Browse > Article
http://dx.doi.org/10.5392/JKCA.2019.19.11.445

Syringe Reuse Issues in Automated Contrast Injection System in Dynamic Magnetic Resonance Imaging  

Son, Soon-Yong (원광보건대학교 방사선과)
Publication Information
Abstract
This study proves that syringe reuse of automated injection system entails a risk of contrast media reflux and saline solution contamination which are pumped by a piston into the patients' venous cannula in the dynamic MR images, we will be aware of the serious problem. To quantify the contrast media contamination effect on the saline solution, identical volume of the saline solution was collected before and after the contrast injection to the patients' venous cannula following T1 weighted image scanning to verify whether signal intensities differences are observed. The signal intensity of saline solution after the contrast injection was significantly higher than that of saline before injection by 523.43%. This result is due to the backflow that contaminates the saline solution on the opposite side when the contrast agent is injected. In conclusion, the syringe used to inject contrast medium. causes cross-contamination due to contrast reflux. Therefore, even if the same patient's examination is used for quantitative analysis, the error should be avoided by changing the acquisition sequence or replacing the syringe.
Keywords
Reflux of Corast Agent; Saline Solution Contamination; Dynamic Magnetic Resonance Imaging; Auto Injector;
Citations & Related Records
연도 인용수 순위
  • Reference
1 B. Buerke, A. Mellmann, C. Stehling, J. Wessling, W. Heindel, and K. U. Juergens, "Microbiologic contamination of automatic injectors at MDCT: experimental and clinical investigations," American Journal of Roentgenology, Vol.191, No.6, pp.283-287, 2008.
2 H. N. Bum, I. G. Ham, J. B. Han, J. N. Song, and N. G. Choi, "Bacterial Contamination and Work Efficiency of Contrast Transfer Set; Comparison Single with Dual Contrast Transfer Set," The Journal of the Korea Contents Association, Vol.14, No.12, pp.294-302, 2014.
3 S. K. Oh and G. G. Kim, "Recommended Infection-Control Practices for Dentistry," The journal of the Korean dental association, Vol.32, No.6, pp.409-416, 1994.
4 백경희, "주사행위에서의 의료과실과 책임에 관한 연구(일회용 주사기 등의 재사용으로 인한 감염을 중심으로)," 홍익법학, Vol.17, No.4, pp.350-370, 2016
5 L. Simonsen, A. Kane, J. Lloyd, M. Zaffran, and M. Kane, "Unsafe injections in the developing world and transmission of bloodborne pathogens: a review," Bull World Health Organ, Vol.77, pp.789-800, 1999.
6 http://www.bosa.co.kr/news/articleView.html?idxno=2109463, 2019(8).
7 M. R. Prince, "Gadolinium-enhanced MR aorto graphy," Radiology, Vol.191, No.1, pp.155-164, 1994.   DOI
8 E. K. Yucel, "MR angiography for evaluation of abdominal aortic aneurysm: has the time come?," Radiology, Vol.192, No.2, pp.321-323, 1994.   DOI
9 W. W. Mayo-Smith, S. Saini, G. Slater, J. A. Kaufman, P. Sharma, and P. F. Hahn, "MR contrast material for vascular enhancement: value of superparamagnetic iron oxide," American journal of roentgenology, Vol.166, No.1, pp.73-77, 1996.   DOI
10 R. R. Edelman, "MR angiography: present and future," American journal of roentgenology, Vol.161, No.1, pp.1-11, 1993.   DOI
11 H. Myung, S. B. Lee, J. K. Rho, B. W. Yoon, W. Y. Lee, M. H. Kim, J. H. Kim, B. Wie, C. S. Chung, and O. S. Kwon, "Current status of cerebrovascular disease in Korea," Journal of the Korean Neurological Association, Vol.7, No.2, pp.179-187, 1989.
12 김영호, "역류의 원인과 방지대책," 대한설비공학회 2001년도하계학술발표회논문집(I), pp.266-271, 2001.
13 D. T. Gretzinger, J. A. Cafazzo, J. E. F. F. R. E. Y. Ratner, A. C. Easty, and J. M. Conly, "Validating the integrity of one-way check valves for the delivery of contrast solution to multiple patients," Journal of Clinical Engineering, Vol.21, No.5, pp.375-382, 1996.   DOI
14 B. Buerke, A. K. Sonntag, R. Fischbach, W. Heindel, and B. Tombach, "Automatic injectors in magnetic resonance imaging and computed tomography: pilot study on hygienic aspects," RoFo, Vol.176, No.12, pp.1832-1836, 2004.   DOI
15 H. S. Thomsen, "Contrast media safety-an update," European journal of radiology, Vol.80, No.1, pp.77-82, 2011.   DOI
16 "조영제 부작용 예방책 마련 필요-전신두드러기.안면부종 등 중등증 이상 위해사례가 70% 차지," 한국소비자원: 안전감시국 식의약안전팀, http://www.kca.go.kr/brd/m_32/view.do?seq=2366, 2017.
17 H. S. Thomsen, "Nephrogenic systemic fibrosis: a serious late adverse reaction to gadodiamide," EurRadiol, Vol.16, pp.2619-2621, 2006.
18 국가법령정보센터: 의료법 제2장, 제1절, 제4조, 6항, http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95