No access for person with metal implants
10 Earth(ground)
11 “ON”(power)
12 “OFF”(power)
13 Alternating current
14 Date of manufacture
15 Manufacturer
18 Serial number
19 Warning, electricity
WEEE
23 Non-ionizing radiation
Content Index
Product summary A
Product safety B
Circuit diagram H
I
E.2 MRI System software block diagram ................................................................................ 81
E.3 Software function description ........................................................................................... 83
E.4 Software installation description ....................................................................................... 98
E.5 Software files muster and store path ............................................................................... 109
Installation and Debugging .................................................................................................... 112
F.1 System Layout Illustration .............................................................................................. 112
F.2 System Installation .......................................................................................................... 113
II
Technical Manual
Part A
Product Summary
◇ Operator profile
In the magnetic field, superpose gradient magnetic field in three directions X, Y, Z; and
make frequency coding and phase coding for the whole magnetic field space. In this way,
the received electromagnetic wave will contain 3D position features. The received
electromagnetic signal will be amplified by electronic devices and changed into digital
signal. Then make computer processing to reconstruct the human body dislocation image
for doctor's analyses and diagnoses.
BTI-050 MRI system (hereafter referred to as the system) acquires human body 3D
dissection dislocation images for the information of clinical diagnosis and medical
research in hospitals. It is mainly applied to nervous system, chest and abdomen organs,
skeleton, muscle structure dissection and others.
Warning: This system shall not be serviced or maintained while in use with the
patient.
System acquires human body 3D dissection dislocation images for the information of
clinical diagnosis and medical research in hospitals. It is mainly applied to nervous system,
chest and abdomen organs, skeleton, muscle structure dissection and others.
Indications of the system: head, chest, kidney, liver, pelvic cavity, ovary, spine, skeleton,
joint and other organic tumour, cyst, infarct, hemorrhage, denaturalization, protrusion, etc.
1. Nominate method
Product name
2. According to the degree of protection against electric shock, it is type B applied part
equipment and the receive coil is treated as type B applied part and detachable part;
1. Magnet System
⑶ Permanent magnet
2. Coils
⑵ Receive coils
Head coil, neck coil,small body coil, large body coil,body coil, knee coil, breast coil,
shoulder coil, ankle coil, wrist coil.
3. Gradient System
4. Spectrometer
⑴ digital spectrometer;
5. RF amplifier
6. Computer System
⑴ CPU ≥2800MHz;
⑶ Memory ≥2048MB;
⑷ Harddisk ≥160GB;
7. Image
8. Scan
10. Localization
Laser localization.
Within φ300mm sphere around the permanent magnet field center, magnetic field
uniformity should be no bigger than 30ppm (Vpp);
b. At 2.5m vertical distance to permanent magnet center, no bigger than 0.5mT in vertical
direction.
b. Uniformity
c. Spatial resolution modulation factor should not less 0.47, structure is distinguishable;
d. Ghost the ratio of ghost to signal should not more than 5%;
e. Noise-signal ratio
⑶ Should be able to scan with manifold slices, to display and analyses dislocation image;
⑷ Should be able to backup, restore and delete primary signal data and image data;
⑸ Should be able to expediently compile impulse sequence, such as SE, FSE, GRE, IR,
MRA, DWI, ECG-gated sequence, water imaging sequence, fat-suppression sequence,
FLAIR and others;
⑹ Should be able to make post processing on images. Have function of window width
and level adjustment, characters annotation or cleanup, distance measurement, selection of
interesting region, average pixel value calculation, pixel value standard deviation
calculation and so on.
⑵ Scale: 384mm;
⑶ Units: mm.
1. Working conditions
2. Power Supply
~230 V, 50Hz;
3N~400 V, 50Hz;
When the system is out of use after the expected service life, the magnet can be
demagnetized with high temperature. After the demagnetization, handle the magnet and
computer and other electronics parts as per the local laws and regulations. Phantom
solution shall be treated as per chemicals restriction requirements. Otherwise, it may cause
environmental pollution.
Systemic operating mode is normal operation mode. During normal operation, all the
operating parameters are under the preferred limitation to avoid safety hazard during MRI
scanning. Furthermore, regular monitoring is required during scanning to protect the
patients and MR workers from any hazard.
A.1 Temperature limits
Operating mode Max. core tem. Max. local tissue Rise of core tem.℃
tem.
Normal 39 39 0.5
First level controlled 40 40 1
Second level controlled >40 >40 >1
Background information:
Mode of operation of the MR EQUIPMENT in which none of the outputs have a value
that may cause physiological stress to PATIENTS. And entering this mode, no specific
indication or measure is required to be display.
Mode of operation of the MR EQUIPMENT in which one or more outputs reach a value
that may cause physiological stress to PATIENTS which needs to be controlled by
MEDICAL SUPERVISION. The properties of the MR equipment with respect to
displayed indication before entering this mode and deliberate action when entering this
mode, also, medical supervision shall be provided.
Mode of operation of the MR EQUIPMENT in which one or more outputs reach a value
that may produce significant risk for PATIENTS, for which explicit ethical approval is
required (i.e. a human studies protocol approved to local requirements). Specific security
measures shall be provided to prevent unauthorized operation in this mode; operation in
this mode is only permitted under a human studies protocol approved according to local
requirements.
