Magnetic Resonance Imaging 31 (2013) 778–782 Contents lists available at SciVerse ScienceDirect Magnetic Resonance Imaging journal homepage: www.mrijournal.com Evaluation of MRI artifacts at 3 Tesla for 38 commonly used cosmetics Kirin Escher a, Frank G. Shellock b,⁎ a b Biology Department, Loyola Marymount University, Los Angeles, CA, USA University of Southern California, Los Angeles and Institute for Magnetic Resonance Safety, Education, and Research, Los Angeles, CA 90045, USA a r t i c l e i n f o Article history: Received 16 July 2012 Accepted 4 November 2012 Keywords: Magnetic resonance imaging MRI artifacts MRI screening a b s t r a c t Purpose: To evaluate MRI artifacts at 3-Tesla for 38 commonly used cosmetics. Materials and Methods: Thirty-eight cosmetics (16, nail polishes; 5, eyeliners; 3, mascaras; 10, eye shadows; 1, lip gloss; 1, body lotion; 1, body glitter, and 1, hair loss concealer) underwent evaluation for MRI artifacts at 3-Tesla. The cosmetics were applied a copper-sulfate-filled, phantom and initially assessed using a “screening” gradient echo (GRE) pulse sequence. Of the 38 different cosmetics, 14 (37%) exhibited artifacts. For these 14 cosmetics, additional characterization of artifacts was performed using a GRE pulse sequence. A qualitative scale was applied to characterize the artifact size. Results: Artifacts were observed, as follows: 2, nail polishes; 5, eyeliners; 3, mascaras; 3, eye shadows; 1, hair loss concealer. Artifact size ranged from small (eye shadow) to very large (hair loss concealer) and tended to be associated with the presence of iron oxide or other metal-based ingredient. Conclusions: Commonly used cosmetics caused artifacts that may create issues if the area of interest is the same as where the cosmetic was applied or if its presence was unknown, thus, potentially causing it to be construed as pathology. Therefore, these findings have important implications for patients referred for MRI examinations. © 2013 Elsevier Inc. All rights reserved. 1. Introduction 2. Materials and methods Cosmetics, including eye makeup, nail polishes, body lotions, hair loss concealers and others, are frequently used to improve or enhance the appearance of the human body, without altering or affecting the body's structure or function [1]. Several reports have indicated that certain cosmetics, especially those containing iron oxide or “heavy metal particles”, can produce unwanted artifacts on magnetic resonance (MR) images [2–5]. Unfortunately, this information has been limited to eye makeup (e.g., mascara, eye shadow, and eye liner) and restricted to MR systems operating at 1.5 Tesla or less. Many other types of cosmetics may contain ingredients that cause artifacts on MR images and it is well known that artifacts are inherently larger in association with 3-Tesla MR systems [6–10]. Artifacts may create issues if the area of interest is the same as where the cosmetic was applied or if its presence was unknown to the interpreting radiologist, thus, potentially causing it to be construed as pathology [6,7]. Therefore, the purpose of this investigation was to evaluate MRI artifacts at 3 Tesla for a variety of commonly used cosmetics. 2.1. Cosmetics samples ⁎ Corresponding author. Tel.: +1 310 670 7095. E-mail address: frank.shellock@mrisafety.com (F.G. Shellock). 0730-725X/$ – see front matter © 2013 Elsevier Inc. All rights reserved. http://dx.doi.org/10.1016/j.mri.2012.11.002 Thirty-eight commonly used cosmetics were selected for evaluation in this study. Table 1 summarizes the information (cosmetic type, name, brand, etc.) for the cosmetics that underwent assessment for artifacts, which included: 16, nail polishes; 5, eyeliners; 3, mascaras; 10, eye shadows; and 4, miscellaneous items (lip gloss, body lotion, body glitter, and hair loss concealer). An effort was made to select those readily available items that appeared to have metal-related components or “glitter” (22/38, 58%; Table 1). For example, of the sixteen nail polishes that underwent testing, 13 (81%) contained glitter. For the 10 eye shadows, 7 (70%) contained glitter. Both the body lotion and body glitter contained glitter. 