Stuff You Should Know - How MRI Works
Episode Date: August 17, 2021At long last Chuck and Josh dive into the nuts and bolts of what makes the Wonder Machine so wondrous and find it actually lives up to the years-long hype they’ve given it. Learn more about your ad...-choices at https://www.iheartpodcastnetwork.comSee omnystudio.com/listener for privacy information.
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Hey friends when you're staying at an Airbnb you might be like me wondering could my place be an Airbnb and if it could what could it earn?
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Welcome to stuff you should know a production of I heart radio
Hey and welcome to the podcast, I'm Josh Clark
There's Charles Levy Chuck Bryant and Jerry is with us as we journey into the heart of the magnetic darkness
Known as an MRI machine
The wonder machine after all these years of talking about this thing. I finally get it. I know it. It's crazy
we've been
Kind of amazed by it and then a little bit turned off by it
But then we realized it's not the machine itself
It's the way it's being applied and so we kind of came back to it again and it nuzzled us and it's boar and
It got kind of sexy. Yeah, and we're also guilty of
the FMRI crime that now I kind of feel bad about
What is that? Is that a Queen's Reich album?
Yeah, maybe we'll just talk about that later when it's appropriate
What the Queen's Reich album? No the FMRI blunder that we've been making for 13 years
Sure, I feel like okay. All right, we'll go over that fine fine fine
I don't want to mess anything up instead. We're gonna mostly talk about the MRI the wonder machine as it is because
Chuck we were always just amazed by it to begin with but now that I understand it. I feel even more amazed by it
I'm proud of humanity for having come up with this thing
Yeah, I mean, it's pretty amazing that and we'll talk about the history of it and everything in a sec
But it's amazing that human beings
Got together
With their cohorts mm-hmm and said, you know what we can do the human body is made up of 60 to 65 percent water
So let's figure out how to use magnetic fields and radio waves to measure that water
In the tissues of our body and then we can map it and then we can image it
Right and so those initial people who said that were burned at the state because it was like the 16th century still but when a
Few more hundred years passed a few new people came onto the scene and they encountered a completely different environment
One that was kind of nurturing of science and advancement and the idea that you could see inside the human body without cutting it open and the person
Who won what actually kind of interestingly turned out to be a race
Among researchers who were all trying to sell solve the same problem at the same time
independently was a guy named Dr. Raymond Demadean or Demadean
and he is credited as the first person to invent the the
fully functional human sized MRI, but he's one of
Typically at least three people who are credited with with inventing the MRI if that makes sense
Yeah, I mean when he got in there in July of 1977
Nothing really happened and I think one of his colleagues said hey, maybe you're too big for this thing
They put in a smaller person and it worked for the first time. It took about five hours to get an image
They named the thing indomitable and if you look up pictures, it's in the Smithsonian now of indomitable
It you know, it's one of these things that looks
Like a bare bones version of what it ended up looking like
It's like the the MRI version of a wicker wheelchair all bet sort of did you didn't see a picture?
No, because I suspect it as much. I didn't want it to haunt my dreams. Yeah, I mean it looks sort of like this big donut
I think the difference in this one is that it shows and it may I'm not sure if it's Dr.
Demadean in the photo or not, but they're actually wearing
Some coils around their body
But there is a larger donut as well
Do they look like they're on craft work tour?