2. System magnetic field time rate of change (dB/dt) and standard absorption rate (SAR)
and static magnetic field.
⑴ Protection against excessive low frequency field variations produced by the gradient
system
Low frequency field variations produced by the gradient system are in this standard the
variations for which the concern is to prevent cardiac or peripheral nerve stimulation (PNS)
(effective stimulus duration >20 ìs).
To protect against cardiac stimulation in each operating mode, the gradient output of all
gradient units shall satisfy:
E<2/{1-exp(-tse,eff/3)}
where
For MR equipment provided with whole body gradient system, this limit may be replaced
by:
Db/dt<20/{1-exp(-tse,eff/3)}
where
dB/dt (T/s) is the rate of change of the magnetic field during gradient switching;
ts,eff (ms) is the effective stimulus duration.
Limits of gradient output either shall be based on the results of an experimental study of
human subjects as described in section ) of this subclause or shall have values as stated in
section ⅱ) of this subclause.
Limits related to minimising PNS for any given type of gradient system may be based
ondirect determination from a study on human volunteers and are as follows:
– for operation in the normal operating mode, the gradient system shall operate at a
level that does not exceed 80 % of the directly determined mean threshold PNS, and
– for operation in the first level controlled operation mode, the gradient system shall
operate at a level that does not exceed 100 % of the directly determined mean threshold
PNS.
When no direct determination of limits is obtained, the gradient output limits for the
NORMAL OPERATING MODE (L01) and the FIRST LEVEL CONTROLLED
OPERATING MODE (L12) shall, depending on the label (as defined in 6.8.3 ee) not be
larger than the values stated below:
where
system
The mass used to determine the WHOLE BODY SAR is given by the PATIENT mass.
The mass to determine the PARTIAL BODY SAR is called exposed PATIENT mass. It is
given by the PATIENT mass within the effective volume of the RF transmit coil. The
effective volume of the RF transmit coil shall be that volume in which no more than 95 % of
the total absorbed RF power is deposited inside a homogeneous material which fills the
volume normally accessible by the PATIENT. The mass to determine the HEAD SAR shall
be the mass of the head approximated by a suitable model. The mass to determine the
LOCAL SAR shall be 10 grams.
Averaging
6min
time
Exposed
Body region→ Whole body Head Head Trunk Extremities
body part
First level
4 4~10a 3.2 10b 10 20
controlled
Second level >
>4 >3.2 >10b >10 >20
controlled (4~10a)
Short term SAR The SAR limits over any 10 s period shall not exceed three times the stated values
a The limit scales dynamically with the ratio "exposed PATIENT mass / PATIENT mass":
PARTIAL BODY SAR = 10 W/kg – (8 W/kg * exposed PATIENT mass / PATIENT mass)
PARTIAL BODY SAR = 10 W/kg – (6 W/kg * exposed PATIENT mass / PATIENT mass)
b In cases where the orbit is in the field of a small LOCAL RF TRANSMIT COIL, care should be taken to
ensure that the temperature rise is limited to 1 °C.
For WHOLE-BODY SAR, the values in table 105 are valid at environmental
temperatures below 24 °C. At higher temperatures, these values shall be reduced depending
on actual environmental temperature and humidity. The reduction of SAR limits for
environmental temperature starts at the derating temperature. The derating temperature is
25 °C for relative humidity <60 %. For each 10 % increase of the relative humidity in excess
of 60 %, the derating temperature is reduced by 0,25 °C (e.g. 24 °C at 100 % relative
humidity).
The static magnetic field of the MR EQUIPMENT is the operating magnetic field
strength.
For the static magnetic field, the following operating mode limits apply:
a. The normal operating mode comprises values of the static magnetic field equal or
lower than 3 T.
b. The first level controlled operating mode comprises values of the static magnetic
field higher than3 T and equal or lower than 4 T.
c. The second level controlled operating mode comprises values of the static magnetic
Physiological effects, such as vertigo and nausea, due to the movement in the static
magnetic field for both the patient and the MR worker shall be minimized. so that the
speed of movement shall be limited ,the speed of motion for the MR worker shall be no
more than15m/s in the controlled access area and the relevant worker should be imparted
the limit by training.
2. Weight:≤200Kg;
5. Nationality: Multiple
6. Patient state
The following patients must be worshipped on site by medical care personnel during
MRI examination:
Severe patients (like potential cardiac arrest) at vitality risk at any time;
Patients can not have a reliable communication due to their visual, hearing and
linguistic objection and other particular cases;
Patients can not keep a reliable communication due to their insensibility, over
equanimity or puzzle headedness;
Patients are not able to communicate with the clinician via verbal system due to some
specific causes;
First aid equipment should be prepared at MRI examination site but out of 0.5mT line.
1. Measurement site: helmet, neck, body, knee, spine, shoulder, breast, wrist, ankle.
1. Qualification :
Minimum
Having medical practicing license and the work license of large-scale medical apparatus
(MRI technologist or physician).
No maximum
2. Training:
Training provides knowledge and skills required for safe and effective use of equipment
by the manufacturer or qualification by coaching operator.
