[HN Gopher] How do MRI Headphones work? (2022)
       ___________________________________________________________________
        
       How do MRI Headphones work? (2022)
        
       Author : kbf
       Score  : 80 points
       Date   : 2024-03-25 13:39 UTC (1 days ago)
        
 (HTM) web link (tomlingham.com)
 (TXT) w3m dump (tomlingham.com)
        
       | riffic wrote:
       | tldr it's a pneumatic tube like a stethoscope. these used to be
       | used within aircraft as well for inflight entertainment.
        
         | lxgr wrote:
         | I've been on an airplane that used these! I think it even had a
         | channel selector near the plug if I remember correctly (it's
         | been a while).
        
           | riffic wrote:
           | EDIT i'm wrong the speaker was inside the armrest.
           | 
           | I wouldn't be surprised if the channel selector wheel was a
           | simple mechanical acoustic coupler rotating to connect or cap
           | upstream source tubes. I remember it as well flying in the
           | late 80s or early 90s.
        
             | denton-scratch wrote:
             | > a simple mechanical acoustic coupler
             | 
             | I get what you're saying, and I think that's plausible. But
             | as far as I'm concerned, an _acoustic coupler_ is /was a
             | type of modem, into which you plugged an ordinary telephone
             | handset. You had to have a telephone that had hemispherical
             | mike and earphone; it didn't work with e.g. a trimphone.
             | Expected performance: 9,600 bits-per-second.
        
               | riffic wrote:
               | "coupling" then, whatevs.
               | 
               | lemme see if I can dig up a patent number for the channel
               | switcher wheel and put this pondering to rest.
               | 
               | seems the inventing corporation is still around haha
               | 
               | https://avidproducts.com/2023/12/08/celebrating-70-years-
               | of-...
        
           | throwway120385 wrote:
           | Yep right next to the ashtray.
        
           | ortusdux wrote:
           | I remember being able to select the pilot coms. I was nervous
           | on my first flight as a kid, and it was very calming to hear
           | the preflight checklist and ATC communication in the classic
           | pilot cadence. This was pre 9-11.
           | 
           | I did wonder on my last flight if I could use SDR & android
           | to listen in.
        
             | lxgr wrote:
             | You can just use LiveATC on your phone these days, since
             | many flights now have gate-to-gate Wi-Fi.
             | 
             | I think it's not allowed to actually operate a radio
             | receiver on an airplane in the us:
             | https://travel.stackexchange.com/questions/2322/can-i-
             | listen...
             | 
             | Some airlines might still have the "listen to ATC" feature
             | available, but in my experience, it's the pilots' decision
             | whether that's available or not, and I've only ever been
             | able to use it on a United flight once.
             | 
             | Sirius XM on JetBlue also has an "ATC channel", but I've
             | only ever heard silence there, and I'm not sure if that's a
             | similar thing (i.e. sourced locally), or just a random ATC
             | feed from somewhere in the country relayed via satellite.
        
         | doctorhandshake wrote:
         | I used to love trying to surreptitiously unplug my traveling
         | companions' headphones so I could blow into the end of the
         | tube. Never once pulled it off.
        
         | myfonj wrote:
         | > The sound is transported along the tube via air -- a very
         | simple solution. Though this also explains why they sound
         | absolutely terrible.
         | 
         | I see it is simple, but I wonder, would it be possible to use
         | different sound medium ("conductor")? Some liquid, water
         | perhaps? Would elasticity of the tube eat more signal than is
         | lost in the air? Too heavy? Leaky? Questions...
        
       | focusedone wrote:
       | This guy also has a post about the hierarchy of socks and
       | underwear which resonated with me.
       | 
       | https://tomlingham.com/articles/an-unfortunate-hierarchy-of-...
        
         | thisgoesnowhere wrote:
         | Interesting how different people's minds are.
         | 
         | I find the exact opposite problem, I go with old faithful over
         | new.
         | 
         | It's for this reason that when I put my clothes away I simply
         | take the stack of clothes in my dresser out, put all the fresh
         | stuff on the bottom, then put the clothes that were in the
         | drawer stuff on top.
         | 
         | I always grab the top sweater, t-shirt socks etc and I don't
         | think about it at all.
        
           | adolph wrote:
           | FILO is not the standard method of maintaining one's stock of
           | clothes? How else does a person mange wear leveling?
        
