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YY/T 1933-2024Particular specification for MR injector (English PDF)

磁共振造影注射装置专用技术规范

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Issued by

NMPA

Level / Type

Industry · Recommended

Issue date

July 8, 2024

Implementation date

July 20, 2025

Scope

YY/T 1933-2024 is the English-translated version of 磁共振造影注射装置专用技术规范.

YY/T 1933 is the particular specification for the MRI contrast injector, the power injector that delivers gadolinium contrast on a timed profile during a scan. It is a device with an unusual constraint: it has to work reliably inside or beside the magnetic field of an MRI scanner, where ferromagnetic components become projectiles and ordinary motors and electronics fail or interfere with the image. Its performance requirements are the ones that govern any power injector, flow rate accuracy, volume delivery, pressure limiting and air detection, applied under those conditions. For a manufacturer or an importer of MR-compatible injection systems seeking Chinese registration, this is the particular standard the type testing follows, alongside the general medical electrical safety requirements.

Document preview — YY/T 1933-2024

National Standard of the People's Republic of China

Issued by: National Medical Products Administration

Contents

  • 1 Scope
  • 2 Normative references
  • 3 Terms and definitions
  • 4 Composition and classification...
  • 5 Requirements...
  • 5.13 Marks and accompanying documents
  • 6 Test methods
  • 6.5 Pressure limit Set the pressure limit to
  • 6.8.3 Signal-to-noise ratio change amount
  • 6.8.4 Image artifact variation
  • 6.8.4.4 Artifact calculation Set the window width to

1 Scope

YY/T 1933 is the particular specification for the MRI contrast injector, the power injector that delivers gadolinium contrast on a timed profile during a scan. It is a device with an unusual constraint: it has to work reliably inside or beside the magnetic field of an MRI scanner, where ferromagnetic components become projectiles and ordinary motors and electronics fail or interfere with the image. Its performance requirements are the ones that govern any power injector, flow rate accuracy, volume delivery, pressure limiting and air detection, applied under those conditions. For a manufacturer or an importer of MR-compatible injection systems seeking Chinese registration, this is the particular standard the type testing follows, alongside the general medical electrical safety requirements.

This document specifies the requirements for magnetic resonance (MR) injector (hereinafter referred to as injectors) and describes the corresponding test methods. This document applies to injectors. This document does not apply to single-use high-pressure contrast syringes and their accessories dedicated to injectors.

2 Normative references

The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies.

GB 9706.224, Medical electrical equipment -- Part 2-

24.Particular requirements for the basic safety and essential performance of infusion pumps and controllers

YY/T 0482, Medical Magnetic Resonance Imaging Equipment -- Determination of Main Image Quality Parameters

YY/T 0935, Particular specifications for CT injector

3 Terms and definitions

For the purposes of this document, the terms and definitions defined in GB 9706.224, YY/T 0935, YY/T 0482 as well as the followings apply.

3.1 MR injector A device that in the diagnosis of magnetic resonance imaging, in order to obtain the required medical images, the contrast agent is injected into the human body according to the set flow rate and injection dose in conjunction with the magnetic resonance equipment.

3.2 injector head An interface component for injection push mechanism and installation of matching syringe.

3.10 keep-vein-open rate; KVO Under specified conditions, the injector returns to a predetermined low speed state while keeping the patient line open. NOTE. The abbreviation KOR (keep open rate) is often used as a synonym for KVO. [Source: GB 9706.224-2021, 201.3.209, modified]

3.11 signal to noise ration; SNR The quotient of the signal value divided by the noise value. [Source: YY/T 0482-2022, 3.1.26]

3.12 signal-to-noise ratio change Changes in the signal-to-noise ratio of the reference image when the instrument is working and when the instrument is not working.

3.13 magnetically induced displacement force The force exerted on a magnetic object exposed to the spatial gradient of a static magnetic field. NOTE. This force is expected to cause objects to move in the spatial gradient of the static magnetic field. [Source: ASTM F2503-20, 3.1.4]

3.14 magnetically induced displacement A magnetic object in a spatial gradient magnetic field moves toward a magnetic resonance device due to the magnetically induced displacement force.

3.15 artifact What is visible in the image neither reflects the structure of the corresponding position in the object nor can it be explained by noise. [Source: YY/T 0482-2022, 3.1.2]

3.16 immunity (to a disturbance) The ability of me equipment or me system to operate without degradation in the presence of electromagnetic disturbances. [Source: YY 9706.102-2021, 3.13]

3.17 region of interest safety distance, the injector shall not produce magnetically induced displacement. If the injector has casters, verify that the casters are unlocked. NOTE. The magnetic induction value is generally regarded as the field strength value of the magnetic field, with the unit of T. Bo is the static magnetic field generated by the magnetic resonance device and its accessories. Scalars are generally represented by ordinary fonts (such as B). Bold fonts represent vectors (such as B).

