MRI MRI Safety 1 — Questions and Answers
Question 1: Which MRI zone is defined as the area containing the MRI scanner itself where the static magnetic field is always present?
- Zone I
- Zone II
- Zone III
- Zone IV (Correct answer)
Correct answer: Zone IV
Zone IV is the MRI scanner room where the magnet is always on and unrestricted ferromagnetic items pose immediate danger.
Question 2: A patient reports having a cardiac pacemaker. What is the standard MRI safety classification for most older pacemakers?
- MR Safe
- MR Conditional
- MR Unsafe (Correct answer)
- MR Compatible
Correct answer: MR Unsafe
Most older pacemakers are classified MR Unsafe because the magnetic field can interfere with device function or cause heating.
Question 3: What is the main biological risk associated with rapidly switching gradient magnetic fields during an MRI scan?
- Radiofrequency burns
- Peripheral nerve stimulation (Correct answer)
- Acoustic damage
- Hypothermia
Correct answer: Peripheral nerve stimulation
Rapidly switching gradients can induce electrical currents in body tissue, causing peripheral nerve stimulation (PNS).
Question 4: Which SAR limit (Specific Absorption Rate) is the FDA guideline for whole-body RF energy deposition in a 15-minute period for non-controlled conditions?
- 1.5 W/kg
- 2 W/kg
- 3 W/kg
- 4 W/kg (Correct answer)
Correct answer: 4 W/kg
The FDA guideline for whole-body average SAR under normal operating mode is 4 W/kg over any 15-minute period.
Question 5: A patient with a metallic foreign body in the eye should be evaluated with which imaging modality BEFORE entering the MRI suite?
- Ultrasound
- CT scan (Correct answer)
- Bone scan
- PET scan
Correct answer: CT scan
A CT scan of the orbits is used to detect metallic ocular foreign bodies before MRI because ferromagnetic metal near the eye is a contraindication.
Question 6: What term describes an object becoming a high-speed projectile when brought near a strong MRI magnetic field?
- Quenching effect
- Missile effect (Correct answer)
- Gradient artifact
- Susceptibility effect
Correct answer: Missile effect
The missile effect (or projectile effect) occurs when ferromagnetic objects are rapidly accelerated toward the bore by the strong static magnetic field.
Which MRI zone is defined as the area containing the MRI scanner itself where the static magnetic field is always present?