So there were two other people Demadean was the first one I'm glad that we settled on a pronunciation by the way
And he was the first one to cross the finish line, but there were other two others who were working on that same problem
Paul Lauterbur and Sir Peter Mansfield
And like I was saying, they were all working independently on this problem. This thing that had been demonstrated in 1945 called nuclear magnetic resonance
Yeah, which which is that you can make atoms do really peculiar things when you put them in the presence of
A magnetic field if it's strong enough it kind of snaps them all into attention
They click their heels and they say yes, sir. I'll get that pate for you immediately and
And that's not how they normally behave and so these guys Demadean Lauterbur and Mansfield all were like somehow some way
There's a way to use this to him to use
This nuclear magnetic resonance to look inside of the body and that's what they said about trying to do
Yeah, and pretty early on they cut the word nuclear out of it and went with imaging
So MRI was born. I think
It wasn't probably a great time and maybe it's never a great time to throw the word nuclear into anything
You know everything from nuclear power to nuclear bombs have a bad rap quite frankly
Yeah, it gets even worse if you pronounce it nuclear. Oh, man
and then there was someone else we do need to shout out a physicist by the name of
Seiji Ogawa or Ogawa. How would you pronounce that? Ogawa and it's Seiji
Any value see in Japan just screams to be pronounced independently. Oh, really? Mm-hmm. They love it. See see G E
Seiji
That's what I would go with. Okay. I'm serious. I really think it is. I believe you just sounded funny
and so what happened
So why we're shouting this person out is because they
Discovered that if you have oxygen poor hemoglobin, it's gonna react differently by this magnetic field
That's created in the MRI machine then really good oxygen-rich hemoglobin and that that contrast you could basically
Eventually end up seeing blood flow like imaging blood flow. Yeah, cuz what Damarian and his cohort were doing were
Imaging tissues inside of the body
Ogawa said well, actually you can track the flow of blood in those tissues as well
It actually laid the groundwork for what became fMRI functional MRI and then also more importantly magnetic resonance
Angiography which is basically tracking blood flow in blood vessels in real time basically. Yeah, and all this stuff was
revolutionary because a
You really nailed it on the head earlier like you don't have to cut people open anymore to see this stuff
we've had x-rays for a long time and
They're great if you want to look at certain things like your your bones and
See if you got a cracked rib or something
But when it comes to soft tissue x-rays were useless
We'll talk a little bit more about CT can't CT scans and why they're awesome in their own way, but not still not as I guess
Functional as an MRI
Well plus CT scans. I didn't realize this CT is computed tomography. They use x-rays as well
So you're still getting that dose of radiation from a CT scan too. All right
So all that is just to lead up to say that the MRI just beats them all those other machines stink
It truly earns a nickname the wonder machine
Boy, I feel like like we should take a break before diving into this thing. Should we I'm thinking hold on
Yeah, I think this is a good spot for a break. Okay, let's do it
Hey everybody when you're staying at an Airbnb you might be like me wondering could my place be an Airbnb and if it could
What could it earn so I was pretty surprised to hear about Lauren and Nova Scotia who realized she could Airbnb her cozy backyard
Treehouse and the extra income helps cover her bills and pays for her travel
So, yeah, you might not realize it, but you might have an Airbnb to find out what your place could be earning at air
Bnb.ca
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Okay, so we're back and a bit of an early break, but that's because we're about to get in the weeds with the actual nuts and bolts
Ironically probably doesn't have any nuts and bolts
It's probably probably what heavy-duty plastic rivets. I don't know it might just be like large solid injection molded pieces
That's a good question. We should have learned that but anyway the metaphorical nuts and bolts of this thing
If you've ever seen when they look like a big doughnut you sit on a little, you know, it looks like a
Mortuary tray. Yeah, and you get slid in through this hole in this tube
It's only about 24 inches in diameter
So they're not great if you are claustrophobic, but they do
Make machines that aren't quite they don't give you quite what you want with a closed system, but they're a little more opened up
Yeah, and I got the impression that they're starting to really kind of revisit those because you can't produce quite as
Great a magnetic field or as powerful a magnetic field with an open system
But I think they're starting to figure out you don't necessarily need the most powerful magnetic field
So stay tuned for that in 10 years
but right
The the the most important part of the whole MRI machine obviously is the magnet. That's what produces the magic is
This magnetic field that so that doughnut that elongated doughnut that you're slid into in the tube
That is the magnet basically and it's not like a magnet like you'd put on your fridge
It would suck your fridge into what amounts to a black hole basically if you got your fridge anywhere near this thing
It's a different kind of magnet. It's a superconducting magnet made up of coils probably copper coils
That an electrical current is run through and when you run an electrical current through
a coiled
Set of metal you can produce a magnetic field. That's great like fantastic
But to produce the kinds of like the powerful magnetic fields that they're producing in an MRI
You actually need a superconducting magnet and that's just a whole nother level
Yeah, I mean if you want to
Create a very large and stable field and we're talking I think they measure
magnets in
Is it got our gauze?