This chapter means to describe medical MRI system theoretical principle for better
understanding on product safety requirements. The chapter includes:
◇ Ferromagnetic radiator
There are three factors influencing human health from MRI technology:
2. Gradient magnetic field: comparatively weak but quick changing magnetic field;
Main magnetic field: Influence on human health from unaltered intensity high magnetic
field caught people's attention long time ago. When human body enters high magnetic
field (above 0.3T), cardiogram will change, which will disappear till removing the external
magnetic field.
Research shows when putting an animal under 3.7T magnetic field, high magnetic field
does not damage genetic factors. As per enunciable material, magnetic field intensity
under 20T will not change enzyme activity of biological tissue.
Gradient magnetic field appears on chance during scanning. As a conductor, human body
tissue will generate induced electromotive force when the magnaflux changes, this will
lead to partial induced current and some pathologic reactions such as pseudophotoesthesia,
skin allergy, jerk, even ventricular fibrillation. As per calculation, when magnetic field rate
of change is 1T/s, induced current within 1 square centimeter is less than 1 microampere.
Comparing with nervous activity electric potential (300 mA/cm2), tissue internal induced
current is quite small during MR examination. But because of current density should be
less than 3mA/cm2, otherwise it might cause ventricular fibrillation. This potential threat
should be watched carefully. At routine MR examination, rate of change in gradient
magnetic field must be less than 20 T/s, then the insurable current density should be lower
than 3mA/cm2. Vitiating magnetic field will also cause "magnetic fluorescent"
hallucination, when eyes are exposed to 100 Gauss. 20-40Hz alternating magnetic field,
they will see flare or color ring. This ocular chaos may be caused by magnetic field effect
on retinas photoreceptors. This kind of visual physiological effect will disappear after
removing the alternating magnetic field.
During scanning, gradient coil changes magnetic field quickly, which may
cause stimulation on peripheral nerves or tingling on some patients. To
reduce possibility of peripheral nerve irritation, please ensure the patient will
not hold or touch their hands, nor cross their feet to avoid forming a
conductor return circuit.
Influence of radio frequency electric wave irradiation on human body is that tissue will
have temperature effect after absorbing RF electric wave. When examine some human
body part with nuclear magnetic resonance spectrum analyzer, maximum energy
absorption rate of tissues can be around 4W/Kg. If the examination time is 10 minutes,
theoretically body temperature will increase 0.7℃. Poor blood supply vessels in some
tissue will be sensitive to heat changes such as eyeball, epitaxy, and testis. But in fact,
tissues are always radiating heat peripheral and furthermore radio pulse does not like
microwave or infrared ray, Its "heating" effect is quite faint thus cause no hazard to human
health.
Some ways for the MR worker to mitigate these risk factors are following:
⑴ keeping sufficient distance away from the transmit RF coil or by reducing time of
exposure during scanning;
⑵ keeping sufficient distance away from the gradient coils during scanning;
⑶ staying away from the magnet (not just during scanning but all the time) and by
avoiding rapid movements of the head while in the static magnetic field.
Research on integrative biological effect of MRI system, it means under the simultaneous
effect of main magnetic field, alternating magnetic field, RF electromagnetic field, shows
MRI system examination will not cause biological damages such as damages on genetic
factors and others.
In general, abundant animal experiments and clinical application prove harm on human
health from MRI system's main magnetic field, alternating magnetic field and RF electric
wave is much less than that caused by X-ray CT (Harm of ionizing radiation from X-ray
The limits for MR workers are not be applicable when the MR workers is pregnant. it might
be required in some countries that the ‘member of the public’ limit be applied to the foetus,
which implied that the pregnant MR worker is not allowed to be present in the examination
room during scanning.
Magnetic field used in magnetic resonance will cause subtle gene and
numerator changes. Please weigh the conflict of interest by using
MRI system and the other alternative procedures before control the
harm on patient from scanning.
Patients bearing heart pacemaker, must stand far away from MR system. The modern heart
pacemaker is weighted around 50-70g and packed in a stainless steel box. When heart rate
is lower than threshold value, detection circuit will give order to the pacemaker and
impose the electric impulse (usually it will be 5V, 10mA and 1ms) directly onto cardiac
muscle. Due to various heart pacemakers and their different performance, it is hard to
make a conclusion on its failure under effect of MR system. The most common failure
reasons are: electromagnet static field closes the electric relay, which lead to heart rate
detecting circuit out of service. Then pacemaker will impose electric impulse onto heart
continuously despite of heart rate and necessity of pacemaker power supply. 10 Gauss
(within 5 meters from 0.5 T magnet) magnetic field intensity will create this failure. In fact,
this method is used clinically to test pacemaker: Doctors put some magnet with certain
magnetic field intensity against patients with pacemaker on the chest and record the
cardiogram to test the pacemaker functional state. So failure caused by a fixed magnetic
field is not much risky. Instead there will be more risk from RF radio wave and alternating
magnetic field because detecting circuit can not identify their impulse from electro-cardiac
impulse. As a result, pacemaker may not work when it is needed. Besides this, powerful
magnetic field may bring embedded pacemaker displace at times. Therefore, patients
bearing pacemaker can not have MR examination and should stay far away from MR
scanning room.
