- One of the most disturbing obstacles for patients receiving an MRI particularly children and psychiatric patients
 - Interferes with communication between MRI technologists and patients
 - Interferes with functional MRI studies by producing unwanted stimulus. Noise may introduce changes in oxygenation in cortex and blood capillaries that may in turn affect signal receiving during fMRI.
 - They were anecdotal reports of temporary hearing loss related to MRI, but these have never been proven.
 - Depends on pulse sequence, types of scanner (coil structures and coil supports)
 - Average relative noise = 94-107 dB (in MRI bore) and 87-98 dB (in MR scanning room)
 - Noise from gradient recalled echo (GRE) sequences typically is louder than spin echo (SE) and echo planar imaging (EPI).
 
Etiology
- Main source: Lorentz forces acting on gradient coils and pulsing particularly two gradients along x- (frequency encode) and y- (phase encode) axes
 - Other sources: vibrations of conducting cryostat inner bore of MR machine due to eddy current, vibrations of radiofrequency body coil, etc (including several "unknown" pathways)
 
Image from www.noise-busters.com
References:
1. Cho ZH, Park SH, Kim JH, et al. Analysis of acoustic noise in MRI. Magn Reson Imaging 1997;15:815-822.
2. Edelstein WA, Hedeen RA, Mallozzi RP, et al. Making MRI quieter. Magn Reson Imaging 2002; 20:155-163.

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