             | edward28 wrote:
             | Simply pop from the bottom of the dresser.
        
             | causi wrote:
             | You shouldn't. If you successfully manage wear leveling all
             | you've done is make sure you have to replace your whole
             | stock at the same time, as well as depriving yourself of
             | regular reminders of what new-ish clothes should look and
             | feel like, leading you to keep wearing worn-out clothes.
        
               | mnw21cam wrote:
               | With socks, wear levelling is actually really useful. I
               | tend to buy a whole rotation of identical black socks,
               | and then I don't need to pair them up individually. Also,
               | buying 15 pairs of socks in one go isn't going to break
               | the bank.
        
               | causi wrote:
               | But what's the use in that "useful"? When I pick up a
               | sock and it has holes, I throw it out. When the drawer
               | gets empty enough it can fit another package, I buy one.
               | What utility would come from worrying about when I used a
               | particular sock?
        
               | toast0 wrote:
               | It can be hard to find the same model sock when you need
               | to restock. Wear leveling and replacing them all at once
               | eliminates difficulty with matching. Also, if you don't
               | wear level, you may have one new sock and one worn sock,
               | and that can be weird.
        
               | JohnFen wrote:
               | > If you successfully manage wear leveling all you've
               | done is make sure you have to replace your whole stock at
               | the same time
               | 
               | I've been doing this for decades, but have never
               | encountered this problem. I think because of a
               | combination of the fact that I didn't buy my entire
               | wardrobe all at once to begin with and that different
               | clothes wear at different rates.
        
             | cyberax wrote:
             | My process:
             | 
             | 1. Buy ~15 copies of everything.
             | 
             | 2. Not think about what to wear! Everything is roughly the
             | same.
             | 
             | 3. Throw out everything every ~3 years. A couple of months
             | before that, start buying new models of clothes to find the
             | best one.
             | 
             | 4. Goto 1.
        
             | tonyarkles wrote:
             | Lol, since we're going down this road... my clothing ends
             | up getting stored more as a cache with an LRU policy. Every
             | 6 months or so the items at the bottom of the drawer get
             | assessed for eviction (donation). My favourite items are
             | always on top, less used items are easy to find, and the
             | unused items are easy to identify.
        
             | throwway120385 wrote:
             | I wear whatever makes me feel good.
        
         | roughly wrote:
         | There's a sci-fi book I read a while back that had as a plot
         | point an alien species that had algorithmically optimized its
         | decision-making processes so much that it was no longer
         | recognizably conscious. I think about that now and again when I
         | get a little too invested in some system or practice.
        
           | crashmat wrote:
           | Was it good? Do you have the title?
        
             | thescriptkiddie wrote:
             | they may be referring to blindsight by peter watts
        
             | pinko wrote:
             | Probably _Blindsight_ by Peter Watts
        
         | jjice wrote:
         | Ha this is great! I completely relate.
         | 
         | There was a YouTuber (WhiteBoy7thSt if anyone is familiar) I
         | watched over ten years ago now that came from very humble
         | beginnings, and when he started to make real money, his first
         | splurge (and one he stuck with) was new socks. When I say new
         | socks, I mean new socks most days, maybe even a new pair for
         | every day of the year. These were normal white socks, not any
         | nice wool socks, so it was still fairly cheap, but when he grew
         | up, they always had beaten, old socks.
        
           | hobs wrote:
           | This hits way too close to home. This was the thing I was
           | going to do when I was rich, and now that I make enough money
           | I barely even wear socks, lol.
        
         | lynx23 wrote:
         | Haha, funny. It was just yesterday that I listened to a german
         | kabarett recording which featured the fact that women are
         | driving consumerism. And he used the exact same example: "When
         | does he buy new clothes? When you tell him to! He would keep
         | his current set for a lot longer." (translated from memory)
         | 
         | Your linked article confirms the semi-humorous statement just a
         | day later.
        
         | layer8 wrote:
         | That's why I always buy a "full" rotation. :)
        
       | djhope99 wrote:
       | I thought these were a nice idea when I had my MRI the other day,
       | little did I know that I would barely be able to hear anything
       | over the noise of the MRI machine. Ear plugs were better, kept
       | out the noise of the MRI machine and let me drift into a trance.
        
