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Published on: May 17, 2018
An evaluation of MRI safety and compatibility of a silver-impregnated antimicrobial wound dressing
1School of Electrical and Computer Engineering, Purdue University, West Lafayette, Indiana, USA. nyenhuis@ecn.purdue.edu
Purpose:
Wound infections can slow healing, increase pain, and have negative effects on a patient's quality of life. The recent emergence of antibiotic-resistant bacterial strains has led wound care specialists to revisit alternative topical agents such as silver to control wound bioburden. Aquacel Ag is an ionic silver-containing barrier dressing that is able to absorb large amounts of wound exudate. The aim of this study was to assess the magnetic resonance (MR) safety and compatibility of this dressing, according to the standard requirements of the American Society for Testing and Materials (ASTM).
Methods:
Radiofrequency-induced temperature changes associated with the test dressing were assessed using an ASTM phantom at 123 and 64 MHz. Whether the dressing caused any image distortion or magnetic deflection or if the electric resistance of the hydrated dressing differed significantly from that of tissue was also investigated.
Results:
Similar radiofrequency-induced temperature changes were observed during 123 MHz (nominal 3 T) MR imaging of the phantom material alone (1.3 degrees C) and when the dressing was added (1.8 degrees C-2.0 degrees C). Similar increases in temperature were also observed at 64 MHz (1.5 T) in the phantom material alone (1.4 degrees C-1.9 degrees C) and with the dressing (1.6 degrees C-1.7 degrees C). The test dressing did not cause any discernible image distortion or magnetic deflection and had similar electric resistance to human body tissues.
Conclusion:
The wound dressing impregnated with ionic silver evaluated in this study has similar magnetic and electric characteristics to human tissues and is MR safe as defined in ASTM standard F2503-05. Therefore, the dressings can be left in place when a patient is undergoing MR imaging.
Insights
Aquacel Ag, an ionic silver wound dressing, was tested for MRI safety. The dressing showed no adverse effects and is safe for use during MRI scans, ensuring patient care continuity.
Area of Science:
- Medical Devices
- Biomaterials
- Radiology
Background:
- Wound infections pose significant challenges to healing and patient quality of life.
- Antibiotic resistance necessitates exploring alternative antimicrobial strategies like ionic silver.
- Aquacel Ag is a hydrofiber dressing containing ionic silver, designed for effective wound exudate management.
Purpose of the Study:
- To evaluate the magnetic resonance (MR) safety and compatibility of Aquacel Ag.
- To assess the dressing's performance against American Society for Testing and Materials (ASTM) standards.
- To determine if the dressing poses risks during MR imaging procedures.
Main Methods:
- Radiofrequency-induced temperature changes were measured using an ASTM phantom at 123 MHz (3 T) and 64 MHz (1.5 T).
- Image distortion and magnetic deflection were assessed.
- The electric resistance of the hydrated dressing was compared to human tissues.
Main Results:
- Temperature increases with the dressing were comparable to the phantom material alone at both field strengths.
- No discernible image distortion or magnetic deflection was observed.
- The dressing exhibited electric resistance similar to human body tissues.
Conclusions:
- Aquacel Ag demonstrates favorable magnetic and electric properties, similar to human tissues.
- The dressing meets ASTM standard F2503-05 for MR safety.
- Aquacel Ag can be safely left on patients during MR imaging, facilitating uninterrupted wound care.
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