2.2. Sample preparation Since each cosmetic that underwent testing is used on the surface of the body, this evaluation of artifacts involved applying a sample of each item to the surface of a copper-sulfate-filled phantom. Each nail polish was applied twice to a 2.54-cm × 2.54-cm removable adhesive square (Scotch Wallsaver Removable Mounting Square; 3M, St. Paul, K. Escher, F.G. Shellock / Magnetic Resonance Imaging 31 (2013) 778–782 779 Table 1 Thirty-eight commonly used cosmetics that underwent evaluation for artifacts at 3 Tesla. No. Cosmetic type Name Nail Polish 1 Nail Polish Revlon Color Stay 2 3 4 5 6 Brand, company Revlon New York, NY Revlon.com Nail Polish Revlon Color Stay Revlon New York, NY Revlon.com Nail Polish (glitter) Revlon Color Stay Revlon (Revlon, Revlon.com) New York, NY Revlon.com Nail Polish (glitter) Revlon Top Speed Revlon New York, NY Revlon.com Nail Polish Shatter by OPI O.P.I. Products, Inc. North Hollywood, CA Nail Polish (glitter) Confetti: Long Wearing Confetti Nail Color MBA Beauty Inc. Stuart, FL 7 Nail Polish (glitter) Milani: Jewel FX Milani Cosmetics, USA 8 Nail Polish (glitter) O.P.I Nail Lacquer 9 Nail Polish (glitter) Layla Magneffect O.P.I Products Inc. North Hollywood, CA Layla Cosmetics Milano, Italy 10 Nail Polish (glitter) O.P.I Nail Lacquer OPI Products, Inc. O.P.I Products Inc. North Hollywood, CA 11 Nail Polish (glitter) Confetti: Long Wearing Confetti Nail Color MBA Beauty Inc. Stuart, FL 12 Nail Polish (glitter) Layla Mageneffect Layla Cosmetics Milano, Italy 13 Nail Polish (glitter) Revlon 14 Nail Polish (glitter) SensatioNAIL Gel Nail Polish 15 Nail Polish (glitter) SensatioNAIL Gel Nail Polish 16 Nail Polish (glitter) Sally Hansen: GEM Crush Revlon New York, NY Revlon.com Nailene Pacific World Corp. Lake Forest, CA Nailene Pacific World Corp. Lake Forest, CA Sally Hansen Coty US LLC New York, NY Eye Liner 1 Eyeliner- pencil 2 Eyeliner- crayon 3 Eyeliner- crayon 4 Eyeliner- pencil 5 Eyeliner- liquid Mascara 1 Mascara 2 Mascara Line Express Eyeliner Maybelline LLC New York, NY Perfect Point Plus eye pencil Covergirl Proctor and Gamble Hunt Valley, MD Extra-Intense liquid L'Oreal Paris pencil eyeliner L'Oreal USA Inc. New York, NY Brow and Eyemakers Covergirl Proctor and Gamble Hunt Valley, MD Ultra Liner, Liquid Liner Maybelline LLC New York, NY (waterproof) Color Artifact results Coastal Surf (170) Aluminum calcium sodium silicate, Calcium Aluminum. ⁎May contain: iron oxide, titanium dioxide, ferric ferrocyanide Fall Mood (140) Aluminum calcium sodium silicate, Calcium Aluminum. ⁎May contain: iron oxide, titanium dioxide, ferric ferrocyanide Amethyst (240) Aluminum calcium sodium silicate, Calcium Aluminum. ⁎May contain: iron oxide, titanium dioxide, ferric ferrocyanide Glitz and Glam Ethyl Acetate, Butyl Acetate, Silica, (530) Dimethicone, and others. ⁎May contain: Mica, Titanium Dioxide, Iron Oxides Red Shatter Glycol/Trimellitic anhydride copolymer, silica Tahitian Turquoise Ethyl Tosylamide. ⁎May contain: tin oxide, (065) titanium oxide, black iron oxide, red iron oxide, red #34 Calcium Lake, aluminum powder, yellow #5 Aluminum Lake Lavender (581) Glycol/Trimellitic anhydride copolymer, silica. ⁎May contain: ferric ferrocyanide, iron oxide, titanium dioxide, aluminum powder Lemonade Stand By Glycol/Trimellitic anhydride copolymer, Your Man (NL D22) silica Blue Grey Flow (03) Glycol/Trimellitic anhydride. ⁎May contain: iron powder, paraffinum liquidum, iron oxides, titanium dioxide Glycol/Trimellitic anhydride copolymer, Rainbow silica, triphenyl phosphate Connection (HL C09) Ice Ice Baby (005) Glycol/Trimellitic anhydride copolymer, triphenyl phosphate. ⁎May contain: tin oxide, titanium oxide, black iron