If the implant device is labelled as MR safe or MR conditional, the operator should read
the further explanation described in the accompanying documents of the implant
manufacturer .
For the safety of patients and the persons concerned, use hearing
protection device when necessary.
Gradient coil will cause very strong Lorentz force, which leads to thermal agitation of coil
bearer during gradient field transition and some special noise during scanning. Noise of
MRI equipment mainly is gradient field noise. Very high noise does not only influence
communication between doctors and patients, but also make some psychological or
physiologic hurt on patients to some degree. Psychological hurt refers to aggravated fears,
which might be the evocation reason of epilepsy and mental incarceration. Therefore, MRI
gradient field noise is a security problem that should not be neglected.
During scanning, gradient coil in the magnetic field might generate noise at maximal A
weighted effective quantity sound pressure (LAeq.lh) 95dB (A), the operator should
control the sound level as per local laws and regulations.
For the safety, patients, MR workers and the persons concerned shall ware adequate
hearing protection to reach compliance with the rules for protection to noise, especially in
the controlled access area during scanning. The hearing protection fitting can be foam
material earplug.
The operator should pay special attention to place hearing protection fitting rationally and
trained personnel are preferred. Especially, should handle carefully the newborn infant and
premature baby who can not use standard earmuffs or can not use any protection.
The operator should pay attention and evaluate the acceptable sound pressure level on
pregnant women and fetus, newborn infants, infants and old people because of their
continuous ascending anxiety.
The operator should pay attention that protection of patients under anesthesia state is likely
to be lower than normal state. Thus their hearing protection should not be neglected even
at moderate sound level.
Employees working around the system regularly are possible to suffer from the noise,
please take it as per local law and regulations.
A weighted effective quantity sound pressure level (LAeq.lh) is measured by sound level
meter under the following settings:
During MRI examination, due to narrow and small magnet space in which the patient stays,
and gradient field noisy interfere, some patients show their anxiety, panic or feel down in
spirits or other reactions, even mental incarceration in some severe case. The following
methods can reduce these adverse reactions to a greater or less extent:
The safety of MRI examination on pregnant women actually concerns whether the
development of fetus is influenced by magnetic field (including static magnetic field and
gradient field) as well as radio-frequency field, that is whether MRI is teratogenic or not.
But then, up to now, research on teratogenic action is not thorough enough. It is still a
disputable topic that safety of MRI on pregnant women. Wherefore, America FDA (Food
and Drug Administration) has not made any explicit regulation on the safety of MRI
examination on pregnant women (fetus) and infants. Britain NRPB (National Radiation
Protection Board) only suggests that it should be cautious to use MRI for the first three
months pregnancy. The foetus is especially sensitive to potential thermal events during the
first trimester, The responsible organization should be advised to avoid scanning patients in
the first trimester or with unknown pregnancy status.
Mainly due to the following two aspects, it should be cautious to MRI examination on
pregnant women: First, in the abstract analyses, MRI electromagnetic field can generate
biological effects on up growth fetus through multifold ways; Secondly, cellula during
differentiation is apt to be damaged due to many physiologic factors interference.
Scanning of pregnant PATIENTS with the WHOLE BODY RF TRANSMIT COIL should be limited to
the NORMAL OPERATING MODE with respect to the SAR level.
For the moment, clinical MRI system static magnetic field strength is between 0.2-1.5T,
the potential hazard of this high magnetic field is projecting effect. Projecting effect refers
that under high magnetic field effect, ferromagnetic object throws at magnet from other
place at a certain speed.
Projectiles around MRI magnet mostly are surgical apparatus, oxygen bomb, medical
devices and especially those monitoring devices, stretcher, wheelchair as well as those
metal items carried by the subject. Knife, metal zipper, metal button, fountain pen ( ball
pen), keys, coins, jewelries, hair pin, watch, lighter, mobile telephone, pager audiphones
and other ferromagnetic objects and metal items easily carried or worn by the patient.
To prevent ferromagnetic projectiles threat to the equipment and human body, MRI room
should set up a full range of security countermeasures. Put up well marked caution mark at
the entrance of magnet room and keep close supervision on personnel entering the room.
Within the controlled area, MRI system does not meet the current radio requirement in
general. This is used to protect telecommunication, allowed limitation of radio frequency
emission is from 30dBμV/M to 50dBμV/M as per the prescription in international
standard (e.g.CISPR11). The expected anti-interference requirement for conventional
equipments is 1N/M or 3V/M. For special equipments, such as vital support and some
patient monitoring devices, the anti-interference requirement is from 10V/M or 100V/M.
In fact, around the MRI system and its controlled approaching area, radio-frequency field
intensity is apt to exceed this limitation, even exceed 100V/M. It is obvious that those
peripheral equipments used in the controlled approaching area will be interfered by any
possibility.
The MRI system radio-frequency signal is likely to influence those devices in neighboring
facilities or patients, operating personnel and someone else, as well as their electronic
equipments within MRI system area or its neighboring areas. The system is likely to cause
radio-frequency interference on the other medical or non-medical devices and
telecommunication.
