Some Health Effects of Exposure to Static Magnetic Fields and Radiofrequency Energy among MRI Staff Working with 1.5 and 3.0 Tesla Scanners in South Africa
Palavras-chave:
Health effects of MRI scanners, exposure assessment, 1.5 and 3 T scannersResumo
Occupational exposure to magnetic resonance imaging (MRI)-related electromagnetic fields is associated with the development of adverse and transient health effects. The aim of this study was to assess the health effects associated with exposure to Static Magnetic Fields (SMFs) and radiofrequency (RF) energy amongst MRI staff in 1.5 and 3.0 T MRI units. Data were collected through questionnaires completed by 42 MRI staff members working in Hospital A (57.89%) and Hospital B (42.11%) in the Mangaung metropolitan region. Of the participating staff, four did not indicate the facilities in which they worked. Twenty-four of the participants were female and eighteen were male, and their mean age was 37 years (range of 20 to 61). The questionnaire was categorized in terms of the participants’ biographical, work, and health-related information. Radiographers (35.71%), student radiographers (11.9%), nurses (9.52%), medical physicists (4.76%), maintenance engineers (4.76%), radiologists (9.52%), and cleaners (23.81%) working in both hospitals participated in the study. The data was analysed to determine the percentages and frequencies for the categorical data. Of the 42 participants, 30.95% reported hypertension, 11.9% reported hypotension, 2.38% reported cataracts, 16.67% reported depression, and 16.67% reported increased heart rates as a priori-unrelated health effects. Regarding priori-related health effects, 26.19% of the participants reported a metallic taste, 40.48% reported vertigo, 21.43% reported nausea, 7.14% reported hypothermia, 2.38% reported hyperthermia, 19.05% reported concentration difficulties, 21.43% reported blurred vision, and 19.05% reported vitamin deficiencies. Vertigo was reported to be the most common SMF exposure-related effect. Of the 61.9% of MRI staff who wore PPE, 30.77% were found to wear MRI-related PPE when working in the MRI units. The results reported in this study were found to be consistent with the exposure-related effects of MRI units investigated in many other studies. The results also suggest future studies that could determine the association between exposure and the development of depression and cataracts in a larger study population of MRI workers
Referências
Bongers, S., Slottje, P., Kromhout, H (2018): Development of hypertension after long-term exposure to static magnetic fields among workers from a magnetic resonance imaging device manufacturing facility. Environmental Research, 164, 565–573.
Chakeres, D.W. & De Vocht, F (2005): Static magnetic field effects on human subjects related to magnetic resonance imaging systems. Progress in Biophysics and Molecular Biology, 87(2–3), 255–65.
De Vocht, F., Batistatou, E., Mölter, A., Kromhout, H., Schaap, K., Van Tongeren, M., Crozier, S., Gowl, P. & Keevil, S (2015): Transient health symptoms of MRI staff working with 1.5 and 3.0 Tesla scanners in the UK. European Radiology, 25 (9), 2718–2726.
De Vocht, F., Batistatou, E., Molter, A., Kromhout, H., Schaap, K. & Van Tongeren, M (2015): Transient health symptoms of MRI staff working with 1.5 and 3.0 T scanners in the UK. European Journal of Radiology, 25, 2718–2726.
De Vocht, F., van Drooge, H. & Engels, H (2006): Exposure, health complaints and cognitive performance among employees of an MRI scanners manufacturing plant. Journal of Magnetic Resonance Imaging, 23 (2), 197–204.
European Council (2004): Directive 2004/40/EC of the European Parliament and of the Council of 29 April 2004 on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (electromagnetic fields) (eighteenth individual Directive within the meaning of Article 16(1) of Directive 89/391/EEC). Official Journal of the European Union, 159, 1–26.
Franco, G., Perduri, R. & Murolo, A (2008): Health effects of occupational exposure to static magnetic fields used in magnetic resonance imaging: A review. La Medicina del lavoro, 99 (1), 16-28.
Gorlin, A., Hoxworth, J.M., Pavlicek, W., Thunber,g C.A. & Seamans, D (2015): Acute vertigo in an anesthesia provider during exposure to a 3T MRI scanner. Med Devices (Auckl), 8; 161–166. doi: 10.2147/MDER.S76474.
Karpowicz, J. & Gryz, K (2006): Health Risk Assessment of Occupational Exposure to a Magnetic Field from Magnetic Resonance Imaging Devices. International Journal of Occupational Safety and Ergonomics (JOSE), 12 (2), 155–166.
Karpowicz, J., Hietanen, M. & Gryz, K (2007): Occupational risk from static magnetic fields of MRI scanners. Environmentalist, 27, 533–538. DOI 10.1007/s10669-007-9064-1.
SCENIHR (2015): Opinion on potential health effects of exposure to electromagnetic fields. Bioelectromagnetics, 36, 480– 4. doi:10.1002/bem.21930
Schaap, K., Christopher-De Vries, Y., Crozier, S., De Vocht, F. & Kromhout, H (2014): Exposure to Static and Time-Varying Magnetic Fields from Working in the Static Magnetic Stray Fields of MRI Scanners: A Comprehensive Survey in the Netherlands. Annals of Occupational Hygiene, 58 (9), 1094–1110. https://doi.org/10.1093/annhyg/meu057
Schaap, K., Christopher-De Vries, Y., Mason, C.K., De Vocht, F., Portengen, L, & Kromhout, H (2014): Occupational exposure of healthcare and research staff to static magnetic stray fields from 1.5-7 tesla MRI scanners is associated with reporting of transient symptoms. Occupational & Environmental Medicine, 71, 423-429.
Schaap, K., Portengen, L. & Kromhout, H (2016): Exposure to MRI-related magnetic fields and vertigo in MRI workers. Occup. Environ. Med. 73, 161–166.
Shellock, F.G. & Schaltz, C.J (1992): Increased corneal temperature caused by MR imaging of the eye with a dedicated local coil. Radiology, 192 (185), 697-699.
Shellock, F.G (2000): Radiofrequency energy-induced heating during MR procedures. Journal of Magnetic Resonance Imaging, 12, 30-36.
Vijayalaxmi, Fatahi M. & Speck, O (2015): Magnetic resonance imaging (MRI): A review of genetic damage investigations. Mutat Res Rev Mutat Res, 764, 51–63. doi:10.1016/j.mrrev.2015.02.002.
Westbrook, C., Kaut, Roth C. & Taibot, C (2005): Magnetic Resonance Imaging (MRI) in practice (3rd edition). Blackwell Science Ltd. Blackwell Publishing Ltd. ISBN- 13:978-14051-2787-5.
Wilén, J. & De Vocht, F (2011): Health complaints among nurses working near MRI scanners: A descriptive pilot study. European Journal of Radiology, 80, 510–513.
Zanotti, G., Ligabue, G., Korpinen, L. & Gobba, F (2016): Subjective symptoms in magnetic resonance imaging operators: Prevalence, short-term evolution and possible related factors. Med. Lav. 107, 263–270
Downloads
Publicado
Edição
Secção
Licença

Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.