         | dylan604 wrote:
         | What was your experience with the MRI like? Specifically, did
         | you "feel" it? I've had my knee scanned for ACL damage, and
         | have spoken to a few other acquaintances that have had scans as
         | well. We've all discussed having some sensation in the exact
         | part of the body being scanned. We all just happened to similar
         | sports based knee injuries. It was just the slightest of
         | tingling, but noticeable. Definitely not painful or anything
         | scary. Was it just psychosomatic? Very possibly, but it's
         | interesting that we all experienced it.
        
           | tgv wrote:
           | MRI can cause a tingling sensation. Apparently, it can be
           | quite noticeable when you make a loop, e.g. with your arms.
           | See peripheral nerve stimulation.
        
             | dylan604 wrote:
             | make a loop? wouldn't that require breaking the cardinal
             | rule of not moving during the scan?
        
               | green-salt wrote:
               | For my knee scans I could move into a position that was
               | comfortable for me which actually I think was arms folded
               | across my abdomen, but then you just do not move while
               | the imaging is happening, which will have a distinct
               | sound.
        
           | zrail wrote:
           | I have had an abdomen MRI. I definitely felt sensations when
           | the machine was doing particular sets of scans.
           | 
           | Also, I accidentally left my wedding ring on (I informed
           | them, they were not interested in the slightest). My right
           | felt hot during the scans. Not painful burning hot, but
           | warmer than body temp for sure.
        
             | dylan604 wrote:
             | I guess forgetting your gold ring in an MRI lets you know
             | it's not gold plating of a cheaper metal!
        
           | riahi wrote:
           | The RF pulses and field gradients can directly stimulate the
           | peripheral nerves. I have had involuntary muscle twitching
           | triggered by many pulse sequences. It's not unheard of. It
           | made me more sympathetic for patients who have motion in
           | images. It could be that the particular combination of pulse
           | sequence and their nerves don't jive and triggers movement.
           | 
           | Source: Radiologist (and personal experience in the bore)
        
         | caseyohara wrote:
         | I recently got an MRI and the technician asked me what I wanted
         | to listen to on the headphones. I said "Something relaxing, do
         | you have ambient music?". This turned out to be a terrible
         | choice; the music was so quiet I could barely hear it. Earplugs
         | would have been better. I had some in my pocket that I brought
         | but it was too late.
         | 
         | So after the claustrophobic panic subsided and I realized I was
         | left in there with nothing but the loud machine and my own
         | thoughts, I decided to listen to the machine as if it were
         | music.
         | 
         | I found it supremely hypnotic and trance-inducing, almost
         | meditative. I'm a big fan of deep and hypnotic techno, so the
         | rhythmic MRI sounds were right up my alley. I'd probably have
         | enjoyed it more with earplugs though.
        
           | jonah wrote:
           | When I had an MRI a few years ago, my conclusion about the
           | sound was "add a melody on top of that rhythm, and it would
           | go over quite well in an underground industrial music club in
           | an abandoned warehouse outside of Berlin."
           | 
           | I haven't looked to see if anyone has actually tried to make
           | music with the sound or not.
        
           | mb7733 wrote:
           | You're not alone. The "music" combined with the visual
           | sensory deprevation can be a trip. Some machines are
           | completely featureless on the inside and I've found it can
           | feel like I'm floating in a bit open space, not crammed into
           | a magnetic tube!
        
           | mcbain wrote:
           | I get an MRI Brain every three months. I usually opt out of
           | the piped music - mostly because it's either a bad choice by
           | the radiology techs or tuned to a generically awful radio
           | station - but the headphones lock into the head cradle so I
           | use them with earplugs underneath. I close my eyes and tune
           | out and try to not sleep (and twitch so they have to restart
           | the capture).
           | 
           | Some of the pulse sequences are rhythmic and I find the
           | entire thing somewhat meditative, but there are many other
           | places I'd rather be.
        
           | adrianmonk wrote:
           | > _I said "Something relaxing, do you have ambient music?".
           | This turned out to be a terrible choice; the music was so
           | quiet I could barely hear it._
           | 
           | That was a golden opportunity to experience ambient music in
           | the most historically authentic way possible!
           | 
           | Listen to Brian Eno's story of what inspired his 1978 album,
           | "Ambient 1: Music for Airports":
           | 
           | https://www.synthtopia.com/content/2016/01/05/brian-eno-
           | tell...
        