oxide, red iron oxide, red #34 Calcium Lake, aluminum powder, yellow #5 Aluminum Lake Silver Galaxy Glycol/Trimellitic anhydride. ⁎May contain: [11] iron powder, paraffinum liquidum, iron oxides, titanium dioxide Radiant (441) Aluminum calcium sodium silicate. ⁎May contain: iron oxide, titanium dioxide, ferric ferrocyanide Espresso Bean Trimethylbenzoyl diphenylphosphine (71595) oxide, carbon black, dimethacrylate None None None None None None None None Moderate None None Large None None Purple Orchid (71597) Trimethylbenzoyl diphenylphosphine oxide, carbon black, dimethacrylate None Cha-Ching (02) Glycol/Trimellitic anhydride, triphenyl phosphate None Ebony Black (901) Methyl methacrylate crosspolymer, silica. ⁎May contain: iron oxides, titanium dioxide, ferric ammonium ferrocyanide Iron oxides. ⁎May contain: titanium dioxide, chromium hydroxide and oxide, ferric ferrocyanide ⁎May contain: iron oxides Large Black Onyx (200) Carbon Black (799) Midnight black (500) Black (301) XXL Pro by EyeSTUDIO: Maybelline LLC New York, NY 24 Hour Bold Intensite Very Black (581) The Colossal Volum’ Express Glam Black (240) Maybelline LLC New York, NY Ingredients Large Large Moderate Silica, iron oxides. ⁎May contain titanium dioxide, ferric ammonium ferrocyanide, chromium oxide greens May contain: iron oxides, titanium dioxides, Moderate chromium oxide greens, chromium oxide Silica. ⁎May contain: iron oxides, titanium dioxides, chromium oxide, ferric ferrocyanide Silica. ⁎May contain: iron oxides, titanium dioxides, chromium oxide, ferric ferrocyanide Large Large (continued on next page) 780 K. Escher, F.G. Shellock / Magnetic Resonance Imaging 31 (2013) 778–782 Table 1 (continued) No. Cosmetic type Name Brand, company Ingredients Artifact results 3 Organic Wear Jumbo Lash Mascara Organic Wear Black Organics Physician's Formula Inc. Azusa, CA (7353) Iron oxide, magnesium aluminum silicate Moderate NYX Glitter Cream Pallet NYX Los Angeles, Inc. Los Angeles, CA Sweet Chocolate Browns (09) None Mascara Eye Shadow 1 Eye Shadow (glitter) Color 2 Eye Shadow (glitter) NYX Glitter Cream Pallet NYX Los Angeles, Inc. Los Angeles, CA Royal Violets (07) 3 Eye Shadow (glitter) NYX Glitter Cream Pallet NYX Los Angeles, Inc. Los Angeles, CA Fresh Greens (08) 4 Eye Shadow (glitter) e.l.f.: eye lips face. Glitter eye e.l.f. Cosmetics Dist. By JA Cosmetics New York, NY Multiple 5 Eye Shadow (glitter) Expert Wear: Maybelline NY Maybelline New York, NY Charcoal Smokes (04Q) 6 Eye Shadow (glitter) EyeSTUDIO Maybelline Maybelline LLC New York, NY New York Blue Blowout (20) 7 Eye Shadow(glitter) Revlon Perle Revlon New York, NY Black Galaxy (045) 8 Eye Shadow- eye Medusa's Make-up dust Eye Shadow- eye Medusa's Make-up dust Eye Shadow- liquid Milani: Crystal Eyez. Sparkling Eye Shadow Medusa's Make Up Chicago, IL Medusa's Make Up Chicago, IL Milani Dist.Los Angeles, CA Penny Wise Acrylic copolymer, aluminum, amorphous silica. ⁎May contain: iron oxide yellow, iron oxide red, ferric ammonium ferrocyanide, manganese violet, titanium dioxide, chrome oxide green, iron oxide black Acrylic copolymer, aluminum, amorphous silica. ⁎May contain: iron oxide yellow, iron oxide red, ferric ammonium ferrocyanide, manganese violet, titanium dioxide, chrome oxide green, iron oxide black Acrylic copolymer, aluminum, amorphous silica. ⁎May contain: iron oxide yellow, iron oxide red, ferric ammonium ferrocyanide, manganese violet, titanium dioxide, chrome oxide green, iron oxide black Talc, zinc stearate, kaolin, paraffinium liquidum. ⁎May contain: iron oxides, manganese violet, titanium oxide Magnesium stearate, calcium sodium borosilicate, calcium aluminum borosilicate, tin oxide. ⁎May contain: titanium oxide, iron oxides, manganese violet, chromium hydroxide green, aluminum powder, bronze powder, ferric ammonium ferrocyanide Magnesium stearate, calcium aluminum borosilicate, paraffinum liquidum, aluminum hydroxide, tin oxide. ⁎May contain: iron dioxides, titanium dioxides, manganese violet, chromium oxide green, aluminum powder, copper powder, bronze powder Boron nitride, ploymethyl methacrylate, zinc stearate, silica. ⁎May contain: titanium dioxide, chromium oxide green, manganese violet Titanium dioxide Silverado Titanium dioxide Small Beautifully Brilliant (02) ⁎May contain: titanium dioxide, iron oxides, chromium oxides green, chromium hydroxides green, aluminum powder, ferric ferrocyanide None Maybelline LLCNew York, NY Cocoa Fever (50) Unknown None Pure and Basics Products Carson, CA Zinc Color (Unknown city and state) TC Plus Liminova Inc. Rancho Santa Fe, CA Opalescent Glitter Titanium Dioxide None 3D Silver Unknown None Black Copolymer, iron dioxides, silica Large 9 10 Miscellaneous 1 Lip Gloss 2 3 4 ShineSensational: Lip gloss/Brilliant Body Lotion Pure and Basic: Glitter(glitter) Up Body Lotion Body Glitter Zinc Color Multi (glitter) Purpose Glitter Hair Loss Concealer Top Coverage Plus Bald Spot Eraser None None None None None Large Small ⁎ Cosmetic ingredient information that states “May contain…” does not provide information regarding the specific ingredients that are listed. MN) and attached to the surface of the phantom for the assessment of artifacts. The mascara, eye liner, eye shadow, lip gloss, body lotion, and body glitter were applied to a 2.54-cm × 2.54-cm square area of paper tape (Micropore Tape; 3M, St. Paul, MN) and attached to the surface of the same copper sulfate-filled phantom, as indicated above. The hair loss concealer was sprayed on a 5-cm × 5-cm piece of white printing paper and allowed to dry for 4 hours. This paper was then attached to the surface of a copper-sulfate-filled phantom for the assessment of artifacts. 2.3. Determination of artifacts In order to efficiently determine which of the 38 cosmetic samples created an artifact at 3-Tesla, the cosmetics were initially assessed using a “screening” gradient echo pulse sequence. The following parameters were used, based on previous publications and the artifact document issued by the American Society for Testing and Materials (ASTM) International [8–11]: gradient echo (GRE) pulse sequence; repetition time, 100-msec; echo time, 15- K. Escher, F.G. Shellock / Magnetic Resonance Imaging 31 (2013) 778–782 msec; flip angle 30 o; matrix size, 256 × 256; section thickness, 10 mm; field of view, number of excitations, 2; bandwidth, 16 kHz. The GRE pulse sequence was selected for this project because it tends to have a great degree of artifact associated with it when MRI is performed on a metallic object and, thus, it represents an extreme MR imaging condition [8–11]. Section locations were obtained through each cosmetic that were selected from multiple “scout” MR images to identify possible artifacts as they were presented in the largest or worst case situation. For the cosmetics that showed artifacts, MRI was repeated using the same pulse sequence as before (GRE; repetition time, 100 msec; echo time, 15 msec; flip angle 30 o; matrix size, 256 × 256; section thickness, 10-mm; number of excitations, 2; bandwidth, 16 kHz) with the addition of selecting section locations through each cosmetic from multiple “scout” MR images to show the largest or worst-case artifact size. The imaging planes were oriented to encompass the long axis and short axis of each sample. The frequency encoding direction was parallel to the plane of imaging. The transmit/receive body RF coil (30-cm field of view) was utilized for these MRI artifact assessments, with the exception of the hair loss concealer, which used the transmit/receive head RF coil (26-cm field of view). The transmit/receive head coil was used for the hair loss concealer in order to simulate the conditions used if a patient with this cosmetic was undergoing an MRI examination of the brain. The image display parameters (i.e., window and level settings, magnification, etc.) were carefully selected and used