MRI with Hyperacusis

Sen

Member
Author
Jan 13, 2013
574
Tinnitus Since
2012
Cause of Tinnitus
dunno
So the time has come that, like it or not, I might finally have to get an MRI. It will be several months of waiting before I'm able to get one, so I have a lot of time to prepare. I'm hoping that by then my unilateral symptoms go away and that I won't need one. They've gone away before and it's entirely possible that they're TMJD or TTTS related, in which case an MRI wouldn't be needed. They do seem to be slowly improving, although it's hard to say.

In the meantime, I'd like some of you to share your experiences. I know that they're loud. I will be wearing my strongest foam ear muffs inserted properly, and hopefully my X5A peltor muffs will fit on top of them.

I'm considering asking for full sedation, but I'm not sure if that's a great idea because I won't be able to abort if it becomes painful.

And just for the record, I'm looking for advice and experiences from people with hyperaciss as their primary complaint, not tinnitus. Thanks.
 
So the time has come that, like it or not, I might finally have to get an MRI. It will be several months of waiting before I'm able to get one, so I have a lot of time to prepare. I'm hoping that by then my unilateral symptoms go away and that I won't need one. They've gone away before and it's entirely possible that they're TMJD or TTTS related, in which case an MRI wouldn't be needed. They do seem to be slowly improving, although it's hard to say.

In the meantime, I'd like some of you to share your experiences. I know that they're loud. I will be wearing my strongest foam ear muffs inserted properly, and hopefully my X5A peltor muffs will fit on top of them.

I'm considering asking for full sedation, but I'm not sure if that's a great idea because I won't be able to abort if it becomes painful.

And just for the record, I'm looking for advice and experiences from people with hyperaciss as their primary complaint, not tinnitus. Thanks.

Maybe you can try to find the General Electric quiet MRI in your area. It is apparently less loud, but I have not tried it. Years back I had an MRI of my jaw and it was very painful and I had a big setback. I wished I hadnt done it as it didnt really show anything, and it is impossible to avoid damage. When you open your jaw the sound will hit you no matter if your ears are plugged. It hits through the open mouth. A normal MRI, I dont know.. but I guess if you have to do the test, the only thing you can do is being relaxed and wear double protection.

My hearing is worsening fast, and I am postponing my own MRI but it is very likely that I will have one in a year if I dont notice improvement. My plan is going for the GE quiet MRI machine (should be around 80-85 dbs, or so they say in their ads) and then wear double protection. Sedation is an option too, as it is easy to get very nervous with the loud sound and everything. Try to find an open MRI too, which is less claustrophobic.
 
Sen:

Is your MRI for a potentially life threathening condition? If so, that is not simple decision to make. But if you have the MRI and you get permanent disabling hyperacusis, what kind of life will that be?

I have never faced such a dilemma, but, without having done so, for whatever it is worth, I would opt theoretically to not have the MRI. Maybe a CT scan could help for your health problem. I was once offered an MRI for a potential mild stroke diagnosis, but I refused and opted for CT scan ,which is very quiet but not as effective diagnostically as an MRI. Better than nothing.

Good luck. I know it `s not easy to decide in such circumstances. Maybe we who are offering suggestions without actually experiencing your painful dilemma are just armchair quarterbacks, and are our opinions are worthless.

Marco
 
Here are two articles on quiet MRIs:

1)
QUIET MRI REDUCING ANXIETY FOR PEDIATRIC PATIENTS

Originally published on December 10, 2015
Most recently updated on May 13, 2016
Tags:
BOARDMAN, Ohio - Fourteen year-old Leon Daugherty II of East Liverpool is no stranger to MRI's.

"The first time I did this, it took us five and a half hours to get done," said Leon Daugherty II.

The first time Leon had an MRI performed on his brain was five years ago when he was diagnosed with a slow moving brain tumor that had wrapped around his optic nerve. He's had his fair share of MRI scans since then, tracking the tumor's progress. He learned at his most recently scan, he will have to undergo brain surgery for the second time in five years.

"Any muscle movement can distort the machine's sight and they will re-start the scan and some can be 15 minutes long. So, you mess that up twice, that is an extra half hour," said Daugherty.

Recognizing comfort leads to better scans, Akron Children's upgraded its MRI technology, minimizing the loud sounds that come from the machine by up to 97% with an application known as Quiet Suite.

