Last revised by Jeremy Jones on 19 Sep 2021

Ferromagnetic materials generally contain iron, nickel, or cobalt. These materials include magnets, and various objects that might be found in a patient, such as aneurysm clips, parts of pacemakers, shrapnel, etc. 

These materials have a large positive magnetic susceptibility, i.e. when placed in a magnetic field, the field strength is much stronger inside the material than outside. Ferromagnetic materials are also characterized by being made up of clusters of 1017 to 1021 atoms called magnetic domains, that all have their magnetic moments pointing in the same direction. The moments of the domains is random in non-magnetized materials, and point in the same direction in magnetized materials. 

Figure 1 illustrates the effect of a ferromagnetic material (grey circle) on the magnetic field flux lines (blue). 

The ability to remain magnetized when an external magnetic field is removed is a distinguishing factor compared to paramagnetic, superparamagnetic, and diamagnetic materials. 

On MR images, these materials cause susceptibility artifacts characterized by loss of signal and spatial distortion. This can even occur with fragments too small to be seen on plain x-ray. This is a common finding in a cervical spine MRI post anterior fusion or MRI knee post-arthroscopy.

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