5.8.2 Immunity The injector shall be able to operate normally at the applicable magnetic field strength and the safety distance claimed by the manufacturer. The basic performance of the flow rate shall not be reduced. The flow rate shall meet the requirements of 5.1.

5.8.3 Signal-to-noise ratio change amount At the applicable magnetic field strength and the claimed safety distance claimed by the manufacturer, the variation in the signal-to-noise ratio of the reference image when the injector is injecting and when there is no injector shall be less than ±10%.

5.8.4 Image artifact variation At the applicable magnetic field strength and the safety distance claimed by the manufacturer, the change in the ratio of the artifact signal value to the signal average value in the magnetic resonance imaging reference image when the injector is injecting and when there is no injector shall meet the requirements specified by the manufacturer. NOTE. The change limit is determined by the manufacturer based on the applicable magnetic field strength and the adapted magnetic resonance equipment.

5 Requirements...

5.13 Marks and accompanying documents

5.13.1 Injector marks The injector mark shall meet the following requirements.

a) Each part of the injector is provided with magnetic resonance environment safety mark; NOTE. Magnetic resonance environment safety marks shall comply with ASTM F2503-20 requirements.

b) The additional mark of magnetic resonance condition-safe products shall at least indicate the applicable magnetic field strength and safety distance.

5.13.2 Accompanying documents Injectors shall be accompanied by documentation including at least instructions for use and technical specifications. The accompanying documents shall contain at least the following information.

a) The strength of the magnetic field suitable for the injector;

b) The safety distance of injector;

c) The list of MRI devices compatible with the injector.

6 Test methods

6.1 Flow rate The test medium is distilled water or deionized water. The injection dose is set to the maximum value. The flow rate is set to the minimum value, 50% of the maximum value, and the maximum value. Use a timer (such as a synchronized stopwatch) to record the time from the start of injection to the end of injection. Use a balance to weigh the distilled water or deionized water. Convert it to volume. Calculate the flow rate deviation.

6.2 Injection dose The test medium is distilled water or deionized water. The injection dose is set to the minimum value (flow rate is the minimum value), 50% of the maximum value (flow rate is 50% of the maximum value), and the maximum value (flow rate is the maximum value) to complete the injection. Use a balance to weigh the distilled water or deionized water. Convert it to volume. Calculate the injection dose deviation.

6.3 Fill rate The test medium is distilled water or deionized water. The fill dose is set to the maximum value, and the fill rate is set to the minimum value, 50% of the maximum value, and the maximum value. Use a timer (such as a synchronized stopwatch) to record the time from the start of fill to the end of fill. Use a balance to weigh the distilled water or deionized water. Convert it to volume. Calculate the fill rate deviation.

6.4 Maximum injection pressure Check the risk management documentation and verify the following. Set the pressure limit to the maximum value of the injector and connect the pressure gauge to the connector. Set the maximum flow rate for push injection. Read the pressure at which the injector indicates that the pressure limit has been exceeded and the push injection is stopped. It shall not be greater than the provisions of 5.4.

6.5 Pressure limit Set the pressure limit to

0.689 MPa (100 psi) and connect the pressure gauge to the connector. Set the flow rate to 2 mL/s for push injection. Read the pressure at which the injector indicates that the pressure limit has been exceeded and the push injection is stopped. Calculate the deviation between the actual pressure and the set pressure.

6.6 Injection delay time Set the injection delay time. Use a timer to record the time from when the signal is received to when the injection starts. Calculate the deviation of the injection delay time from the set value.

6.7 Scan delay time Set the scan delay time. Use a timer to record the time from the start of injection to the The test medium is distilled water or deionized water. The injection dose is set to the maximum value. The flow rate is set to 50% of the minimum value and the maximum value respectively. Under the maximum value condition, use a timer (such as a synchronized stopwatch) to record the time from the start of injection to the end of injection. Use a balance to weigh the distilled water or deionized water. Convert it to volume. Calculate the flow rate deviation. NOTE. To ensure safety, use a measuring tool to collect the injection liquid in the MR room. Immediately after the injection, go outside the MR room and weigh the volume using a balance. Calculate the flow rate.

