No abstract

Magnetic fields with intensities as high as those used in this study are rare even in industrial working environments. In most cases, employees can return to work after implantation of a bipolar pacemaker or an ICD, after an appropriate risk assessment. Pacemakers programmed to unipolar configurations can cause danger to their users in environments with high electromagnetic fields, and should be avoided, if possible.

Recent advances in magnetic resonance imaging (MRI) have increased occupational exposure to magnetic fields. In this study, we examined the assessment of occupational exposure to gradient magnetic fields and time-varying magnetic fields generated by motion in non-homogeneous static magnetic fields of MRI scanners. These magnetic field components can be measured simultaneously with an induction coil setup that detects the time rate of change of magnetic flux density (dB/dt). The setup developed was used to measure the field components around two MRI units (1 T open and 3 T conventional). The measured values can be compared with dB/dt reference levels derived from magnetic flux density reference levels given by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). The measured motion-induced dB/dt values were above the dB/dt reference levels for both MRI units. The measured values for the gradient fields (echo planar imaging (EPI) and fast field echo (FFE) sequences) also exceeded the dB/dt reference levels in positions where the medical staff may have access during interventional procedures. The highest motion-induced dB/dt values were 0.7 T s(-1) for the 1 T scanner and 3 T s(-1) for the 3 T scanner when only the static field was present. Even higher values (6.5 T s(-1)) were measured for simultaneous exposure to motion-induced and gradient fields in the vicinity of the 3 T scanner.

We investigated the effects of mobile phone radiation on cerebral glucose metabolism using high-resolution positron emission tomography (PET) with the 18 F-deoxyglucose (FDG) tracer. A long half-life (109 minutes) of the 18 F isotope allowed a long, natural exposure condition outside the PET scanner. Thirteen young right-handed male subjects were exposed to a pulse-modulated 902.4 MHz Global System for Mobile Communications signal for 33 minutes, while performing a simple visual vigilance task. Temperature was also measured in the head region (forehead, eyes, cheeks, ear canals) during exposure. 18 F-deoxyglucose PET images acquired after the exposure showed that relative cerebral metabolic rate of glucose was significantly reduced in the temporoparietal junction and anterior temporal lobe of the right hemisphere ipsilateral to the exposure. Temperature rise was also observed on the exposed side of the head, but the magnitude was very small. The exposure did not affect task performance (reaction time, error rate). Our results show that short-term mobile phone exposure can locally suppress brain energy metabolism in humans.

There is a need for further investigations on pacemaker interference caused by different external magnetic fields to ensure safe working environment to workers with a pacemaker.