       | cuonic wrote:
       | They also use a similar mechanism for the "get me out of here
       | ASAP" panic button [0] that staff place in your hand and tell you
       | to squeeze if required, all it does is detect a change in air
       | pressure on the other end of the tubing.
       | 
       | [0] https://www.mriequip.com/store/pc/MRI-Non-Magnetic-
       | Magnalarm...
        
         | DennisP wrote:
         | My house came with a button like that for the garbage disposal.
         | Previous owner didn't like the idea of using an electrical
         | switch with wet hands.
        
       | FriedPickles wrote:
       | I was intrigued to see a lady at the crosswalk the other day
       | wearing earbuds with thick tubing instead of wires. Googling it,
       | I discovered they were "EMF free headphones". Apparently enough
       | people think electromagnetic radiation in the ears is a problem
       | that there are now dozens of these headphones on the market that
       | put the driver half way along the cord, with tubes proceeding to
       | the earpiece.
        
         | edward28 wrote:
         | It would be a real shame if EMF could propagate.
        
           | 77pt77 wrote:
           | As long as it's slowly maybe you can catch it.
           | 
           | It it was at the speed of light we might have a problem.
        
         | gumby wrote:
         | To be fair, EMF is 1/r^2 so the transducers (speakers) are
         | indeed far from the ear. Not that they need to be, but...
        
         | jollyllama wrote:
         | They're also more durable; i.e. resistant to running over the
         | tube portion with a chair.
        
         | Aurornis wrote:
         | > Apparently enough people think electromagnetic radiation in
         | the ears is a problem
         | 
         | Even Andrew Huberman, one of the most popular health science
         | podcasters, has dabbled into anti-EMF quackery. On one podcast
         | he claimed that his Bluetooth headphones produced notable "heat
         | effects", implying that the electromagnetic energy was enough
         | to produce palpable heat in his body.
         | 
         | It's obviously placebo effect to the extreme (physically
         | impossible given the amount of RF energy) but nevertheless he
         | made the claim. Millions of people listen to that podcast.
         | 
         | Of course, people are catching on that Andrew Huberman isn't
         | really a good source of scientific information (nor really a
         | good person, given recent revelations) but the damage is done.
        
           | saberience wrote:
           | What are the recent revelations you're referring to?
        
       | snakeyjake wrote:
       | >The only headphone tech that I was aware of or that I'd ever
       | really considered
       | 
       | I guess I'm old now because this style of headphone was present
       | on every model of passenger aircraft in the sky when I was a
       | young adult.
        
         | mlfreeman wrote:
         | I remember putting my ear up to the little holes and faintly
         | hearing the audio even without anything plugged in.
        
         | treve wrote:
         | I've never heard this before! When I started flying it was just
         | the 2 mono jacks that you still see on planes that haven't been
         | updated (always wondered why it wasn't just a stereo jack)
         | 
         | Pretty surprising to hear there's air/sound tubes rigged on to
         | every seat on a plane.
         | 
         | Seems like the sound tubes ended in the 70's:
         | https://apex.aero/articles/sound-tube-surprising-history-air...
        
           | riffic wrote:
           | the inventing company is still around
           | 
           | https://avidproducts.com/2023/12/08/celebrating-70-years-
           | of-...
           | 
           | apparently the speaker was in the armrest.
        
           | ben1040 wrote:
           | I flew some overseas trips on Delta 767s in the late 1990s
           | that still had the tube headphones. I was pretty intrigued by
           | the concept, you could hold your hand up to the tube holes in
           | the arm rest and hear the music echo off your hand.
           | 
           | Either on the headphones themselves or in the little overwrap
           | bag there was a note to leave them on the aircraft when you
           | deplane, because they (obviously) wouldn't work elsewhere.
        
           | JohnFen wrote:
           | > Seems like the sound tubes ended in the 70's
           | 
           | I was still encountering them in the early '90s, although by
           | that time they had become uncommon.
        
         | jmspring wrote:
         | This is certainly one of those things that has changed. I
         | remember them too. A different era in flying.
        
         | astrodust wrote:
         | Twelve channels of the weirdest and/or lamest music you'd ever
         | heard in your life, all in a faint, tinny form that makes AM
         | radio sound audiophile quality.
        