If interference is detected, it can be confirmed by turn on and off the system. The
following methods can be used to rectify:
Enlarge the distance between the system and the affected device
The operator should consider avoid the following factors which may cause partial radio
frequency superheat:
1. Conduct (metal) object or implant exists within the sensitive areas of radio frequency
emission coil;
3. Skin contact is likely to form a partial body galvanic circle, such as: inside thigh - thigh,
leg - leg, hand - hand, hand - body, ankle - ankle contact;
6. Patient contact with radio frequency receiving coil cable or its peripheral wiring;
7. Circuit between radio frequency receiving coil cable and ECG led;
8. Using of incompatible ECG electrode and led; The operator should use electrode within
service life;
10. Cables staying in radio frequency emission coil but not connecting with coil.
1. Tissue heating
If radio transmitting is speedier than radio scattering, radio frequency will heat tissues.
The heating degree of patients’ tissue depends on patient weight, impulse sequence type,
timing, slice quantity, and some imaging option, for example saturation.
Indoor temperature should be set under 22 centigrade. Always keep on the fan to ensure
ventilation in magnetic hole.
Radio frequency may create partial heating on contact points between patients and
magnetic hole or patients and radio frequency coil, which cause comfortlessness and
sensation of burning heat.
Closely hold fists, hand and body contact, or personal touch in a small compass may form
closed circuit. To prevent patients from be burnt by closed circuit, put some non-conductor
Put foam material at any contacting point between patients or their body parts and
magnetic hole contacting an open magnetic field.
Put a sheet or pillowcase between coil surface and patient skin to avoid getting burnt.
Cosmetics containing metal materials can heat and irritate skin. Guide the patients to clean
out makeup to prevent eye hazard before examination.
Tattoo and permanent eye line implant contain metallic dyes which can cause heating and
irritate skin.
Jewelries with 14K gold can heat can lead to get burnt. Radio frequency can make metal
heat to lead to get burnt.
5. Cable/conductor heating
Radio frequency can cause incompatible surface coil/gating cable to heat. Damaged
surface coil and gating cable, surface coil not connected with power well, cable connected
incorrectly all will lead to get burnt.
The operator and other personnel are duly to obey the local legal requirements on entering
controlled approaching area.
The controlled approaching area, within 0.5mT fringe magnetic field around the MRI
system, is given in the magnetic field profile. The user is obligated to mark clearly on the
scanning room floor the range of controlled approaching area.
Description
2.“+”is Isocentre.
Personnel entering 0.5mT fringe magnetic field controlled approach area are under
potential hazard, which includes suction from objects containing iron or other magnetic
materials, moment of torsion imposed on these metallic materials, as well as their medical
implant may be out of service which will result in potential hazard.
Within controlled approach area, should use non ferromagnetic devices and tools. If
engineers need to carry small ferromagnetic tools into this area, please fix them first.
Peripheral equipments are not preferred to be used in controlled approach area, including
patient monitoring devices, life support fittings and emergency nursing devices, which
may suffer interference from radio-frequency field or fringe magnetic field of the MRI
system or they may interfere the normal work of MRI system.
The following objects are likely to interfere MRI system imaging, even compose physical
hazard on the users. Please check whether the following objects are with you: heart
pacemaker, embedded nerve stimulator, aneurysm clips, aorta clips, artificial heart valves,
insulin pump, audiphones, joint prosthesis, metal stick, metal sheet, metal pin, screws,
clamps, bone or joint nails, metal wire suture, false teeth, flitter in eyes and cochlea
implant and others. When entering the scanning room, do not carry any following metal or
magnetic-sensing objects: removable dental filling substance, audiphones, bijouterie,
watch, purse or wallet, fountain pen or pencil, key, coin, metal zipper or button, magnetic
card, credit card, bankcard, hair pin, metal bra hook, safety pin and others.
Metal implant may generate evocation electric current and be heated so that
patients bearing implant are not allowed to take scanning.
1. It is not suitable for the following people to operate and use the MRI system:
⑴ People implanted with active life support system powered by electricity,
magnetism or mechanism, such as people with heart pacemaker;
⑵ People implanted with metal items, whose life may be endangered in high
intensity field due to metal clip felling out or metal item moving away;
⑶ Women during pregnancy are suggested to avoid operating and using the system.
2. MRI inspection is operated in high intensity field, any ferromagnetic materials are not
allowed to be brought into the scanning room, including watch, glasses, removable denture,
artificial eye, artificial limb, metallic article (such as chest pin, key, necklace, bracelet,
hair pin and so on), knife, credit card, communication tools (such as mobile telephone,
Beep-Pager, interphone and so on), different metallic electric tool (such as iron,
screwdriver, spanner, metal tongs), trolley oxygen bomb, planchet, tweezers, surgical
instruments, metal bottle bracket, syringe needle, first aid instruments and so on;
3. It is a must to discriminate the patient before MRI inspection; they are not allowed to
take MRI inspection if they are in the following case:
⑴ Patient implanted with electric, magnetic or mechanic vitro active life support
system. Magnetic field or electromagnetic field caused by MRI system may cause strong
gravitation or moment, or interfere the normal work of these systems and lead to injury of
danger to the patient's life.
⑵ Patients with metallic hemostatic clamp or metal extraneous material in vivo after
operation (unless these metal hemostatic clamp or metal extraneous material are not
ferromagnetism as per the clinician). Magnetic field or electromagnetic field caused by
MRI system may cause strong gravitation or moment to cause these metal hemostatic
clamp fall off or cause metal extraneous material move away so as to lead to injury or
danger to the patient's life.
