Evidence map›Paper›PMID 42461852›Full record

ArticleMedical physics2026

Trajectory-specific motion-induced electromotive force assessment of pacemaker-carrying workers in MRI environments.

Valentina Hartwig, Giuseppe Acri, Giovanni Calcagnini, Cecilia Vivarelli, Rosaria Falsaperla, Eugenio Mattei

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In one paragraph

Article in Medical physics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Valentina HartwigInstitute of Clinical Physiology, CNR, Pisa, Italy.
Giuseppe AcriDipartimento di Scienze Biomediche, Odontoiatriche e Delle Immagini Morfologiche e Funzionali, Università Degli Studi di Messina, Messina, Italy.
Giovanni CalcagniniDepartment of Cardiovascular, Endocrine-metabolic Diseases and Ageing, ISS - Italian National Institute of Health, Rome, Italy.
Cecilia VivarelliNational Center for Artificial Intelligence and Innovative Health Technologies, ISS - Italian National Institute of Health, Rome, Italy.
Rosaria FalsaperlaDepartment of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Monteporzio Catone (Rome), Italy.
Eugenio MatteiDepartment of Cardiovascular, Endocrine-metabolic Diseases and Ageing, ISS - Italian National Institute of Health, Rome, Italy.

Funding

INAIL (National Institute for Insurance against Accidents at Work) Bric 2022 ID 36 project CUP: I55E22000620001
6 · The paper itself

Abstract

purposeMotion of individuals carrying active implantable medical devices (AIMDs), such as pacemakers (PMs) and implantable cardioverter defibrillators (ICDs), within the spatially varying static magnetic field in and around magnetic resonance imaging (MRI) systems can induce electromotive forces (EMFs) in conductive leads. This mechanism is not explicitly addressed in standard MRI safety assessments. This study presents a measurement-based computational framework to estimate motion-induced EMF under representative exposure conditions relevant to clinical practice.

methodsMeasured maps of the static magnetic field components (Bx, Bz) in the fringe region of 3 and 7 T MRI systems were interpolated on regular grids. Spatial gradients were derived and used to compute motion-induced EMF in an equivalent conductive loop representing a PM/ICD lead configuration. Three motion types were considered: linear motion along the scanner axis (z), linear motion transverse to the bore (x), and in-place rotation of the loop. EMF was calculated using Faraday's law, assuming a loop area of 0.0225 m

resultsInduced EMF varied significantly with motion direction and spatial location. For linear motion, the highest values were observed near the bore entrance, where strong spatial field variations occur. At 3 T, maximum EMF reached 160 mV (z-motion) and 114 mV (x-motion), while at 7 T the corresponding values were 81 and 104 mV for the analyzed trajectories. Rotational motion produced lower and more localized EMF values, with maxima of 30 mV (3 T) and 35 mV (7 T). Despite the higher nominal field strength, the 7 T system did not consistently yield higher EMF, reflecting differences in spatial field gradients.

conclusionsMotion-induced EMF in MRI fringe fields depends on local spatial field gradients and motion characteristics rather than nominal field strength alone. The proposed measurement-based framework provides spatially resolved, scenario-specific estimates of EMF and can be applied to different MRI systems given appropriate field maps. This approach complements existing safety assessments by addressing motion-related exposure conditions not explicitly covered in standard evaluations.

Indexed as

Defibrillators, ImplantableHealth PersonnelMagnetic Resonance ImagingPacemaker, ArtificialHumansMagnetic FieldsMotionelectromagnetic interferencefringe fieldimplantable/cardioverter defibrillatormagnetic resonancemotion‐induced electromotive forceMRIpacemakerstatic magnetic field

Identifiers

PMID42461852
PMCPMC13374875

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.