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MRI technology has changed the game! Healthcare providers can now diagnose and monitor many medical conditions without the need for any invasive procedures. It does this thanks to the powerhouse combination of radio waves and a strong magnetic field!
However, there are now, of course, many different types of medical imaging equipment available. So, choosing an MRI machine is not always easy.
The first decision you must make is whether to opt for a closed or open MRI machine. So, what’s the difference? And, which one is right for you?
Closed-bore machines, the traditional design familiar to many, feature a long, narrow tube into which a patient slides. The standard bore size is approximately 60cm, although newer models may offer a slightly larger diameter of up to 70cm. These machines generally operate at higher magnetic field strengths, commonly around 1.5T and 3.0T (Teslas), which allows for more detailed images.
Claustrophobia and discomfort - The bore’s enclosed nature can result in anxiety and discomfort. This is especially the case for claustrophobic patients.
Size limitations - Larger patients may find it difficult or even impossible to fit into these machines.
Noise - These machines are pretty loud, which only adds to patient stress.
In contrast to the enclosed tube of the closed MRI, open medical imaging equipment is designed with space and comfort in mind.
This medical equipment does not completely enclose the patient. The design significantly reduces the feeling of being confined, making the MRI experience less intimidating.
Reduced claustrophobia - The open aspect is particularly beneficial for patients who struggle with anxiety and/or claustrophobia.
Accommodates more patients - This type of machine is better for larger patients.
Patient interaction - Open designs allow for better communication with medical staff while having a the scan.
· Lower image quality - Open MRIs typically have lower field strengths. This can affect the detail and clarity of images.
· Longer scan times - To compensate for the lower field strength, scans may take longer.
Here’s a detailed table comparison to help you:
Closed MRI medical equipment |
Open MRI medical equipment |
|
Physical Configuration |
The patient lies in a narrow, enclosed space. |
These machines typically have open sides and a more spacious design. |
Magnetic Field Strength |
Generally, closed machines have higher magnetic field strengths, typically ranging from 1.5 Tesla to 3.0 Tesla. |
The field strength for open MRIs often ranges between 0.4 Tesla to 1.2 Tesla. |
Image Quality |
Closed MRIs can produce more detailed and higher-quality images due to the higher field strength. |
The lower field strength may compromise image quality slightly. |
Scan Time |
The higher power allows for shorter scan times. |
Scan times might be longer to achieve an image quality that approaches that of closed MRIs. |
Patient Comfort and Accessibility |
If you don’t like being in tight spaces, you’re not going to like this machine! For those suffering from claustrphobia, sedation may even be needed. |
Patient comfort comes first! These machines are ideal for larger patients, those with claustrophobia, and children who might find the closed configuration too restrictive or frightening. |
Noise Level During Scans |
These machines are known for their loud operational noises, which can be startling or uncomfortable for patients. |
Although they are also noisy, the open nature of these machines can make the experience slightly less overwhelming because the sound is not confined to a small space. |
Suitability Based on Clinical Requirements |
These machines are ideal when dealing with neurological, musculoskeletal, and arterial conditions that require the highest quality imaging for accurate diagnosis. |
These machines are better suited formusculoskeletal scans of limbs or when scanning patients who cannot be easily accommodated in a closed MRI, such as those who are obese, elderly, or particularly young. |
Your final decision comes down to three main factors:
· Patient Demographics
Do your patients generally have high levels of anxiety? Maybe they include individuals with larger body types? If so, an open MRI may be more suitable.
· Diagnostic Requirements
Closed MRI machines are preferable for conditions that require the highest image quality, such as certain neurological disorders.
· Operational Efficiency
Closed MRIs offer quicker scans, which can be a significant advantage in medical settings that see a large volume of patients.
So, which machine is right for your practice? Does high-quality imaging matter the most? Or, do you want the machine that’s going to make your patients as comfortable as possible? There’s no right or wrong answer. It’s all about figuring out what matters the most to you!