Alexander Marc König, Antje Pöschke, Andreas H Mahnken
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引用次数: 0
摘要
本文总结了关于临床磁共振成像(MRI)领域工作人员暴露于电磁场影响的医学和科学知识现状。为了分析磁共振成像中的磁场对医务人员健康的危害,我们进行了系统的文献检索。共检索到 7273 篇文献,其中 7139 篇经标题和摘要筛选后被排除。关于眩晕、金属味、幻觉等短期感官效应的发生以及神经认知和神经行为效应的发生,有许多科学出版物。例如,据报道,短期暴露于临床磁场会导致速度和精确度降低 4%,近距离视觉对比敏感度降低 16%。眼-手精确度和协调速度都会受到影响。长期研究主要涉及磁场对睡眠质量的影响,这可能与事故风险增加有关。关于医护人员在怀孕期间暴露于磁场的数据一直都是过时的。不过,结论是在怀孕时间、早产、流产和出生体重方面没有特别的偏差。目前还缺乏流行病学研究。由于重点关注医护人员,因此非常需要高质量的数据,特别是关于长期暴露于临床核磁共振成像电磁场的后果以及对妊娠的影响。- 暴露于磁场中可能会产生眩晕、金属味、幻觉等短期感官效应以及神经认知和神经行为效应。- 长期影响主要涉及睡眠质量,这可能与事故风险增加有关。- 当孕妇暴露在磁场中时,在怀孕时间、早产、流产和出生体重方面没有发现特别的偏差。- König AM, Pöschke A, Mahnken AH.磁共振成像中的磁场对医务人员健康的危害》。Fortschr Röntgenstr 2024; DOI 10.1055/a-2296-3860.
Health risks for medical personnel due to magnetic fields in magnetic resonance imaging.
The current state of medical and scientific knowledge on the effects of exposure to electromagnetic fields on workers in the field of clinical magnetic resonance imaging (MRI) is summarized here.A systematic literature search was conducted to analyze the health risks to medical personnel from magnetic fields in MRI. A total of 7273 sources were identified, with 7139 being excluded after screening of the title and abstract. After full-text screening, 34 sources remained and were included in this paper.There are a number of scientific publications on the occurrence of short-term sensory effects such as vertigo, metallic taste, phosphenes as well as on the occurrence of neurocognitive and neurobehavioral effects. For example, short-term exposure to clinical magnetic fields has been reported to result in a 4% reduction in speed and precision and a 16% reduction in visual contrast sensitivity at close range. Both eye-hand precision and coordination speed are affected. The long-term studies concern, among other things, the influence of magnetic fields on sleep quality, which could be linked to an increased risk of accidents. The data on the exposure of healthcare workers to magnetic fields during pregnancy is consistently outdated. However, it has been concluded that there are no particular deviations with regard to the duration of pregnancy, premature births, miscarriages, and birth weight. Epidemiological studies are lacking. With a focus on healthcare personnel, there is a considerable need for high-quality data, particularly on the consequences of long-term exposure to electromagnetic fields from clinical MRI and the effects on pregnancy. · Short-term sensory effects such as vertigo, metallic taste, phosphenes as well as neurocognitive and neurological behavioral effects may occur upon exposure to magnetic fields.. · Long-term effects mainly concern quality of sleep, which can be associated with an increased risk of accidents.. · When pregnant women were exposed to magnetic fields, no particular deviations were found with regard to the duration of pregnancy, premature births, miscarriages, and birth weight.. · König AM, Pöschke A, Mahnken AH. Health risks for medical personnel due to magnetic fields in magnetic resonance imaging. Rofo 2025; 197: 135-144.
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