I think gauze g a u s s so gauze is the measurement one Tesla is ten thousand gauze
So if you're looking at just a regular fly-by-night MRI wonder machine
You're looking at about
1.5
Roughly 1.5 Tesla or about 15,000 gauze
As far as the magnetic field goes and that's
Compared to 0.5 for the magnetic field of planet Earth
Yeah, not 0.5 Tesla 0.5 gauze. Yeah, her to 15,000 gauze
It's like 50 to 60 thousand times more for your average machine, but they even make them that go all the way up to 10 Tesla
Yeah, which is
What a hundred thousand gauze. Yeah, and the more gauze the more the prettier machine is
Well, just getting the prettier pictures are
Yeah, another thing that I saw though is that they're figuring out that when you get past a certain Tesla of
Magnetic field that matter you
It does matter and that it actually gets worse
Oh because you're picking up so much detail that you can't tell a bit from a Bob basically
And if you're a radiologist using terms like bits and bobs, you need to get out of the field
Yeah, room for somebody who takes the job a little more serious. That's interesting
I wonder if that also goes hand-in-hand with the open machines and them saying like we don't need as much
Gauze as we thought we did I think it does
I think they're figuring out ways to get better resolution off lower power because not only is it really expensive
I think it's a new machine costs about a million dollars per Tesla
It produces so if you got a 10 10 Tesla machine, which really at this point from what I understand
You're just showing off as a medical center. Yeah
You just spent 10 million dollars on this one MRI machine in your medical center
But that also it costs a lot of money to run one of these things because to keep this stable magnetic field going
You got to run a lot of electricity through it and that's where the superconductivity comes in
Yeah, I mean you want to I mean you got to have like zero resistance running through those wires
Mm-hmm, and they do this and I remember we talked about this in our
Are we running out of helium? I can't remember what it was called
But we did an episode on the fact that helium
Was in short supply and one of the downsides of this it wasn't just birthday balloons was the fact that they use
helium liquid helium to
To to make these copper coils superconductive and I think at the order of about
452 degrees below zero so without that helium they they I don't know if they're looking at alternatives or if there's a
Plan B or not, but they need helium
Well, remember in our Macy's Thanksgiving Day prerative
So I don't know if it made it in there or not
But they they found like a helium supply that basically like and Macy's bought it
That basically like expanded our supply of helium by some infinite amount, so we're like flush with helium
That's true. I remember that so so I think we're okay
So we can just the can was kicked down the road Chuck. We don't need to worry about that
Yeah, exactly. We don't need to plan for the future like why 2k, right? It's exactly right nice nice call out
All right, so you've got your big magnet you you also have
Gradient magnets you have three gradient magnets and those are not nearly as on the magnitude of that the big daddy
these are about 180 to 270 goss and
Your main magnet is what's creating that main magnetic field that we're going to go over in detail in a second
The real stable one, but the other magnets create the variable field, which you know, that's what you need to run it
Against to the other one to make those images happen
Yeah, that's the that's basically what you use like to direct the the beam
Essentially as it were like if you need a shoulder looked at it would be then a different location than your knee
Yeah, yeah, and you would say well actually I need it a little to the left
And you would use these gradient magnets to move the magnetic field and what you're really moving from what I understand
With the gradient magnets is a radio frequency pulse. Yes, and
This is this is where things this is where it all comes together. Yes, you're using three different things, right?
You've got the magnet and when you when you put
Hydrogen when you put a body. Well, we're not quite there yet. Oh
No, oh
You want me to do it now? Well, I mean certainly was anticipation of my part. Okay. All right. I won't let you down Chuck
so when you go into the MRI bore and
You enter this magnetic field. That's the tube. I don't think we mentioned that true
Yes, when you go in the tube and you enter the magnetic field the atoms in your body
Have what's called the magnetic moment, which means that they respond to very strong magnetic fields by
abandoning their kind of random spin along their axis their procession and
snapping in line
along the
polar ends of
The magnetic field and in the MRI that that's running lengthwise down the middle
So if you're laying on your back in an MRI tube the magnetic field is going from your feet to your head and
That magnetic field causes the atoms in your body or the the particles in your body that make up atoms to
Snap into line with that polarity. So all of a sudden you have protons in this case as far as the MRI is concerned
hydrogen protons
Suddenly going from random spins to all facing your feet or all spinning toward your head one or the other but
Technically along the same line. Yeah, so some of those are and I think in the the biz they call it aligning parallel or
anti-parallel and
They sort of cancel each other out, but there's always going to be more
parallel aligned hydrogen atoms and those are the ones that
We are using to measure the MRI basically like everything else just sort of cancels each other out and those leftover ones and it sounds
You know, there's there's so many that you can have the cancellation of many and it still works
So I only saw this in the House of Works article. I everywhere else
I saw basically made no mention of the fact that like whether they were aligned toward your feet or toward your head
Like that that mattered and that you were focusing on the ones that hadn't aligned like I only saw it in this article
Oh, I saw it in other places. Oh, you did. Okay. So then kids science
What is what they were all based off this House of Works article? No, no, you could tell they were original
What is I was just teasing you know, I love kids science websites Chuck. I can't remember which one this one was but it was a good one
Okay, so regardless of what which atoms you're focusing on either the ones that are polarized from
Along the magnetic field or the ones that haven't been polarized
That's that polarity is being created by the main magnet the superconducting magnet
That has basically zero resistance because it's bathed in liquid helium and cooled to just astounding temperatures, right, right?