"In an MRI scan, it is very, very important to have the patient be very, very still for a long period of time. And so, having that Quiet Suite technology really, really helps with that goal, keeping them still. The more still we can keep them, the better imaging we get, the more detailed imaging we can get," said radiologist Dr. Richard McDonald with Akron Children's Hospital Mahoning Valley.

The hospital says the new technology has resulted in less sedations and fewer re-scans, creating a more comfortable patient experience.

Click here for the original article.


TECHNOLOGY
2) GE's Silent MRI Scanner Has Hit The Market


Quiet scans for everyone!

By Shaunacy Ferro September 12, 2013



GEmri.jpg

MRI SCANNER

Courtesy GE Healthcare

MRI scanners do a good job of imaging the brain to help doctors find potential health problems. But the experience of actually sitting in one leaves something to be desired. Aside from being cramped and claustrophobic, MRI scanners can get LOUD.

Case in point, listen to this:

hqdefault.jpg

GE Healthcare says they're ushering in a future full of silent MRIs with Silent Scan, a new way to reduce noise in MRI scanning that just hit the commercial market. The press materials are a little coy about how this actually works, but say that it's a "radically new" way to acquire magnetic resonance data: "in combination with proprietary high-fidelity gradient and [radiofrequency] system electronics, noise is not merely dampened; it is virtually eliminated at the source."

GizMag explained it this way:

First, acoustic noise is essentially eliminated by using a new 3D scanning and reconstruction technique called Silenz. When the Silenz protocol is used in combination with GE's new high-fidelity MRI gradient and RF system electronics, the MRI scanning noise is largely eliminated at its source.

Basically, it's a software update that changes the way the scanner acquires the image.

According to GE, the typical MRI scanner generates 110 decibels of noise when it's hard at work, which is about the same noise level as a rock concert or a steel mill. One study found that certain MRI scanners could get up to 118 decibels at their loudest point. The Silent Scanner system, which reduces the volume of the scanner to normal background noise levels, quiet enough to have a conversation over. It's now commercially available in their 1.5T and 3.0T scanners (the T refers to the unit tesla, the way to measure the strength of a magnetic field), and has been used in a hospital in Grand Rapids, Mich.

Listen to GE's simulation, compared to the one above.


Marco
 
The MRI model in my town is GE Optima MR450W. Does anyone have any decibel information on this?
 
GE is not the most silent one - its only silent in some scan sequences for brain scan not the regular high power scans for deep tissues

thats because they only did software improvements not hardware ones

TOSHIBA has a patented hardware noise reduction configuration and their VANTAGE series is the quietest in the world for each type of scan

I had a MRI myself on the VANTAGE GALAN 3T a month ago, but any Vantage model will be fine with ear plugs as its maybe 80 - 85 db max.

Not quiet but the best you can get at this time.

call a Toshiba Medical sales office in your country and they should provide a list of clinics equipped with these models so you can book the right place

you cannot wear ear muffs with metal parts inside of course, and even all plastic muffs create image noise ina 3T machine. Only ear plugs. I had my solid silicone plugs.

I did extensive searches, talking to different MRI operators in various hospitals.
The docs only look at the scans and are not familiar with the machine itself or noise levels
 
@Sen Did you have your MRI already or still waiting. To give you some reassurance: I have had MRI done twice this year and in both cases it didn't bring any setbacks or worsening of tinnitus. By default, you are equipped with earplugs and on one occasion they gave me also ear muffs. I have reactive tinnitus and hyperacusis.

PS. I've read that you mostly recovered from a major setback. Any further progress since July?
 
@Sen Did you have your MRI already or still waiting. To give you some reassurance: I have had MRI done twice this year and in both cases it didn't bring any setbacks or worsening of tinnitus. By default, you are equipped with earplugs and on one occasion they gave me also ear muffs. I have reactive tinnitus and hyperacusis.

PS. I've read that you mostly recovered from a major setback. Any further progress since July?
No, I haven't had an MRI yet. My family doctor did some basic clinical testing based on the symptoms I told him and he doesn't see any real need to get one. I had audiological testing and my hearing loss is the same as it was 5 years ago as well, so there's no evidence of a growing acoustic neuroma. There is still a chance I will get an MRI in the future, but my doctors and I don't see it as necessary at the moment.

