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. 2022 Sep 19;57(1):25–44. doi: 10.1002/jmri.28408

TABLE 1.

Advantages and disadvantages of low‐field strength MRI relative to standard‐of‐care high‐field MRI

Advantages Details Implications
Lower cost
  • Cheaper to manufacture, purchase, install, and maintain

  • Increased access for clinical care or research

Smaller footprint
  • Magnets and other components are smaller and weigh less, no super cooling, less need for dedicated shielded room

  • Potential portability

  • Point of care use

Lower power
  • For permanent magnets only electronics and gradients need power, can use regular power outlets, generators, or batteries

  • Potential portability

  • Point of care use

Flexible bore configurations
  • C‐shaped, wider bore, single‐sided, and vertical orientation.

  • Decreased claustrophobia

  • Pediatric imaging

  • Intraoperative imaging

  • Tailored scanner designs

Safer
  • Less risk of metallic projectiles

  • Decreased specific absorption rate and device heating

  • Less risk of device interactions

  • Decreased acoustic noise

  • Potential portability

  • Point of care use

  • Intensive care unit integration

  • Image patients with devices or implants

  • Pediatric imaging

Relaxivity differences
  • Lower specific absorption rate

  • Shorter T1

  • Longer T2/T2*

  • Lower device heating and susceptibility artifact

  • Shorter radiofrequency pulses

  • Longer spin echo trains

Disadvantages Details Mitigation strategies
Lower signal
  • Lower SNR per unit time

  • Decreased resolution

  • Increased scan time

  • Decreased field of view

  • Less benefit from gadolinium

  • Signal averaging

  • SNR‐efficient acquisitions

  • Multiple acquisition planes

  • Undersampling

  • Deep learning reconstruction

  • Selecting appropriate clinical applications

Relaxivity differences
  • Reduced gray/white contrast

  • Less chemical shift (eg fast suppression)

  • Less benefit from gadolinium

  • Sequence optimization

  • Relaxivity efficient sequences

  • Increased gadolinium dose

  • Alternative contrast agents

  • Follow‐up high‐field imaging