in a consistent manner to provide valid representations of the artifact sizes [8–10]. While it is acknowledged that there are many possible MRI parameters that may be used to evaluate artifacts, this particular methodology has been utilized in many previous reports involving the characterization of artifacts for implants, devices, and materials [7–10]. A qualitative scale was applied to characterize the size of the artifact associated with each cosmetic using a careful visual inspection by the investigator, as follows: (a) None, no artifact; (b) Small, the artifact area was smaller than or the same size and shape of the sample; (c) Moderate, the artifact area was 25 to 75% larger than the size and shape of the sample; (d) Large, the artifact area was 76 to 100% larger than the size and shape of the sample; and (e) Very Large, the artifact area was greater than 101% of the size and shape of the sample. 3. Results Table 1 summarizes the artifact findings for the cosmetics. Artifacts were observed as areas of signal loss for 14 of the 38 Fig. 1. Artifacts associated with nail polishes (numbers correspond to the information in Table 1), #9 (right) artifact size, moderate and #12 (left) artifact size, large. 781 Fig. 2. Artifacts associated with eyeliners (numbers correspond to the information in Table 1)(bottom row, left to right): #5, artifact size, moderate; #4 artifact size, moderate; #3, artifact size, large; #2, artifact size, large; and #1 artifact size, large. Artifacts associated with mascaras (top row, left to right): #3, artifact size, moderate; #2, artifact size, large; and #1, artifact size large. cosmetics, as follows: 2, nail polishes (one with glitter); 5, eyeliners; 3, mascaras; 3, eye shadows (three with glitter); and 1, hair loss concealer. Artifacts tended to be associated with the presence of iron oxide or other metal-based ingredient. The artifact size ranged from small (two eye shadows) to very large (baldness concealer). Figs. 1 and 2 show examples of MR images of the artifacts for the nail polishes, eyeliners, and mascaras. Fig. 3 displays the MR image of the artifact for the hair loss concealer, which exhibited the greatest artifact size (i.e., very large) for the cosmetics that underwent testing. 4. Discussion Thirty-eight commonly used cosmetics were selected for evaluation in this study. An effort was made to select specific items that appeared to have metal-related components or “glitter”. Although, it should be noted that, glitter may be made from either small pieces of metallic or nonmetallic materials including aluminum foil, iron oxides, bismuth oxychloride, copolymer plastics, and other types of materials. Interestingly, of the 22 cosmetics that contained glitter, Fig. 3. Artifact associated with hair loss concealer: artifact size, very large. Note the substantial signal loss that exists below the surface of the copper-sulfate-filled phantom. 782 K. Escher, F.G. Shellock / Magnetic Resonance Imaging 31 (2013) 778–782 only three (two nail polishes and one eye shadow) exhibited artifacts on MRI. Unfortunately, the information presented in the labeling of the cosmetics with regard to the ingredients was somewhat problematic insofar as there was often a statement that the particular makeup “May contain….” certain compounds (e.g., iron oxide, iron dioxide, titanium oxide, etc.) that may have been responsible for the artifacts seen on MRI (Table 1). While every one of the cosmetics that showed artifacts had a metal-related ingredient listed, we were unable to obtain more accurate ingredient information that would have otherwise permitted a prediction with regard to which cosmetic was likely to cause artifacts. 