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Published on: February 19, 2021
[Risks associated with MRI: safety rules, incidents, and accidents]
E de Kerviler1, C de Bazelaire, O Mathieu
1Service de Radiologie, Hôpital Saint-Louis, Claude-Vellefaux, Paris. eric.de-kerviler@sls.aphp.fr
Abstract:
It is now accepted that MR imaging does not present any biological risk for humans, even in cases of repeated exposure. However, several of the MR components (magnetic field, gradients, RF pulses, electrodes...) may cause some inconveniences to patients, most of them being reversible. However, severe accidents have been reported. Even though screening of patients for MR imaging eligibility is performed to identify patients with contra-indications to MRI, the lack of vigilance or the ignorance of certain basic safety requirements could lead to serious adverse effects, including death. The goal of this article is to review the various accidents reported with MRI, to explain their mechanism, and to describe means of prevention.
Insights
Magnetic Resonance (MR) imaging is biologically safe, but components can cause reversible patient discomfort. Vigilance and adherence to safety protocols are crucial to prevent severe adverse events, including fatalities, during MR procedures.
Area of Science:
- Medical Imaging Physics
- Biomedical Engineering
- Radiological Safety
Context:
- Magnetic Resonance (MR) imaging is a widely used diagnostic tool.
- While MR imaging is considered biologically safe, potential risks exist from its components.
- Patient screening is performed, but vigilance is paramount to prevent accidents.
Purpose:
- To review reported accidents associated with MR imaging.
- To elucidate the mechanisms underlying these MR-related incidents.
- To outline essential preventive measures for MR safety.
Summary:
- MR imaging components like magnetic fields and radiofrequency pulses can cause patient inconvenience, though typically reversible.
- Despite patient screening, lack of vigilance or safety knowledge can lead to severe adverse events, including fatalities.
- This review details reported MR accidents, their causes, and crucial prevention strategies.
Impact:
- Enhances understanding of MR imaging risks beyond biological effects.
- Provides critical information for healthcare professionals to improve patient safety protocols.
- Aims to reduce the incidence of severe adverse events and fatalities in MR environments.
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