My hyperacusis is frequently up and down, especially as I taper from benzodiazepines (getting really close to being off completely, only a few more months to go). In the beginning of October it was so bad I couldn't watch TV, but that setback has improved and I can watch TV again at lower volumes. I still suffer from ear fullness, head pressure and bizarre facial symptoms. They are also up and down. It is hard to tell if they are related to noise or if they are caused by something else, like TMJD.
 
Here are two articles on quiet MRIs:

1)
QUIET MRI REDUCING ANXIETY FOR PEDIATRIC PATIENTS

Originally published on December 10, 2015
Most recently updated on May 13, 2016
Tags:
BOARDMAN, Ohio - Fourteen year-old Leon Daugherty II of East Liverpool is no stranger to MRI's.

"The first time I did this, it took us five and a half hours to get done," said Leon Daugherty II.

The first time Leon had an MRI performed on his brain was five years ago when he was diagnosed with a slow moving brain tumor that had wrapped around his optic nerve. He's had his fair share of MRI scans since then, tracking the tumor's progress. He learned at his most recently scan, he will have to undergo brain surgery for the second time in five years.

"Any muscle movement can distort the machine's sight and they will re-start the scan and some can be 15 minutes long. So, you mess that up twice, that is an extra half hour," said Daugherty.

Recognizing comfort leads to better scans, Akron Children's upgraded its MRI technology, minimizing the loud sounds that come from the machine by up to 97% with an application known as Quiet Suite.

"In an MRI scan, it is very, very important to have the patient be very, very still for a long period of time. And so, having that Quiet Suite technology really, really helps with that goal, keeping them still. The more still we can keep them, the better imaging we get, the more detailed imaging we can get," said radiologist Dr. Richard McDonald with Akron Children's Hospital Mahoning Valley.

The hospital says the new technology has resulted in less sedations and fewer re-scans, creating a more comfortable patient experience.

Click here for the original article.


TECHNOLOGY
2) GE's Silent MRI Scanner Has Hit The Market


Quiet scans for everyone!

By Shaunacy Ferro September 12, 2013



View attachment 13700
MRI SCANNER

Courtesy GE Healthcare

MRI scanners do a good job of imaging the brain to help doctors find potential health problems. But the experience of actually sitting in one leaves something to be desired. Aside from being cramped and claustrophobic, MRI scanners can get LOUD.

Case in point, listen to this:

View attachment 13701
GE Healthcare says they're ushering in a future full of silent MRIs with Silent Scan, a new way to reduce noise in MRI scanning that just hit the commercial market. The press materials are a little coy about how this actually works, but say that it's a "radically new" way to acquire magnetic resonance data: "in combination with proprietary high-fidelity gradient and [radiofrequency] system electronics, noise is not merely dampened; it is virtually eliminated at the source."

GizMag explained it this way:

First, acoustic noise is essentially eliminated by using a new 3D scanning and reconstruction technique called Silenz. When the Silenz protocol is used in combination with GE's new high-fidelity MRI gradient and RF system electronics, the MRI scanning noise is largely eliminated at its source.

Basically, it's a software update that changes the way the scanner acquires the image.

According to GE, the typical MRI scanner generates 110 decibels of noise when it's hard at work, which is about the same noise level as a rock concert or a steel mill. One study found that certain MRI scanners could get up to 118 decibels at their loudest point. The Silent Scanner system, which reduces the volume of the scanner to normal background noise levels, quiet enough to have a conversation over. It's now commercially available in their 1.5T and 3.0T scanners (the T refers to the unit tesla, the way to measure the strength of a magnetic field), and has been used in a hospital in Grand Rapids, Mich.

Listen to GE's simulation, compared to the one above.


Marco
I had a brain and neck MRI today using the silent scan. IT WAS NOT SILENT. That name is a monomer. It should be called reduced sound, but most scan sequences were well above 4 decibels over ambient sound. Some were very loud and I was wearing ear plugs along with having them pack the side of my head and ear area with padding to further block the sounds. I don't know how GE can get away with such blatant false advertising.
 
No, I haven't had an MRI yet. My family doctor did some basic clinical testing based on the symptoms I told him and he doesn't see any real need to get one. I had audiological testing and my hearing loss is the same as it was 5 years ago as well, so there's no evidence of a growing acoustic neuroma. There is still a chance I will get an MRI in the future, but my doctors and I don't see it as necessary at the moment.