Now when you bring in the radio frequency pulse, which is oscillating. It's turning on and off very very quickly
What what was discovered over the last century or so before MRIs were ever even developed
but what forms the basis of the principle that MRIs operate on is that if you apply a radio frequency to a bunch of
of
hydrogen protons
Undergoing their magnetic moment
You can actually adjust
The way that they're aligned you're kind of like pushing or pulling them out of
Alignment and they're kind of struggling against it
But you can you can overcome that with the radio frequency pulse
And so that's basically step one of the MRI is getting them knocked out of that polarity
so that you can turn that off and in basically
Gauge and measure them as they snap back into that polarity. Yeah, and that radio frequency pulse
It has to be the same frequency of those spinning protons
so if not they're not going to be in resonance that's where the word resonance comes from if they have that same frequency that can
exchange inner energy with one another and they're on resonance with one another and
When they turn it on and off like you said, there's a moment where they snap back into snap back to attention
essentially and it takes a little bit of time and a little bit of energy and
That energy is what they're basically trying to measure
like that movement
yeah, and
Because the protons the hydrogen protons the reason they selected hydrogen protons is because it's so abundant throughout the body
It's far and away the most abundant atom in the body is hydrogen
That that you're gonna find it in every bit every every nook and cranny of your body
That's another term radiologists should stay away from but we can use it the nooks and crannies of your body all are filled with hydrogen
protons so
They know that a hydrogen proton in like fat tissue is going to snap back into place and then release
energy at a slightly different frequency and at a slightly different rate than the hydrogen protons making up water in the body or
bone in the body or
You know your hair on your shoulders or whatever all all of this stuff is going to just be just slightly different and they basically know
What the data that comes back what it's telling them is oh, hey, I'm a I'm a fat. I'm in a bunch of fat over here
I'm in some water over here
I'm shoulder hair over here and this is the data that gets transmitted to the computer that's measured by
The computer that's running the MR. Yeah, and that energy burst that it emits
It's at a very specific frequency named the Larmore
Frequency after an Irish physicist named Sir Joseph Larmore
he discovered this all the way back in 1897 and
And you will never need to know this information, but just in case you want to know the Larmore frequency
For hydrogen in this case is forty two point five eight megahertz per Tesla of magnetic force
That's a I don't even know if that's like a cocktail that that's not even a jeopardy question
That's a dark little pet
You keep in your pocket that you pull out and like stroke every once in a while
Just reassure yourself that you're very smart. Yeah, like LeVar Burton should be LeVar Burton
Would ask that question on jeopardy and Ken Jennings would say you got to be kidding me
nobody cares
Love so you're lower. You're pulling for LeVar. He's not gonna make it
I mean the other guy the somehow the executive producer of the show isn't sort of naming himself. Oh really?
Yeah, I mean he said that he didn't make the call
But us I don't know man. He I thought LeVar Burton was great and would be great for that show
I'm part of team George Stephanopoulos
Did he guess?
