
A ferromagnetic object taken into the MRI magnet’s stray field can be pulled into the magnet’s core at high speed, causing serious injury, damage and downtime. This phenomenon is known as the “projectile effect”. Serious incidents involving the “projectile effect” have been reported by numerous medical institutions. Many incidents have been documented involving such objects as gas cylinders, chairs, respirators, IV poles and smaller objects. Such occurrences can result in the loss of imaging time due to repairs, and/or injury to patients or staff.
Technical Advisory Bulletin, Magnetic Resonance Imaging Hazards and Safety Guidelines
Joint Commission adopts 2010 Guidelines for Design and Construction of Health Care Facilities
ACR Guidance Document for Safe MR Practices 2007:
“[…]ferromagnetic detection systems are currently available that are simple to operate, capable of detecting even very small ferromagnetic objects external to the patient, and now, for the first time, differentiating between ferromagnetic and nonferromagnetic materials. While the use of conventional metal detectors is not recommended, the use of ferromagnetic detection systems is recommended as an adjunct to thorough and conscientious screening of persons and devices approaching Zone IV. It should be reiterated that their use is in no way meant to replace a thorough screening practice, which rather should be supplemented by their usage.”
“Ferromagnetic detection systems have been demonstrated to be highly effective as a quality assurance tool, verifying the successful screening and identifying ferromagnetic objects which were not discovered by conventional screening methods. It is recommended that new facility construction anticipate the use of ferromagnetic detection screening in Zone II and provide for installation of the devices in a location which facilitates use and throughput. Many current ferromagnetic detection devices are capable of being positioned within Zone III, even at the door to the magnet room; however, the recommended use of ferromagnetic detection is to verify the screening of patients before they pass through the controlled point of access into Zone III.”
According to the Willis August 2009 Technical Advisory Bulletin, Magnetic Resonance Imaging Hazards and Safety Guidelines, MRI use is on the rise and so is the number of adverse MRI incidents-by an alarming 185% over the last five years. A comprehensive MRI safety program is a must for any health care provider with a zero tolerance for MRI errors. Read more: Magnetic Resonance Imaging Hazards and Safety Guidelines
| (a) Patient interviews and clinical screening | |
| (b) Physical screening and changing areas (as indicated) | |
| (c) Siting of ferromagnetic detection systems | |
| (d) Access control | |
| (e) Accommodation of site-specific clinical and operational requirements |



Photos: courtesy of SimplyPhysics.com
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