My hyperacusis is frequently up and down, especially as I taper from benzodiazepines (getting really close to being off completely, only a few more months to go). In the beginning of October it was so bad I couldn't watch TV, but that setback has improved and I can watch TV again at lower volumes. I still suffer from ear fullness, head pressure and bizarre facial symptoms. They are also up and down. It is hard to tell if they are related to noise or if they are caused by something else, like TMJD.

I saw it is an old post. So I am wondering, did you have the MRI?
 
@Juan Do you plan to scan your head with MRI? I wanted to scan my head/ears but I'm scared of the loud sounds...

I thought about it but I have had several CAT scans over the years and all of them came out clean. Doctors sometimes refer to the possibility of an MRI to have "a complete study" but they dont really think it is going to show much more, so I dont know what to do.

Also, my personal feeling is doctors are dealing in a different way with hyperacusic patients lately. They dont want to know anything at all about this, as they feel they wont be able to help, and any potential treatment or dubious surgery may make more harm than good.
 
So the time has come that, like it or not, I might finally have to get an MRI. It will be several months of waiting before I'm able to get one, so I have a lot of time to prepare. I'm hoping that by then my unilateral symptoms go away and that I won't need one. They've gone away before and it's entirely possible that they're TMJD or TTTS related, in which case an MRI wouldn't be needed. They do seem to be slowly improving, although it's hard to say.

In the meantime, I'd like some of you to share your experiences. I know that they're loud. I will be wearing my strongest foam ear muffs inserted properly, and hopefully my X5A peltor muffs will fit on top of them.

I'm considering asking for full sedation, but I'm not sure if that's a great idea because I won't be able to abort if it becomes painful.

And just for the record, I'm looking for advice and experiences from people with hyperaciss as their primary complaint, not tinnitus. Thanks.
Well as someone with tinnitus and hyperacusis, the MRI scan for me was one of the most agonising experiences I've had so far... that and having to deal with tinnitus so... depends how sure you are it could help... I wouldn't do another one that's for sure.
 
Well as someone with tinnitus and hyperacusis, the MRI scan for me was one of the most agonising experiences I've had so far... that and having to deal with tinnitus so... depends how sure you are it could help... I wouldn't do another one that's for sure.

Did your MRI reveal anything that may have caused the hyperacusis?
 
Are you doing better bud?

Not really. I am having more trouble hearing in situations with a noisy background. Hyperacusis of course is less evident than when it started, because I have some hearing loss now, that is progressing. I do more things, but it is hard to keep in high spirits because on the long run the prospect is just bad.

It is like I hear sounds but I dont really understand them well, so I have to concentrate hard to understand and it is very tiring.

Very loud sounds still kill my ears. It is super weird because I dont even hear them that loud, but these are loud sounds, softened by my hearing loss. An example: I was driving with earplugs and someone honked super loud next to my car. Ears killed for 2 weeks and counting..
 
Not really. I am having more trouble hearing in situations with a noisy background. Hyperacusis of course is less evident than when it started, because I have some hearing loss now, that is progressing. I do more things, but it is hard to keep in high spirits because on the long run the prospect is just bad.

It is like I hear sounds but I dont really understand them well, so I have to concentrate hard to understand and it is very tiring.

Very loud sounds still kill my ears. It is super weird because I dont even hear them that loud, but these are loud sounds, softened by my hearing loss. An example: I was driving with earplugs and someone honked super loud next to my car. Ears killed for 2 weeks and counting..

I have H as well ,it sucks it has been a year and 4 months with H for me. I got it after doing caloric test (Ear syringing) and CVEMP (100db loud ear test) which damaged hearing in both ears. T has been good and bad, most days its good but H is just kicking my ass
 
I have H as well ,it sucks it has been a year and 4 months with H for me. I got it after doing caloric test (Ear syringing) and CVEMP (100db loud ear test) which damaged hearing in both ears. T has been good and bad, most days its good but H is just kicking my ass

Your hyperacusis is very recent. Maybe it can settle a little, but be very careful with loud noise. In the long run if hyperacusis is caused by accoustic trauma there is a fat chance that it gets worse, but in your case there may be hope.