⑶ Patients at death's door and are in need of emergency treatment but not caused by
MRI system and its physical environment should be checked quickly to save the time on
medical treatment to save the life.
⑷ Patients are in the cases of professional activities, clinical history, existing medical
treatment state and others will be on the line due to exposure in high intensity field caused
by MRI system.
4. When do laser positioning, laser positioning device can only used in the described way,
inform the patients of the damage that laser beam to the eyes. Close their eyes during the
positioning process and promise the patients’ eyes don’t look the laser beam directly.
5. The user must build up a full range of patient supervisory program to ensure the safety
of patients during MRI examination. Routine monitoring on patients should be followed
during MRI examination, which is to keep in bidirectional audio visual connection with
patients via scanning room observation window, voice transmission system.
6. The following patients must be worshipped on site by medical care personnel during
MRI examination:
⑴ Severe patients (like potential cardiac arrest) at vitality risk at any time;
⑵ Patients can not have a reliable communication due to their visual, hearing and
linguistic objection and other particular cases;
⑶ Patients can not keep a reliable communication due to their insensibility, over
equanimity or puzzle headedness;
⑷ Patients with the possibilities of outburst disease, incarceration phobia, cardiac
decompensation or perspiration dysfunction and other cases.
⑸ Patients are not able to communicate with the clinician via verbal system due to
some specific causes;
⑹ First aid equipment should be prepared at MRI examination site but out of 0.5mT
line.
7. In consideration of magnetic field and other risks, it is the responsibility of the user to
set up a full range of emergency medical treatment measures against patients and, to
ensure that the patient can be transferred safely for treatment in case the patient fall
sick or be injured by other reasons. When in emergency, the user must stop scanning and
get the patient out from magnetic field and the scanning room for treatment.
8. During MRI examination, the gradient field driver quickly changes the direction and
intensity of the magnetic field so as to cause the gradient line to generate mechanical
vibration and some noise. To avoid hearing injury, the patient and MR worker ought to
wear hearing protection device during MRI examination.
9. When applying any physiologic monitoring device and sensing device on the patient,
the user must give instructions on how to use it and it is forbidden for the patient to make
bold with any physiologic monitoring device and sensing device.
10. It is forbidden to make bold with those auxiliaries such as physiologic monitoring,
gating facilities, radio frequency coils, and others, which are not authorized neither tested
in particular to be used together with MRI system. Even auxiliary devices marked with
compatible with MRI system, it may be risky if they are not used under the instructions,
esp. the explanation of the current-carrying electrode riding position. Our company shall
not assure any responsibility for the burnt or other bad aftermath caused by malpractice of
the manual.
11. It is suggested to prepare fire extinction equipment and device around the scanning
room, and it is better to contact with local related department to discuss the fireproofing
matters and formulate emergency measures. Check and remove any fire hazard. Once it is
on fire, evacuate the patients and cut off the general supply for MRI system room, and take
urgent fire extinction work immediately. When arranging and using the fire extinction
equipment and device, magnetic field impact must be taken into consideration in case they
are adhered by magnet.
12. In consideration of contamination to the MRI system assemblies and the scanning
room by some patient with contagion, traumata and other interior different diseases.
Wherefore, after examining the patient with contagion, traumata, the bedclothes and
correlating assemblies (such as receive coil, diagnoses bed, magnet enclosure and
others)of the MRI system must be wiped for disinfection with 75%alcohol, and the room
can be disinfected by uviol lamp to avoid cross infection.
13. The user must put up some permanent warning, prohibition signs easy understanding
in the scanning room; and appoint some professional staff to explain or advice those
people with dysopia or the other disabled who can not see clearly or understand well.
14. The power supply of each part must be cut off when this part's cover cap or door is
opened. At the same time, please pay attention to those parts (e.g. radio frequency
amplifier) needing some time to discharge completely after power offer. It is not forbidden
to open the cover cap, panel or door.
15. The distribution of system 0.5mT line and fringe magnetic field under installation
condition as show in the graph. There is a striking 0.5mT line logo in the ground of
scanning room, carry out full control to unauthorized persons that access to this region.
For the purpose of safety, eye-catching signs to forbidden active implant and metal
implant must be put up on the outside wall of the scanning room. At the gate of the
scanning room, should put up" High Magnetic Field" warning sign, magnet
radio-frequency field and other items containing ferromagnetic materials out-of-bounds
warning sign; A strict control over any people, facility or article entering the scanning
room. And within the controlled approaching area, even those recommended serviceable
monitoring devices, life support devices, emergency nursing facilities nor therapeutics
electronic devices are not allowed.
16. For phantom used during quality control, some liquid is sealed inside, please do not
have body contact with the liquid of the phantom. Please store the phantom in a safe room
temperature and do not fell it off nor refit it. The user must ensure that the phantom liquid
will not be expelled into waste water and treat the liquid as per the correlating regulations
of the country.
17. Image artifact may influence the diagnoses, which may be caused by technological or
physiological factors. The operator should choose the most appropriate parameters to
reduce image artifact.