Yeah, or Aaron Rodgers. He did a good job. I didn't see that one, but he's still got more football to play
I'm with you though. I think LeVar Burton would be wonderful and from what I read. He really wants it, too
So I just don't get it and a lot of people are mad already. So I'm not alone
So so the the decision's been made. It's the executive producer now. It said that they're in the final negotiations and
You know now there are some people pointing to his past because this guy's a
Experience game show executive producer and they were like, yeah when you run the price is right
You did some not so great things and oh
So we'll see what happens. I don't know what a dusty old crotch
Oh, I don't know we'll see what happens
Let's bring humility back everybody. Just sit this and yeah small doses is fine
That's right. And this has been game show soap
And speaking of go listen to our live game shows episode. I think from Denver. That was really good
Do we do one on game shows? Oh my
Yes, we did a good one
All right, so where are we? We were at the Larmore frequency. I
Guess the one thing we need to mention, too. You talked earlier about the gradient magnets
Being applied to very specific parts of the body in the biz they call those areas slices
So you can just get us if they if you hear someone and if you're going to get an MRI and you're nervous
And they say get a slice of the shoulder
Then you're not getting a slice the whole point is that of an MRI is that you don't get sliced
Yes, and one of the other advantages is that because you can move these gradient magnets all over the place at all different planes
You can get all sorts of different views of the same area top bottom side
underside
All the sides and that's a huge huge advantage that MRI offers again without spilling a single drop of blood
Yeah, and I guess the final piece of the puzzle here is this is all well and good that this little magic machine
Works like this, but you still have to be able to
Have a doctor look at a picture of this stuff
the imaging part of MRI is
Just as important as the rest because that's what they need to assess your situation
And they do this through the magic of computers and math
And I think that's it that's that right we don't have to go any more into it than that
I mean, you know don't fully understand it to you
It makes it the image and turns it to a mathematical formula that allows it to be like
50 people on the planet who fully understand how it happens
All I know is there's a really expensive computer attached and
And it's the one that converts all that data into a 2d or 3d image. That's right. That's all you need to know really
Yeah, and then it ends up in the hands of a radiologist who basically says oh, it's this oh, it's a donkey that kind of thing
or
Increasingly in the hands of AI which has gotten really really good at reading radiological charts
including MRIs to look for weird anomalies because
One of the great advantages of an MRI is those images it produces
Really can resolve water in the body and
One of the reasons that's important is because when you start to suffer disease one of the one of the
Almost universal symptoms of any kind of disease malady or disorder in the human body is an increase in the the amount of water
The thing is is like the MRI is going to show you that but you or I can't see that
You got to go to school for many many years and become a radiologist to say
Oh, that's that's just a little fluid buildup or oh, that's a tumor
It's tough to distinguish it needs a human or again an AI to make that distinction
But the MRI is going to give you the picture that will show you that thing that a radiologist could look at and say that's water
That's a tumor. That's right
Pretty neat stuff like we said all along
the wonder machine
That's right, and that feels like a great time for break number two and when we come back
We'll talk a little bit about our fMRI shame that I feel that you're not even aware of
Oh Josh right after that prepare for our shame
Hey everybody when you're staying at an Airbnb you might be like me wondering could my place be an Airbnb and if it could what could it earn so I was pretty surprised to hear about
Lauren and Nova Scotia who realized she could Airbnb her cozy backyard treehouse and the extra income helps cover her bills and pays for her travel
So, yeah, you might not realize it, but you might have an Airbnb to find out what your place could be earning at air bnb.ca
slash host
All right Chuck why should we be ashamed because I think I remember things differently than you do. That's what I think it is
So here's the deal with fMRI functioning MRIs. They track blood flow and
What they've long done in
Psychiatry and
Neurology since this has been invented and we've talked about this a lot on the podcast
It they will do an fMRI of your brain and they will show you pictures of certain things or have you react to certain stimuli
It can be an object or a word that they say out loud or whatever
And they see where that blood flow is going in the brain with the idea of like well
Hey, if you're getting that fresh blood right here in this part of the brain
that means that that's the part of your brain that is reacting to the stimulus and
The more I read about it the more it seemed like that's a pretty good guess and we don't really know what's going on with the neurons
This is just seeing what's lighting up and I think where I feel bad is many many times over the years
We've said, you know, and then they showed them a picture of this and by the Bing by the boom
This part starts lighting up so case closed and it's not as like kind of bulletproof as that
See, this is where I remember differently. We've trashed that idea multiple times over. Did we yeah?
Oh, okay, totally. I remember specifically talking about one study where a guy put like a dead salmon in an MRI and then wrote a
Paper about what it must have been experiencing because some voxels showed lit up. Really?