           | projektfu wrote:
           | And, if you're lucky on a longer flight, the audio to a film
           | selected to be inoffensive to everyone on the aircraft.
        
         | nessus42 wrote:
         | When I was a kid, I once brought a stethoscope with me on the
         | airplane so that I could watch the movie for free. (Or rather
         | listen to it.) I pulled off the heart-listening cup part of the
         | stethoscope and inserted beverage straws into the rubber
         | tubing. Then I put one straw into each of the two little holes
         | in the armrest.
         | 
         | It worked perfectly! Until a stewardess caught me and made me
         | stop.
        
         | vidarh wrote:
         | The only passenger aircraft I've ever encountered this on in 39
         | years of flying regularly were domestic US flights up until
         | ~2000 or so. To the point where it's still a story I tell about
         | the ridiculous levels of penny-pinching of US airlines (United
         | wanted $5 to rent a plastic tube to let you listen to the
         | inflight entertainment, with no way to plug in your own).
        
           | AnotherGoodName wrote:
           | It was united that I most recently encountered this too. It
           | was 2005ish and they flew a 747 with pull down theatre
           | screens and pneumatic headphones on an australia-us flight.
           | 
           | Not sure if that was the backup plane or they were just
           | desperately holding out to upgrade the fleet.
           | 
           | Having said that anyone that flew just over 30 years ago
           | would have likely used pneumatic headphones and watched on a
           | shared pulled down theatre screen. It was the norm not that
           | long ago.
        
             | vidarh wrote:
             | Shared screens was the norm in Europe too, but pneumatic
             | headphones is something I've never seen on a European
             | carrier at all - not at all ruling out some might use them,
             | after all, there are many of them and I've by no means
             | flown them all. I wonder, though if it's another case of
             | tech that may have been skipped by airlines that e.g.
             | didn't add inflight entertainment as early as others and so
             | got to "skip ahead" a generation. Most of the European
             | airlines I'd have flown with while younger would have
             | predominantly flown short-haul flight where inflight
             | entertainment might have not been a priority until fairly
             | recently.
        
         | typhonic wrote:
         | I'm thinking I'm old too because I grew up with telephones that
         | had crystal earphones connected with non-magnetic copper wire.
        
         | dusted wrote:
         | I recall those being the standard for publci headphones
         | everywhere, on planes, busses and hospitals
        
       | lynx23 wrote:
       | Ahh, memories. Roughly 20 years ago, I took part in a research
       | experiment which had as its aim to figure out which brain areas
       | were involved when a blind person reads Braille. TL;DR: They had
       | a hypothesis, which was mostly confirmed. It happens in the
       | visual cortex. Anyways, back then, MRI was still newish tech.
       | FMRI wasnt used much in typical medical settings, but for
       | research. As part of the deal, the MRI technicians did share a
       | lot of gossip and random knowledge during the rather long
       | preparation times. Long story short, this is when I learnt about
       | the tubed earphones. And all the other mechanisms which were
       | constructed to transport the braille strip wthout operating a
       | real motor inside the magnetic field... Was almost worth the 4
       | hours of having to absolutely lie still...
        
       | koliber wrote:
       | Completely tangential story. A few months back I was getting an
       | MRI. I stashed my belt, coins, keys, and phone. The machine
       | started its clicking and thumping when I realized I had my
       | wedding band on my ring finger. Immediately my mind raced to a
       | video I once saw of an MRI machine propelling a fire extinguisher
       | across the room. I braced for my finger to be torn off while I
       | slowly took the wedding band off using only one hand. Luckily it
       | stayed put through the whole scan and nothing happened.
        
         | randlet wrote:
         | If it was ferromagnetic you would likely feel it tugging as you
         | got close to the magnet. Gold, silver, titanium are ok in MRI.
         | However, next time, the second you realize you have metal on
         | your person you should immediately inform the techs rather than
         | try to just hold onto it! Aside from the risk of injury, it can
         | be a real pain to get stuck items off the machine.
        
         | dessimus wrote:
         | I forgot to take my tungsten carbide wedding band off as well
         | for an MRI, nor did the MRI techs say anything. It was in the
         | middle of the MRI scan that I realized it was still on and then
         | my fingers on the ring hand kind of started to feel fairly
         | warm, but not certain it that was actually the ring picking up
         | magnetic energy or if it was psychosomatic, but no harm became
         | of it.
         | 
         | I looked it up afterwards and tungsten apparently as little to
         | no magnetic effects, but depending on the amount of carbon used
         | in it, it can.
        
