{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,16]],"date-time":"2024-06-16T22:34:01Z","timestamp":1718577241376},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,4,25]],"date-time":"2017-04-25T00:00:00Z","timestamp":1493078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance in Med"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>Based on a previous case report of menometrorrhagia (prolonged\/excessive uterine bleeding, occurring at irregular and\/or frequent intervals) in MRI workers with intrauterine devices (IUDs), it was evaluated whether this association could be confirmed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey was performed among 381 female radiographers registered with their national association. Logistic regression was used to analyze associations of abnormal uterine bleeding with the frequency of working with MRI scanners, presence near the scanner\/in the scanner room during image acquisition, and with scanner strength or type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 68 women reported using IUDs, and 72 reported abnormal uterine bleeding. Compared with unexposed women not using IUDs, the odds ratio in women with IUDs working with MRI scanners was 2.09 (95% confidence interval 0.83\u20133.66). Associations were stronger if women working with MRI reported being present during image acquisition (odds ratio 3.43, 95% CI 1.26\u20139.34). Associations with scanner strength or type were not consistent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Radiographers using IUDs who are occupationally exposed to stray fields from MRI scanners report abnormal uterine bleeding more often than their co\u2010workers without an IUD, or nonexposed co\u2010workers with an IUD. In particular, radiographers present inside the scanner room during image acquisition showed an increased risk. Magn Reson Med 79:1083\u20131089, 2018. \u00a9 2017 International Society for Magnetic Resonance in Medicine.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mrm.26707","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T07:46:37Z","timestamp":1493192797000},"page":"1083-1089","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A survey on abnormal uterine bleeding among radiographers with frequent MRI exposure using intrauterine contraceptive devices"],"prefix":"10.1002","volume":"79","author":[{"given":"A.","family":"Huss","sequence":"first","affiliation":[{"name":"Institute for Risk Assessment Sciences Utrecht University the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Schaap","sequence":"additional","affiliation":[{"name":"Institute for Risk Assessment Sciences Utrecht University the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Kromhout","sequence":"additional","affiliation":[{"name":"Institute for Risk Assessment Sciences Utrecht University the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,25]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)80082-2"},{"key":"e_1_2_6_3_1","first-page":"1915","article-title":"Abnormal uterine bleeding","volume":"69","author":"Albers JR","year":"2004","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_4_1","first-page":"359","article-title":"An epidemiological survey of symptoms of menstrual loss in the community","volume":"54","author":"Shapley M","year":"2004","journal-title":"Br J Gen Pract"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2007.03.018"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2013.07.023"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/mrm.25720"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"97","DOI":"10.2478\/s13382-012-0005-y","article-title":"Menometrorrhagia in magnetic resonance imaging operators with copper intrauterine contraceptive devices (IUDS): a case report","volume":"25","author":"Gobba F","year":"2012","journal-title":"Int J Occup Med Environ Health"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.08.028"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1204724"},{"key":"e_1_2_6_11_1","first-page":"50.e1","article-title":"Association of short\u2010term bleeding and cramping patterns with long\u2010acting reversible contraceptive method satisfaction","volume":"212","author":"Diedrich JT","year":"2015","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)80083-4"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2013-101890"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2010.09.021"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(97)00019-X"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mric.2014.09.002"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.01.011"},{"key":"e_1_2_6_18_1","unstructured":"Bayer Inc.Product monograph PrMirena2014:1."},{"key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1007\/s00101-007-1202-0","article-title":"Fallgruben in der magnetresonanztomographie \u2010 was sollte der an\u00e4sthesist wissen?","volume":"56","author":"Paczynski S","year":"2007","journal-title":"Anaesthesist"},{"key":"e_1_2_6_20_1","first-page":"1","article-title":"An investigation into occupational exposure to electromagnetic fields for personnel working with and around medical magnetic resonance imaging equipment","author":"Capstick M","year":"2008","journal-title":"EU Commission Study on MRI"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acra.2005.05.023"},{"key":"e_1_2_6_22_1","first-page":"570","article-title":"Assessment of electromagnetic fields around magnetic resonance imaging (MRI) equipment","author":"Chadwick P","year":"2017","journal-title":"Health and Safety Executive Research Report"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmri.21154"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/09513590.2012.637341"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2007.03.012"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2007.00168.x"}],"container-title":["Magnetic Resonance in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmrm.26707","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mrm.26707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T17:30:50Z","timestamp":1696008650000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/mrm.26707"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,25]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1002\/mrm.26707"],"URL":"https:\/\/doi.org\/10.1002\/mrm.26707","archive":["Portico"],"relation":{},"ISSN":["0740-3194","1522-2594"],"issn-type":[{"value":"0740-3194","type":"print"},{"value":"1522-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,25]]},"assertion":[{"value":"2016-12-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-03-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-04-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}