4.1. Nail polishes To our knowledge, this is the first description of MRI artifacts found in association with nail polishes. Two out of 16 (12%) nail polishes demonstrated artifacts that were moderate and large, respectively. (Note: The nail polish that showed the large artifact (Layla Magneffect) was designed to react to the magnet on the cap, creating “three-dimensional designs in seconds”.) This information is interesting because 13 of these were “glitter” nail polishes or appeared to have a metallic appearance. Because the associated artifact may disrupt the diagnostic use of MRI if the area of interest is where the nail polish was applied (e.g., nail polish applied to toes and an MRI is needed to evaluate the neuropathic foot in diabetes mellitus), it would be prudent to thoroughly remove this cosmetic prior to conducting the MRI examination. doubtedly be unwilling to divulge the use of this product and surely not aware of the artifact issue. Accordingly, if an MRI technologist or radiologist observes a large signal void in a patient without a neurological metallic implant undergoing MRI of the brain, the possibility of hair loss concealer as being responsible for the artifact should be considered. 5. Conclusions and recommendations MRI testing performed on 38 commonly used cosmetics indicated that artifacts can be associated with certain types of makeup including nail polishes, eyeliners, mascaras, eye shadows, and even hair loss concealer. The extent of the artifact may impact the diagnostic use of MRI if the area of interest is the same as where the cosmetic was applied or if its presence was unknown to the interpreting radiologist, thus, potentially causing it to be construed as pathology. Therefore, as part of the pre-MRI screening procedure, consideration should be given to patient management with regard to this information and a procedure should be in place to prevent issues related to cosmetics. This may include advising patients before they arrive for MRI exams to thoroughly remove all cosmetics. Alternatively, it may be necessary to have makeup removal items available at the MRI facility to take off different types of cosmetics (e.g., nail polish remover). In the case of hair loss concealer, it is necessary for the patient to wash the area with shampoo in order to remove this product. Metal-based cosmetics may theoretically cause issues for patients due to the potential for MRI-related heating, however, that possible problem was not investigated during our study. 4.2. Eyeliners, mascaras, and eye shadows In the present investigation, each eyeliner (5/5), each mascara (3/3), and three of the 10 eye shadows created artifacts at 3 Tesla. The sizes of the artifacts ranged from small to large, which may impact MRI of the orbital area but are unlikely to interfere with routine head examinations because signal losses were localized to the respective cosmetic's application area. In previous studies, various types of eye makeup were reported to pose issues related to artifacts on MRI [2–5]. In some cases, as indicated by Weiss et al. [3], artifacts caused by eye makeup may mimic ocular disease such as ciliary body melanoma or cyst. Accordingly, a patient undergoing assessment of ocular or orbital regions should remove all forms of eye makeup (eyeliner, mascara, and eye shadow) to prevent impairing the diagnostic use of MRI [2–5,12]. 4.3. Miscellaneous cosmetics For the miscellaneous cosmetics, only the hair loss concealer produced an artifact, which was scored as “very large” in relation to the size of the sample that was evaluated (Fig. 3). This unexpectedly substantial artifact (probably related to the ingredients, “iron dioxides”) could compromise an MRI procedure involving the brain due to the “depth” of the associated signal loss. While it would be beneficial to identify a patient using this hair loss concealer before performing MRI of the brain, such a patient would un- References [1] Department of Health and Human Services, Office of Women's Health. http:// www.womenshealth.gov/publications/our-publications/fact-sheet/cosmeticsyour-health.cfm#c. [2] Smith FW, Crosher GA. 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