         | phone8675309 wrote:
         | I work on software for MRI machines, and one of the first
         | things they do is high powered magnet safety training which is
         | mandatory for everybody.
         | 
         | Even non-ferromagnetic materials react to the high field
         | strength, and to show that, they let me hold a ring of aluminum
         | just outside the bore. You can feel it "snap" to either
         | parallel or perpendicular to the table when you try to turn it.
         | It was a surreal experience.
        
         | itishappy wrote:
         | Fun fact: metal being ripped away isn't the only negative
         | effect possible, it can also heat up and burn you! (Why did I
         | think this was fun again?)
         | 
         | https://www.sciencedirect.com/science/article/pii/S193004331...
         | 
         | https://www.washingtonpost.com/wellness/2023/07/26/mri-yoga-...
        
         | sp332 wrote:
         | I asked about mine, and they said it was fine for the 1.5-tesla
         | machine but they probably would have had me remove it for the
         | 3-tesla one. I did feel it pulsing, but not noticebly warmer.
        
         | typhonic wrote:
         | I got my third MRI after having a titanium plate put in my
         | neck, and wow was I more nervous that time than the earlier two
         | times. I made the tech let me test the panic button to prove it
         | worked. Of course there was no problem with the MRI.
        
       | denton-scratch wrote:
       | I haven't flown for many years; but I think I remember airline
       | headphones that were connected to the seat-handle with a hollow
       | plastic tube.
       | 
       | They were awful.
        
       | amelius wrote:
       | So they work like a stethoscope.
       | 
       | Would they sound better if they used a liquid instead of air for
       | the conduction?
        
         | noobermin wrote:
         | Probably not, recall how sounds sound underwater, they do not
         | sound like they do above it.
        
           | amelius wrote:
           | Sound underwater loses energy in all directions whereas sound
           | in a tube with water just propagates along the path.
        
       | timvdalen wrote:
       | I made the mistake of brining an episode of 99% Invisible to an
       | MRI. The sound quality is so bad that you barely can't make out
       | voices. It was excruciating to listen to something I could almost
       | understand for that time.
        
       | EnzymeFestival wrote:
       | What options exist for something superior? These headphones are
       | awful
        
         | astrodust wrote:
         | Stimulating the audio processing part of your brain directly
         | with the MRI machine.
        
       | DavidVoid wrote:
       | High-end headphone brand Audeze recently made an electrostatic
       | headphone that works in MRI machines.[1] No air tubes needed and
       | much better sound quality (and much more expensive).
       | 
       | [1]: https://www.audeze.com/blogs/audeze-journal/press-release-
       | fo...
        
       | anfractuosity wrote:
       | Interesting, sound kind of like a stethoscope.
       | 
       | I bought a kind of unusual type of headphone from aliexpress a
       | little while ago, that essentially consists of an induction loop
       | you wear round your neck and tiny magnets you put in your ear,
       | I'm somewhat scared to try them out as I don't especially want
       | them to get stuck in my ear.
        
       | birdman3131 wrote:
       | I must be from a different era because a cup and string was well
       | known as a kid as a way of transmitting sound. This is a very
       | similar process.
        
       | fluidcruft wrote:
       | One of my favorite ISMRM posters that I saw in Toronto years ago
       | was titled something like "a low-cost MRI-compatible
       | communication system". It was really well written and you had to
       | look at the photos to fully realize it was actually two Dixie
       | cups connected by a string.
        
       | jagged-chisel wrote:
       | > I'm not allowed to have any metals or magnetic materials on me.
       | 
       | Loose or easily dislodged materials. My belt buckle was ok to
       | keep on. Had to empty my pockets, take off my ring, metal
       | piercings are disallowed.
       | 
       | You don't want gobs of belongings piling up on your magnet, and
       | you don't want something large enough to pin the human between it
       | and the magnet. The first scenario is quite expensive to rectify.
       | The second is quite expensive, quite painful, probably fatal, and
       | certainly traumatic.
        
       ___________________________________________________________________
       (page generated 2024-03-26 23:01 UTC)