I have known people that got deaf years after being exposed to really loud noise, like a box of firecrackers exploding and stuff like that. These people thought at the beginning that this was no big deal and, although they felt pressure, hearing los and all the usual temporary symptoms inmediately after the first noise exposure. They carried on with life, and in the end this hearing offence shows up, ears are weakened somehow and there is a point when hearing just drops quickly, this is usually triggered by new loud noises, but this time these are noises that normal ears can bear.

So how hyperacusis may evolve and whether it gets better is really a matter of luck for the most part.
 
Your hyperacusis is very recent. Maybe it can settle a little, but be very careful with loud noise. In the long run if hyperacusis is caused by accoustic trauma there is a fat chance that it gets worse, but in your case there may be hope.

I have known people that got deaf years after being exposed to really loud noise, like a box of firecrackers exploding and stuff like that. These people thought at the beginning that this was no big deal and, although they felt pressure, hearing los and all the usual temporary symptoms inmediately after the first noise exposure. They carried on with life, and in the end this hearing offence shows up, ears are weakened somehow and there is a point when hearing just drops quickly, this is usually triggered by new loud noises, but this time these are noises that normal ears can bear.

So how hyperacusis may evolve and whether it gets better is really a matter of luck for the most part.

What caused yours?
 
Do NOT have the MRI done!!

I have heard it is way too loud. Ask whether a CT scan would do if your problem is brain related only. I had a CT scan done for a possible stroke once and it was very quiet and short.

Now of course if this a life and death situation, your decision is harder. All I know is that an MRI would probably flip me into permanent extreme hyperacusis and that, personally, would kill me anyway. I hope I never get into that situation, so as to have to make these tough decisions.

Marco
 
@Juan MRI is very loud. There are different types of MRI however which are not so loud, the open MRI, but their scan is very weak compared to the standard models. I had an appointment to scan my head/ears in open MRI but the doctor was fair and told me that it will show nothing at all, since their scan is very weak compared to closed MRI. It's good for the brain for example, but in this case it's worthless since the nerves of the ears are deep inside our head.

There is one type of closed MRI which is not so loud however. The Toshiba models. I think that they're much quieter, somewhere around 70 dB while all other models are 106-115 dB. I can't find any of them here in my country but I'm sure that in U.S.A you can find some Toshiba models...
 
@dpdx I think that I'm slowly dying. It's an everyday torture, constant burning pain deep inside my ear canal. It doesn't matter if I'm exposed to low level, high level of sounds or if I'm in complete silence, the result is always the same, constant pain 24/7 in a day.

I think that trigeminal neuralgia has some part in this misery. I know a lot of hyperacusis sufferers who have a pain only after a sound but don't have it while they are in silence. I will ask my neurologist to prescribe me gabapentin, it's my last hope since no other painkiller is helping me whatsoever...

How are you?
 
@dpdx I think that I'm slowly dying. It's an everyday torture, constant burning pain deep inside my ear canal. It doesn't matter if I'm exposed to low level, high level of sounds or if I'm in complete silence, the result is always the same, constant pain 24/7 in a day.

I think that trigeminal neuralgia has some part in this misery. I know a lot of hyperacusis sufferers who have a pain only after a sound but don't have it while they are in silence. I will ask my neurologist to prescribe me gabapentin, it's my last hope since no other painkiller is helping me whatsoever...

How are you?
@Marko Nakovski did gabapentin helped?
 
@Juan MRI is very loud. There are different types of MRI however which are not so loud, the open MRI, but their scan is very weak compared to the standard models. I had an appointment to scan my head/ears in open MRI but the doctor was fair and told me that it will show nothing at all, since their scan is very weak compared to closed MRI. It's good for the brain for example, but in this case it's worthless since the nerves of the ears are deep inside our head.

There is one type of closed MRI which is not so loud however. The Toshiba models. I think that they're much quieter, somewhere around 70 dB while all other models are 106-115 dB. I can't find any of them here in my country but I'm sure that in U.S.A you can find some Toshiba models...
For some reason I didn't get an alert about your message. Anyway, I think the loudness of the MRI machine depends on the image quality the technician looks for. I seriously doubt there is any MRI machine on the market that produces high quality images with a noise level at 70 dB. I think that may be the noise for the quietest machine set at the worst image quality, where many conditions and health issues cannot be identified because of the low quality images.
 

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