Yeah, we made good as we went along. Yeah. Yeah. Yeah, totally. Okay, totally
We sniffed that stuff out. We've been sniffing that stuff off the case since oh wait, oh man
Yeah, all right. Well, I don't feel bad anymore. No, don't don't we definitely trashed that over the years and it's it was worth being trashed in that
it somebody figured out like
You can use this to a certain degree
And yes, you can see all this region's lighting up
but what they quickly found is that a region of the brain has
Hundreds or thousands or countless numbers of neurons involved in that area and they're not all just doing the same thing
They're all performing different functions. They're all connected in different ways and until we can
Get our resolution down on basically the individual neural level
The point there's a zero point almost in putting someone in an fmri
And and showing them pictures of of whatever and seeing how they're stimulated it because it's all just guesswork
Somebody compared it to phrenology modern phrenology. You're just extrapolating huge things from very limited findings
And so we've figured that out very early on like that's been a long-standing criticism
We we definitely dialed into that. I feel better than ever then about our efforts. I'm I'm so glad man
Thank you for correcting that although one good thing about fmri is is that angiography where you can track blood flow
Outside of the brain and extrapolate it beyond, you know, social psychology studies
Yeah, if if a social psychology study could even get enough funding to pay for an MRI rental
Well, we had some social psychologists and
Husbands and wives of social psychologists the right end and they were kind of mad at you. They're mad again
You know, you should not be mad at are the inventors of the MRI because these things are really pretty safe
You are not being exposed to radiation and that's a great thing you there have been
not many incidences of
mishaps with an MRI machine
One of the dangers of an MRI is obviously, you know, the super magnet is going to be metal if you've ever had one
They're gonna ask you and ask you several more times if you have any metal on your body
You're not gonna go in there with your earrings. You're not gonna go in there with even
Certain kinds of makeup has metal in it
Yeah, if you have a pacemaker or aneurysm clips in your brain or if you're like me dental implants
you're gonna want to talk to them about that and
Because some of that stuff is still okay. It's not like it will rip a pacemaker out of your chest because they're smarter than that now
But if you have an old pacemaker that might be a problem, right?
Yeah, and even a new pacemaker can malfunction in the presence of a really strong magnetic field
It won't be ripped from your chest, but it's it might stop working and that's not good
You know, you don't want that to happen
But there are like think like if you have like metal anywhere on you
It will be pulled out of your pocket your pocket might be pulled right off of your pants basically
Depending on whether it's one of those externally sewed pockets or an internal probably have a gown on anyway
Sure, but you could just be some schmo who likes to stand around MRI rooms and gain the entry
One of the big problems is the actual medical equipment themselves. There's medical equipment that is
That is has been developed to be used in an MRI room
And then there's medical equipment that accidentally finds its way into an MRI room and ends up getting sucked violently into the bore and
That is really dangerous. There's there's actually some astounding pictures on the internet if you search MRI catastrophe of
There's there's one and I can't tell if it's real or not
There's a wheelchair that sucked into the bore with feet sticking out from under it. I
Didn't see a corroborating story, but people have died from being hit by objects or pinned to the bore
Between a metal object and the bore
And it's very very rare. It's very infrequent because people running MRIs tend to know what to look for and what questions to ask and
What to look out for but it has happened and when it happens
It's got to be one of the most violent things you could ever win. Yeah about 20 years ago
There was a boy who was killed when an oxygen tank was pulled into the bore
But like you said, that's that's the kind of thing that makes the news the world over because it's so rare
I think every year there are millions and millions of MRI scans in the United States alone and the FDA gets about
300 adverse event reports
annually and
most of these are like
My skin burned some because it got really hot
Because I don't think we mentioned like the MRIs I've had have been very brief just a few minutes
You can be in there for like an hour or an hour and a half and you have to lay completely still and this the sound that they
make is just
It's unnerving. It's this it's like this digital clanging and there are clack-sons and buzzers and
It's just not I remember I talked about it years ago on the show when I had my first one
It's not a relaxing scene at all. It's a little unnerving even though, you know, it's safe just because of the noise
so
But it but it's it is safe like accidents usually don't happen
Yeah, that noise I forgot you had one before a couple now
from what I understand that noise is
relative to the the
Teslas that the maid magnet puts out because when you put the I
Guess maybe the gradient magnets in there
They they respond to that maid magnet and that's what produces that hammering or clacking sound or whatever
And it can it can get really loud and give you tinnitus or hearing loss even if they don't give you
You know ear muffs. Have you still never had one? No, let me just knock on wood there