18. The instructions for use shall recommend that training is needed for the MR
WORKER to operate the MR EQUIPMENT safely and effectively. This training shall
include emergency procedures, including those for the issued describes in this subclause
under:
⑴ Emergency medical procedures;
⑵ Controlled access area;
⑶ Fire precautions.
Note: When the RF power is 5KW, the center field (corresponding to the icon position 6.85) is 40μT.
Note: When the RF power is 5KW, the center field (corresponding to the icon position 6.85) is 40μT.
The position with color is the maximum of B0 gradient and average value is 38
T/m(Look the ruler display and read the corresponding value according to the color
change)
The specific location is near two cirque 546mm in radius with (0,0,215) and (0,0,-215)
as the center in the XY plane as show above around the color position.
The position with color is the maximum gradient product of the magnetic field B0 and
spatial gradient of B0 and average value is 54 T2/m(Look the ruler display and read the
corresponding value according to the color change). The specific location is near two
cirque 546mm in radius with (0,0,215) and (0,0,-215) as the center in the XY plane as
show above around the color position.
1. Magnet System
Within φ300mm sphere around the permanent magnet field center, magnetic field
uniformity should be no bigger than 30ppm (Vpp);
At 2.5m vertical distance to permanent magnet center, no bigger than 0.5mT in vertical
direction;
⑻ Weight is 27000Kg;
(10) The position where the spatial gradient of the main magnetic field is a maximum, as
shown in Fig.C.3, the value is 38T/m.the location is near two cirque 546mm in radius with
(0,0,215) and (0,0,-215) as the center.
C.3 ZY The position where the spatial gradient of the main magnetic field is a maximum,
⑾ The position where the product of the magnitude of the magnetic field B0 and the
C.4 ZYThe position where the product of the magnitude of the magnetic field B0 and the
1923mm.
⑵ Type
Receive coils:
head coil, neck coil,small body coil, large body coil,body coil, knee coil, breast coil,
shoulder coil, ankle coil, wrist coil.
3. Gradient System
⑻ Spatial distribution of the maximum magnetic field vector for gradient system stray
field along the patient axis and on a cylinder with a diameter of 0.2m,0.3m according to
requirement of IEC60601-2-33 is displayed the following plot C.5 and C.6.
4. Spectrometer
⑴ Digital spectrometer;
5. RF amplifier
⑻ The maximum specified B1+RMS for volume RF transmit coil is 40μT, and the
spatial distribution of the maximum RF transmit field at the positions accessible to and
relevant for the MR worker is shown below C.7.
6. Computer System
⑴ CPU ≥2800MHz;
⑶ memory ≥2048MB;
⑷ harddisk ≥160GB;
7. Image
8. Scan
Laser localization, The max. moving distance of examine bed is 2380mm and Max. load is
200kg.
13. Localization
Laser localization.
15. Image
⑵ Uniformity
⑶ Spatial resolution modulation factor should not less 0.47, structure is distinguishable.
⑷ Ghost the ratio of ghost to signal should not more than 5%.
⑸. Noise-signal ratio
⑼ Image process
Image width adjust, image level adjust,partial enlarge, digital filter, enhance, measure,
make a note, mark the problem area, region signal test, etc;
⑽ Image storage
⑾ Image record
⑵ SE, FSE, GRE, IR, MRA, DWI, ECG-gated sequence, water image sequence, fat
suppression sequence, FLAIR and others.
1. Magnet
⑴ Temperature 22℃±4℃;
⑶ Outside the scanning room, there must be intensive magnetism sign and sign warning
no ferromagnetic material allowed.
3N~400 V, 50Hz, 10KVA (scanning room air conditioning and lighting are not
included).
1.Package
(1) Magnet, diagnostic bed assembly, console, coil, spectrometer and gradient
amplifier of each product should be packaged in wooden cases, there should have
soft cushion material in the case and fixed in it and make sure it cannot move in
the transportation process.
(2) The wooden cases should have waterproof and damp proof measures, and prevent
the product from natural damage.
(3) Accompanying document should put into the wooden cases after packaged use
barrier material
a. Manufacture &Address
g. Symbols of “fragile material”, “this way up”, “keep dry”, “temperature limit”, “do
not roll” and so on. magnet package should have symbol of “do not stack”, symbols conform
to the regulation of EN 980:2008, magnet package should have “strong magnet field”
symbol, which conform to the regulation of IEC 60601-2-33, see as the following figures:
The characters and logos in package cases should make sure clear as time goes by.
Part D
System hardware explanation
◇ Magnet
◇ Spectrometer
◇ Console
Permanent magnet generates main magnetic field with 0.50T intensity. Three gradient coil
X, Y, Z can set up a X, Y, Z 3D gradient magnetic field greater than 10mT/m. System
main computer controls spectrometer to transmit gradient and generates radio pulse with
magnetic resonance frequency, which will be transmit through radio frequency coil. After
amplifying, frequency mixing, filtering, A/D transforming, the received signals by radio
frequency coil will be transformed into 2D or 3D with Fourier method, image
reconstruction, digital filtering, smoothing, sharpening and other treatment, dislocation
scanning image is acquired.
