The large gradient coils used in MRI generate, simultaneously with the
pulsed radiofrequency (RF) wave, acoustic noise of high intensity tha
t has raised concern regarding hearing safety. The sound pressure leve
ls (SPLs) and power spectra of MRI acoustic noise were measured at the
position of the human head in the isocenter of five MRI systems and w
ith 10 different pulse sequences used in clinical MR scanning. Each pr
otocol, including magnetization-prepared rapid gradient echo (MP-RAGE;
113 dB SPL linear), fast gradient echo turbo (114 dB SPL linear), and
spin echo T1/2 mm (117 dB SPL linear), was found to have the high SPL
s, rapid pulse rates, amplitude-modulated pulse envelopes, and multipe
aked spectra, Slice thickness and SPL were inversely related, and T1-w
eighted images generated more intense acoustic noise than the proton-d
ense T2-weighted measures, The unfiltered linear peak values provided
more accurate measurements of the SPL and spectral content of the MRI
acoustic noise than the commonly used dB A-weighted scale, which filte
rs out the predominant low frequency components, Fourier analysis reve
aled predominantly low frequency energy peaks ranging from .05 to appr
oximately 1 kHz, with a steep high frequency cutoff for each pulse seq
uence, Ear protectors of known attenuation ratings are recommended for
all patients during MRI testing.