Literature DB >> 19104806

Risks and safety aspects related to PET/MR examinations.

Gunnar Brix1, Elke A Nekolla, Dietmar Nosske, Jürgen Griebel.   

Abstract

INTRODUCTION: The introduction of positron emission tomography (PET)/magnetic resonance (MR) systems into medical practice in the foreseeable future may not only lead to a gain in clinical diagnosis compared to PET/computed tomography (CT) imaging due to the superior soft-tissue contrast of the MR technology but can also substantially reduce exposure of patients to ionizing radiation. On the other hand, there are also risks and health effects associated with the use of diagnostic MR devices that have to be considered carefully.
OBJECTIVES: This review article summarizes biophysical and biological aspects, which are of relevance for the assessment of health effects related to the exposure of patients to both ionizing radiation in PET and magnetic and electromagnetic fields in MR. On this basis, some considerations concerning the justification and optimization of PET/MR examinations are presented--as far as this is possible at this very early stage. DISCUSSION: Current safety standards do not take into account synergistic effects of ionizing radiation and magnetic and electromagnetic fields. In the light of the developing PET/MR technology, there is an urgent need to investigate this aspect in more detail for exposure levels that will occur at PET/MR systems.

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Year:  2009        PMID: 19104806     DOI: 10.1007/s00259-008-0937-4

Source DB:  PubMed          Journal:  Eur J Nucl Med Mol Imaging        ISSN: 1619-7070            Impact factor:   9.236


  22 in total

1.  Increase in radiation-induced HPRT gene mutation frequency after nonthermal exposure to nonionizing 60 Hz electromagnetic fields.

Authors:  J Walleczek; E C Shiu; G M Hahn
Journal:  Radiat Res       Date:  1999-04       Impact factor: 2.841

Review 2.  Effects of static magnetic fields at the cellular level.

Authors:  Junji Miyakoshi
Journal:  Prog Biophys Mol Biol       Date:  2005 Feb-Apr       Impact factor: 3.667

Review 3.  PET/CT: dose-escalated image fusion?

Authors:  G Brix; T Beyer
Journal:  Nuklearmedizin       Date:  2005       Impact factor: 1.379

Review 4.  [Safety aspects in high-field magnetic resonance imaging].

Authors:  M Mühlenweg; G Schaefers; S Trattnig
Journal:  Radiologe       Date:  2008-03       Impact factor: 0.635

5.  MR-based attenuation correction for torso-PET/MR imaging: pitfalls in mapping MR to CT data.

Authors:  Thomas Beyer; Markus Weigert; Harald H Quick; Uwe Pietrzyk; Florian Vogt; Christoph Palm; Gerald Antoch; Stefan P Müller; Andreas Bockisch
Journal:  Eur J Nucl Med Mol Imaging       Date:  2008-02-19       Impact factor: 9.236

Review 6.  Physical interactions of static magnetic fields with living tissues.

Authors:  John F Schenck
Journal:  Prog Biophys Mol Biol       Date:  2005 Feb-Apr       Impact factor: 3.667

7.  Combined exposure of ELF magnetic fields and x-rays increased mutant yields compared with x-rays alone in pTN89 plasmids.

Authors:  Shin Koyama; Takehisa Nakahara; Tomonori Sakurai; Yoshiki Komatsubara; Yasuhito Isozumi; Junji Miyakoshi
Journal:  J Radiat Res       Date:  2005-06       Impact factor: 2.724

Review 8.  A survey of PET activity in Germany during 1999.

Authors:  Gunnar Brix; Dietmar Nosske; Gerhard Glatting; Vladimir Minkov; Sven N Reske
Journal:  Eur J Nucl Med Mol Imaging       Date:  2002-06-12       Impact factor: 9.236

Review 9.  Hyperthermia: a potent enhancer of radiotherapy.

Authors:  M R Horsman; J Overgaard
Journal:  Clin Oncol (R Coll Radiol)       Date:  2007-05-10       Impact factor: 4.126

Review 10.  PET/CT in oncology: for which tumours is it the reference standard?

Authors:  Conor D Collins
Journal:  Cancer Imaging       Date:  2007-10-01       Impact factor: 3.909

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  7 in total

1.  MR/PET or PET/MRI: does it matter?

Authors:  Thomas Beyer; Ewald Moser
Journal:  MAGMA       Date:  2013-02-06       Impact factor: 2.310

2.  A pilot study utilizing whole body 18 F-FDG-PET/CT as a comprehensive screening strategy for occult malignancy in patients with unprovoked venous thromboembolism.

Authors:  Matthew T Rondina; Nathan Wanner; Robert C Pendleton; Larry W Kraiss; Russell Vinik; Guy A Zimmerman; Marta Heilbrun; John M Hoffman; Kathryn A Morton
Journal:  Thromb Res       Date:  2011-07-29       Impact factor: 3.944

Review 3.  Competitive advantage of PET/MRI.

Authors:  Hossein Jadvar; Patrick M Colletti
Journal:  Eur J Radiol       Date:  2013-06-18       Impact factor: 3.528

4.  The future of hybrid imaging-part 3: PET/MR, small-animal imaging and beyond.

Authors:  Thomas Beyer; Lutz S Freudenberg; Johannes Czernin; David W Townsend
Journal:  Insights Imaging       Date:  2011-03-25

5.  Does the novel integrated PET/MRI offer the same diagnostic performance as PET/CT for oncological indications?

Authors:  Jiahe Tian; Liping Fu; Dayi Yin; Jinming Zhang; Yingmao Chen; Ningyu An; Baixuan Xu
Journal:  PLoS One       Date:  2014-03-06       Impact factor: 3.240

Review 6.  PET/MRI: a frontier in era of complementary hybrid imaging.

Authors:  Sikkandhar Musafargani; Krishna Kanta Ghosh; Sachin Mishra; Pachaiyappan Mahalakshmi; Parasuraman Padmanabhan; Balázs Gulyás
Journal:  Eur J Hybrid Imaging       Date:  2018-06-25

Review 7.  PET/MR: a paradigm shift.

Authors:  Florian C Gaertner; Sebastian Fürst; Markus Schwaiger
Journal:  Cancer Imaging       Date:  2013-02-27       Impact factor: 3.909

  7 in total

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