The National Radiological Protection Boardad hocAdvisory Group on Nuclear Magnetic Resonance Clinical Imaging

In the last few years there has been rapid progress in the application of nuclear magnetic resonance clinical imaging as a diagnostic aid (Partain et al, 1983; Steiner, 1983; Worthington, 1983). Records kept by the operators of NMR imaging equipment indicate that about 1800 individuals have now been examined without incident within the United Kingdom. In view of this progress, an advisory group (Appendix) appointed by the National Radiological Protection Board recommends some modifications to the original advice given in 1981 (NRPB, 1981). The principal modifications are that: (1) It is no longer considered necessary to exclude volunteers with a history of epilepsy or cardiac disease. (2) It is not obligatory that a registered medical practitioner trained in resuscitation techniques be present during an exposure. (3) Higher limits are recommended for rates of change of magnetic flux density when the period of change is less than 10 ms. (4) The radiofrequency limit of 15 MHz has been removed. Theoretical considerations indicate that the interaction of an applied magnetic field with the intrinsic magnetic moments of protons and electrons within a molecule could alter its rate of chemical reaction (McLauchlan, 1981). Chemical reactions involving radical pair intermediates are expected to be sensitive to magnetic fields for this reason and a number of enzyme reactions that might be expected to be affected have been identified (A. Cass, personal communication). However, there is no experimental confirmation of these theoretical possibilities at present.