The system mainly consists of magnet, spectrometer, gradient amplifier, magnet automatic
constant temperature system, enclosure, patient table, console and others (as figure D.1-1
show). Magnet system includes magnet, gradient coil, plane transmitting coil, receiving
coil. Spectrometer consists of host computer, control box, spectrometer unit, radio
frequency amplifier, power supply and others. Gradient amplifier will amplify X, Y, Z
three-way gradient signals from the spectrometer. Console includes image monitor,
two-way voice transmission system and other auxiliary facilities.
Scan room
D.2 Magnet
1. Function
2. Structure
Magnet adopts C-shaped structure, consisting of frame, polar plate, eddy current free bed,
Nd-Fe-B magnet, shimming ring and shimming small magnetic sheet and others. Function
of the frame is to form a closed magnetic circuit, and works as braced frame of the main
magnet;polar plate make the magnetic field in uniform distribution hence to improve its
magneto-conductivity; eddy current bed is used to obstruct eddy current generated by the
polar plate;Nd-Fe-B magnet(containing neodymium, iron and borium) generates stable
static magnetic field;To improve the magnetic field uniformity, a lap of shimming ring is
placed around the polar plate and some small magnetic sheets with different size are stuck
on the polar plate.
3. Specs
Within φ300mm sphere around the permanent magnet field center, magnetic field
uniformity should be no bigger than 30ppm (Vpp);
At 2.5m vertical distance to permanent magnet center, no bigger than 0.5mT in vertical
direction;
⑹ Weight is 27000Kg.
Note: When the RF power is 5KW, the center field (corresponding to the icon position 6.85) is 40μT.
Note: When the RF power is 5KW, the center field (corresponding to the icon position 6.85) is 40μT.
5. For the safe and efficient magnetic resonance equipment operation, it is necessary for
doctors and operator training. Training should include emergency operating procedures,
covering the terms of the issues involved the following parts:
⑶ fire protection
D.3 Spectrometer
◇ industrial PC
◇ control box
◇ spectrometer unit
◇ RF amplifier
◇ power supply
They are assembled in a standard cabinet. The devices mounting explanation in the
spectrometer cabinet is given as figure D.3-1 shows. And the inside electrical continuity is
given as the figure shows.
Industrial PC
Control box
Spectrometer unit
RF amplifier
Power supply
D.3-1 Industrial PC
Industrial PC controls the routine work of the whole MRI system through its man-machine
interface as the following configuration:
1. CPU ≥2800MHz;
3. memory ≥2048MB;
4. hardisk ≥160GB;
5. optical disk RW ;
Control box provides systematic self-calibration voltage and control signal, transmits 36V
AC power supply required by the receiving unit and 5V DC power supply required by
laser positioning system and two-way voice transmission system, and fulfill the switch of
radio-frequency input signals.
The phase inverter processed the one-way gated signals outputted by spectrometer, and
output positive and negative two-ways gated signals, they are provided to the RF coil
head-end box and RF amplifiers for the signal controlling
Spectrometer is one of the critical components of MRI system. As per impulse sequence
parameters provided by the computer, it generates sequence impulse and output them to
gradient amplifier and radio frequency amplifier for power amplification, and start data
gathering for coil received MR signal after amplification. Then send the data to the
mainframe for raw data treatment and image reconstruction and display.
Using full-digital spectrometer, the system consists of two parts, one is the host PC, the
other is spectrometer cabinet. In addition to the main computer itself, there are three
different functional boards, the boards are connected by computer PCI bus. There are six
different functional boards in spectral instrument box. The spectrometer and host
computer are connected by DVI cable and DB15 cable in external standard.
4. Performance parameter
⑴ Spectrometer parameters
0.15MHz to 150MHz
Frequency range Optional: continuous changeable 0.5MHz to
600MHz
transmitting channel 2
Receiving channel 4
⑶ RF waveform generator:
4. Spectrometer panels
Front-panel
Rear panel
For the spectrometer control software, all the parameters were be set by manufacturer,
users not need to modify them, any modifications by users are forbidden.
High voltage exists in the radio frequency amplifier, which can cause
grievous injury on human body, even death. Non- professionals are
forbidden to open the cabinet at any excuse. For professionals, they
must switch off the radio frequency amplifier main power and then
wait for at least 5 minutes to confirm that high voltage assemblies
have been discharged off before open the cabinet!
1. Performance
The amplifier uses the latest generation of solid-state devices in the patented topology
found in thousands of MRI installations worldwide. It zooms in the RF pulse which
outputted by spectrometer.
2. Outside view
Front panel
Rear panel
3. Performance parameters
⑴ frequency characteristics
⑶ Power supply
⑸ Operating conditions:
Temperature 10℃~ 60℃
Humidity 20% ~ 90%
Magnetic fields ≤20 Gauss
FUNCTIONAL
yellow Significance
INDICATION
HEAT yellow Thermal protection
PULSE yellow Pulse width protection
DUTY yellow Average power protection
◇ gradient amplifier
◇ gradient coil
High voltage exists in the gradient amplifier, which can cause grievous injury on
human body, even death. Non- professionals are forbidden to open the cabinet at
any excuse. For professionals, they must switch off the gradient amplifier main
power and then wait for at least 5 minutes to confirm that high voltage assemblies have been
discharged off before open the cabinet!