How did yours turn out pretty great? Yeah, I can't even remember what the first one was for to be honest
It was so many years ago
And then I had one more recently for my for my gut
Oh, yeah. Yeah for my gi. They were looking at my gi
Flow not flow
Below for stuff. You're calling below
They were looking for diverticula
specifically and
So I was in an MRI machine and that didn't take very long and I think they use dye for that one
That's another thing that we didn't mention is I don't think they always use dye as a contrast
But sometimes they do yeah about a third of them
They use dye and the dye seems to be from what I can tell the the the only truly questionable part
About the MRI experience because when you come out of that magnetic field your atoms
I'll go back to normal the way they were and you know, there's no long-term effects, but apparently the dye they use is
is made of a gandalinium gandalinium, which is a
metallic
element and
They collate it so that your body doesn't like it doesn't stick around your body
You actually pee it out gets processed through kidneys in very rare instances
Some people hang on to it and it can cause a little bit of kidney damage, but far and away almost everybody passes it
It seems to be the question is
using dye when you give an MRI to a woman who's pregnant
Because the the woman will pee it out, but the little baby in uterus or in utero
Recycles the stuff that comes in there
So it will just be ingesting and peeing and ingesting and peeing that gandalinium until it's born
And then that's not really good for the old kidneys. So apparently
they the FDA recommends that you err on the side of the mother's health like like it's if it's a
Like a medical emergency in the mom that the that requires an MRI for the mom including dye that the FDA and apparently the AMA would say
Just go ahead and do it
And roll the dice, but if it's not a medical emergency and the woman has to get an MRI
They would probably avoid using the dye. Yeah, the dye was yeah the dye was
That was kind of one of the more interesting parts because you can feel it
Wow old running through your body Wow, which is really interesting and I got a taste in my mouth like this kind of funky taste
Wow, that's really amazing. Yeah, which is always a little weird
You mentioned pregnant women though, but kids is another thing
MRIs I think 90% of MRIs go to fully grown adults and
And kids present a problem because kids are fidgety obviously
Mm-hmm, and they're hard to keep still and you got to start over if you want to get a good picture
So it's it's kind of been tough and a lot of times they have to
Anesthetize a child to put them in an MRI machine, which you know anytime you're going under anesthesia
There's a risk there and people don't like doing that in general if you don't have to so there are some really smart people working on that
I think a few years ago. There was an article about a Stanford pediatric radiologist
name Shreyas Vasanah Vasanah Wala and
He was working on
basically kind of making it Taylor made MRI machines for kids that are
Smaller and a little more open and don't have these huge bulky coils for their little bodies. That's amazing
What a great thing to do with your time, you know agreed. I mean
Or you could just get on a podcast and run your mouth
I don't think that's a less good thing to do with your time, but regardless
I think the MRI machine is still maybe even more than ever the Wonder Machine Chuck. I
Agree and it's cool to know how it works and you know if you
Heard this and go in to get an MRI it might arm you with a little knowledge. You can go in there and talk about
What's the what was that number again the frequency?
42.58 megahertz per Tesla. Yeah of magnetic field applied. Just go in there start throwing that around while you have your
Smartphone in your pocket
If you're about to get an MRI this may do you a little less nervous about it agreed
Well if you want to know more about MRIs just do a little research or maybe go get one done
Go hit up your doctor and say how about an MRI?
Let's check it out and they'll say okay hop in I could use the money
And since I said I could use the money obviously it's time for listener mail
That's right before I read this when I do want to shout out
We've got quite a few emails on people who have the weird compulsion to equal out the crack stepping
Yeah feet like I noticed that too. I was kind of surprised at how many people have that same thing going on and
The people I think I read one of them
That said he also liked to chew and equal on both sides of his mouth quite a few people also had that which I don't have but
It's nice to know that us crack steppers or I don't know I feel united
Yeah, there's a there's a whole cadre of you guys out there turns out. Yeah, we're gonna take over the world one day
I know
But I'm gonna call this one from Rodney about reverse on osmosis
Hey guys, you get her did a really nice job on reverse osmosis
It can indeed solve the drinking water problem worldwide as well as help solve some of the environmental problems in our industrial processes
You should also do a program on
Electrolytics
This technology can take salt and convert it to disinfectants that are used to treat water and kill microorganisms that make people sick
9,000 people die every day from waterborne disease worldwide
And this this guy Rodney has a couple of companies
That deal with this so offered us up some technical assistance if we wanted to do something on that nice very nice
Thanks a lot Rodney
appreciate that
Offer and congratulations to you for saving the world
agreed
If you want to get in touch with us like Rodney did because you're saving the world or because you
Just want to say hi doesn't matter. We were fine either way
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