diplomsko delo
Matic Godec (Avtor), Jakob Stare (Avtor), Janez Podobnik (Recenzent), Tina Starc (Mentor), Gašper Podobnik (Komentor)

Povzetek

Uvod: Magnetno resonančno slikanje je dandanes nepogrešljiva diagnostična metoda. Odlikuje jo odlična kontrastna ločljivost med mehkimi tkivi in odsotnost ionizirajočega sevanja. Kljub veliki uporabnosti magnetno resonančnega slikanja pa lahko slednje v določenih primerih predstavlja tudi nevarnost za pacienta. Obstajajo primeri, v katerih obravnavana oseba ne sme opraviti preiskave na magnetu. Vsi vsadki, na katere vpliva magnetno polje in električni tok, ne smejo priti v bližino magnetno resonančnega polja. Nikoli ne smemo predvidevati stopnjo varnosti predmeta, če le ta ni določena in dokumentirana. Obstaja veliko potencialnih nevarnosti: Nevarnosti magnetnega polja izvirajo iz statičnega magnetnega polja, radio-frekvenčnega (RF) elektromagnetnega polja in gradienta magnetnega polja. Namen: Namen našega diplomskega dela je ugotoviti, na kakšen način radiološki inženirji preverjajo ustreznost implantatov za MR slikanje, pri pacientih po diagnostikah v Sloveniji. Metode dela: Teoretični del diplomske naloge sloni na sistematičnem pregledu strokovnih člankov objavljenih na spletu, tujih priporočil o MR varnosti ter knjižnih virov na temo magnetno resonančne diagnostike. Za potrebe empiričnega dela diplomske naloge smo s pomočjo programa 1ka izdelali anketni vprašalnik. Vprašanja zajemajo področje obravnave šestih različnih vrst vsadkov, področje obravnave vsadka neznanega izvora ter področje MR varnosti na oddelku. Anketni vprašalnik smo poslali ekipam na MR diagnostikah po Sloveniji. Podatke smo obdelovali z Microsoft Excel Office ter s programom za analizo podatkov, ki ga vsebuje spletni program 1ka. Rezultati: Vseh 100% radioloških inženirjev, ki so reševali vprašalnik, je pri svojem delu obravnavalo pacienta z ortopedskim vsadkom in pacienta z intravaskularno žilno opornico. 86% oseb je obravnavalo pacienta z vstavljenim srčnim spodbujevalnikom, 73% pacienta z intrakranialnim klipom anevrizme, 95% pacienta z umetno srčno zaklopko ter 82% pacienta s kohlearnim (polževim) vsadkom. 68% radioloških inženirjev je obravnavalo pacienta z vstavljenim vsadkom neznanega izvora (vsadek brez dokumentacije). Nadaljevanje vprašalnika je bilo pogojeno z odgovori na prvo vprašanje. Razprava in zaključek: Po analizi rezultatov smo ugotovili, da je delo radioloških inženirjev na MR diagnostikah po Sloveniji, primerljivo s smernicami iz tujih priporočil. Delo se ujema s smernicami na področju izvajanja ukrepov za zmanjšanje popačenj zaradi vsadka, področju obravnave in zagotavljanja varnosti pacientov z različnimi vrstami vsadkov. Pripravili smo tudi osnutek slovenskih priporočil o MR varnosti, ki temelji na analizi vprašalnika in tujih priporočil.

Ključne besede

diplomska dela;radiološka tehnologija;magnetna resonanca;varnost;priporočila;medicinski vsadki;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [M. Godec
UDK: 616-07
COBISS: 26966275 Povezava se bo odprla v novem oknu
Št. ogledov: 623
Št. prenosov: 160
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Strategy of implants suitability testing in magnetic resonance imaging with patients through diagnostics in Slovenia
Sekundarni povzetek: Introduction: Nowadays, magnetic resonance imaging is one of the most important diagnostic methods. It is distinguished by its superior contrast of soft tissue and the lack of ionising radiation. Despite its usefulness, it can still be the source of many dangers for a patient. There are cases in which a person concerned cannot be subject of the examination procedure. Any implant which can be affected by magnetic or electric field, must not come close to the magnetic force field. We must never assume the object’s safety level if the latter is not determined or documented. There are a lot of potential dangers, for example: some of them originate from the static magnetic field, radiofrequent electromagnetic (RF) field and gradient magnetic field. Purpose: The purpose of our diploma work is to identify ways of suitability testing for implanted medical devices used by radiographers throughout MRI diagnostics in Slovenia. Methods: The theoretical part of our diploma work is based on the systematic examination of expert written articles published on the internet, foreign guidelines on MR safety and book sources on magnetic resonance diagnostic. For the needs of the empirical part of the diploma work, we made a questionnaire with the help of an online program called 1ka. The questions cover six different types of implants, field of treating an unknown implant, and the field of the department’s MR safety. The questionnaire was sent to teams working in the MR departments across Slovenia. The received data was then processed via program 1ka and Microsoft Excel Office. Results: 100% of radiographers who filled out the form stated that they have experience in examining patients with implanted orthopaedic implants and patients with implanted intravascular stents. 86% of radiographers had examined patients with implanted pacemakers in the past, 73% of radiographers had examined patients with intracranial aneurysm clips, 95% radiographers examined patients with implanted artificial heart valves, and 82% of radiographers had examined patients with implanted cochlear implants. 68% of them have experience with examining patients with implanted medical device of unknown origin (without official documentation). Follow-up questions were based on previous answers. Discussion and conclusion: Analysis has shown that the work of Slovenian radiographers throughout MRI diagnostics in Slovenia is comparable to the widely acknowledged foreign MRI Safety Guidelines. Their work corresponds to the guidelines in the field of implementation of measures reducing distortions caused by implants, in the field of assuring MRI safety of the patients with different implanted medical devices, in the field of dealing with implanted medical devices of unknown origin. We have also prepared a draft of Slovenian MRI Safety Guidelines based on analysis of the foreign guidelines and our questionnaire.
Sekundarne ključne besede: diploma theses;radiologic technology;magnetic resonance;safety;guidelines;medical implants;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za radiološko tehnologijo
Strani: 56 str., [7] str. pril
ID: 12008199