6.8.3 Signal-to-noise ratio change amount

6.8.3.1 Requirements for test devices For the receiving coil, select the loading conditions to be used for this measurement procedure. The test device shall fill the RF coil specification area body or the RF coil specification area surface. At least two typical molds of the head and body shall be selected for testing.

6.8.3.2 Scan parameters The following sequence shall be used. - 2D single spin echo; - Single layer, centered at ±30 mm (displacement in slice selection direction) of isocenter; - Scanning planes. transverse, sagittal, and coronal in order; - TR = 1000 ms or >= 3T1 of signal-generating material, whichever is greater; - TE = 30 ms or <= (1/3)T2 of signal-generating material, whichever is smaller; - Pixel bandwidth shall be set to a clinically relevant value, which may depend on field strength (e.g., 100 Hz/pixel at

0.5 T, 300 Hz/pixel at

1.5 T, and 600 Hz/pixel at 3 T); - FOV is large enough to cover the test device; - Matrix 256×256; - Slice thickness is 5 mm; and - No signal averaging or phase oversampling allowed. Any deviation from the above parameters shall be clearly stated and justified.

6.8.3.3 Measurement steps The placement of the RF coil and test device shall simulate the typical diagnostic position. After the test device is positioned, wait an appropriate amount of time (e.g. 15 min for a large test device) before scanning to prevent vortex artifacts.

a) SNR measurement without the injector placed in the MRI scanner room. The same layer is scanned twice consecutively (image 1 and image 2). The time between the end of the first scan and the start of the second scan is less than 5 min. No adjustment or calibration shall be performed between the two scans.

b) SNR measurements when the injector is placed at the highest magnetic field strength (T) claimed by the manufacturer and at a safe distance (L) from the front of the scanner and operated at a certain flow rate (the recommended clinical maximum flow rate is

4.0 mL/s). When the injector starts running, scan the same layer twice in succession (Image 3 and Image 4). The time between the end of the first scan and the start of the second scan is less than 5 min. No adjustment or calibration shall be performed between the two scans. No adjustment or calibration is performed during the tests

6.8.3.4 Signal-to-noise ratio calculation The region of interest shall be a centered, regular geometric area that encloses at least 85% of the image area of the signal generating volume of the test device. Step

6.8.4 Image artifact variation

6.8.4.1 Requirements for test devices The size of the test device in the phase encoding direction shall not exceed 50% of the image field of view. The test device shall be large enough to permit measurement of an appropriate signal region of interest. The size of the test device in the frequency encoding direction shall not exceed 80% of the image field of view. Because both loaded and unloaded measurements are sensitive to variations in the rest of the MR system (although loaded conditions are likely to be more representative of clinical conditions), either is acceptable for use in this measurement procedure. At least two typical molds of the head and body shall be selected for testing.

6.8.4.2 Scan parameters The following sequence shall be used. - 2D single gradient echo; - Single-slice sequence, centered at ±30 mm (displacement in slice selection direction) of isocenter; - Scanning planes. transverse, sagittal, and coronal in order; - TR = 603 ms; - TE = 25 ms; - Flip angle = 30°; - Slice thickness is 10 mm; - Head coil field of view is 250 mm; - Body coil field of view is 440 mm (or the maximum field of view allowed by the equipment); - Pixel bandwidth shall be set to a clinically relevant value, which may depend on field strength (e.g., 100 Hz/pixel at

0.5 T, 300 Hz/pixel at

1.5 T, and 600 Hz/pixel at 3 T); - Field of view shall be square; - Matrix 192×192 or higher; - Signal averaging is not allowed; - All smoothing or resolution enhancement filters are turned off; and - No phase oversampling is allowed; to check this assumption, check that the sweep time is approximately equal to the number of phase encodings times TR. Any deviation from the above parameters shall be clearly stated and justified.

6.8.4.3 Artifact measurement The placement of the test device in the RF coil shall simulate the typical diagnostic position (same position as in 6.8.3). After positioning the test device, wait for an appropriate time (15 min for a large test device) before scanning to prevent vortex artifacts. To check the stability of the test device filling fluid, repeat the acquisition until the fluid shows no signal inhomogeneities due to vortexes.

a) The injector is not placed in the MRI scanning room for image scanning (Image 7);

b) The injector is placed at the highest magnetic field strength (T) and safe distance (L) from the front of the scanner as claimed by the manufacturer. It is run at a certain flow rate (the recommended clinical maximum flow rate is

4.0 mL/s). The image scan is performed again (Image 8). No adjustment or calibration is performed during the tests

......
This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 11 pages — is available in the English PDF.

Referenced standards

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