Définition, validation et mise en place d’un suivi de l’exposition au champ magnétique statique des travailleurs en IRM

Abstract : The Magnetic Resonance Imaging (MRI) is a medical imaging modality using electromagnetic fields (EMF) in order to perform human body tomodensitometric images. Even if these fields are Non-Ionizing Radiations (NIR), some transitory effects can be felt by the staff working in the vicinity of the MRI. Such workers are qualified as “exposed” to EMF, even if all expert comities agree to say that no accumulative or long term effects have been identified yet. Short term effects are known and identified, from metallic taste in the mouth, nerve and muscle stimulation, to biologic tissue heating, which can be troublesome or dangerous. The main exposure concern comes from the MRI permanent static magnetic field (ranging from 1.5 T to 7 T). An expert comity, mandated by the World Health Organization (WHO), has therefore defined the evaluation of the exposure of the MRI workers to the static magnetic field as a priority. This was the focus of this PhD thesis. A light and autonomous static magnetic field monitor (called "exposimeter") has been developed. It allows the recording of the three-dimensional magnetic fields as well as workers’ movements. Its magnetic induction measurement accuracy has been ensured by a specific calibration, which takes into account non-linearity and non-orthogonality of the magnetic sensors. Based on exposimeter data, a magnetic induction extrapolation method has then been developed. This method allows the estimation of the EMF exposure at the head with sensors placed on the torso. Finally, a practical validation of the device has been performed in multiple MRI clinical and research centers, included clinical MRIs (1.5 T and 3 T), an interventional MRI (1.5 T) and an ultra-high field MRI (7 T). Metrics have been defined in order to precisely analyze and compare workers exposure. All the works presented in this PhD thesis open new perspectives such as long term static magnetic field exposure follow-up. Moreover, industrial transfer of the device has been performed and is currently being validated
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Antoine Delmas. Définition, validation et mise en place d’un suivi de l’exposition au champ magnétique statique des travailleurs en IRM. Ingénierie biomédicale. Université de Lorraine, 2017. Français. ⟨NNT : 2017LORR0074⟩. ⟨tel-01759268⟩

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