For the purposes of this question, I have limited "dangerous" to refer to the attraction/movement of metal objects by the main magnetic field (Bo). Interaction effects of metals with gradient and RF magnetic fields due to electrical conductivity are discussed elsewhere.
Metals possessing ferromagnetism are strongly attracted to a static magnetic field and present the greatest danger to patients and staff in the MRI environment. As described in a prior Q&A, ferromagnetism is a property of certain elemental solids and alloys that form magnetic domains in which arrays of electron spins become locked together in alignment.
Iron and its alloys are the most commonly used ferromagnetic materials. Although the Latin root "ferro-" refers to "iron", several non-iron metals can also possess ferromagnetism — cobalt, nickel, chromium, manganese, and various rare earth elements.
Iron and its alloys are the most commonly used ferromagnetic materials. Although the Latin root "ferro-" refers to "iron", several non-iron metals can also possess ferromagnetism — cobalt, nickel, chromium, manganese, and various rare earth elements.
Steels
Most of the dangerous ferromagnetic objects encountered in the MR environment are made of steel. Steel is an alloy of iron to which a small percentage of carbon has been added to improve strength and fracture resistance. Other metals are also commonly added to increase hardness and durability, including nickel, manganese, chromium, molybdenum, and vanadium. Hundreds of different steel varieties exist tailored for specific purposes. Most steels are highly ferromagnetic, but the degree of ferromagnetism depends upon the concentration and types of alloyed elements, as well the specific crystal structure resulting from the manufacturing process.
Stainless steels contain at least 10.5% chromium, which confers them with significant resistance to corrosion. Two MR-relevant subtypes of stainless steel should be recognized:
- Martensitic (ferritic) stainless steels are highly ferromagnetic due to their body-centered cubic crystal structure. Typified by the 400 Series, these hardened stainless steels are widely used for medical and surgical equipment.
- Austenitic stainless steels contain 8-14% nickel, producing a face-centered cubic crystal structure, rendering them essentially "non-magnetic". In 1990 the US Food and Drug Administration (FDA) required all steel medical implants to be made of austenitic 300 Series stainless steel. The low-carbon type 316L is commonly used for stents, wires, plates, clips, and screws.
It should be noted that the magnetic properties of steels can be difficult to predict, as the process of cooling, annealing, deforming, cold working, and welding can change the crystal structure from non-ferromagnetic to ferromagnetic forms. This may potentially even occur to a minor degree if a non-ferromagnetic wire, plate, rod, or nail is hammered or bent during surgery.
Permanent Magnets
Permanently magnetized components are found in certain implants, including dentures, maxillofacial prostheses, hearing devices, tissue expanders, artificial sphincters, and orthopedic rods. Because of their strength-to-size ratio and biocompatibility, nearly all of these are "rare-earth" magnets, either Samarium-cobalt (SmCo5) or Neodymium alloy (Nd2Fe14B). Some dental and facial devices utilize older and less powerful Alnico (Al-Ni-Co) magnets. Permanent magnets will experience torque and/or displacement in the MRI field. The danger associated with magnets, as with all ferromagnetic materials, depends on how well they are affixed to the surrounding tissues.
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References
Food and Drug Administration. Safe Medical Devices Act (SMDA). Section on: orthopedic, prosthetic, and surgical appliances and supplies. Rockville, MD: National Press Office; 1990. (SIC 3842)
Hermawan H, Ramdan D, Djuansjah JRP. Metals for biomedical applications. In: Fazel R (ed). Biomedical Engineering - From Theory to Applications, Intechopen.com, 2011: 411-430. [DOI Link]
International Stainless Steel Forum. The Stainless Steel Family. Brussels, Belgium. Downloaded from www.worldstainless.org on 1/1/20.
Jackson DP. Dancing paperclips and the geometric influence on magnetization: a surprising result. Am J Phys 2006; 74:272-279. [DOI Link]
"Magnetic Susceptibility." Wikipedia, The Free Encyclopedia.
Schenck JF. Safety of strong, static magnetic fields. J Magn Reson Imaging 2000; 12:2-19. [DOI Link]
Schenck JF. The role of magnetic susceptibility in magnetic resonance imaging: MRI magnetic compatibility of the first and second kinds. Med Phys 1996;23:815-850. (Slightly dated, but an excellent and enduring explanation of susceptibility from a pioneer in MRI and first inductee in GE's Genius Hall of Fame). [DOI Link]
Food and Drug Administration. Safe Medical Devices Act (SMDA). Section on: orthopedic, prosthetic, and surgical appliances and supplies. Rockville, MD: National Press Office; 1990. (SIC 3842)
Hermawan H, Ramdan D, Djuansjah JRP. Metals for biomedical applications. In: Fazel R (ed). Biomedical Engineering - From Theory to Applications, Intechopen.com, 2011: 411-430. [DOI Link]
International Stainless Steel Forum. The Stainless Steel Family. Brussels, Belgium. Downloaded from www.worldstainless.org on 1/1/20.
Jackson DP. Dancing paperclips and the geometric influence on magnetization: a surprising result. Am J Phys 2006; 74:272-279. [DOI Link]
"Magnetic Susceptibility." Wikipedia, The Free Encyclopedia.
Schenck JF. Safety of strong, static magnetic fields. J Magn Reson Imaging 2000; 12:2-19. [DOI Link]
Schenck JF. The role of magnetic susceptibility in magnetic resonance imaging: MRI magnetic compatibility of the first and second kinds. Med Phys 1996;23:815-850. (Slightly dated, but an excellent and enduring explanation of susceptibility from a pioneer in MRI and first inductee in GE's Genius Hall of Fame). [DOI Link]
Related Questions
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