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Intraoperative and interventional MRI: recommendations for a safe environment
Joachim Kettenbach1, Daniel F Kacher, Angela R Kanan
1Department of Radiology, Medical University Vienna, General Hospital, Vienna, Austria. joachim.kettenbach@meduniwien.ac.at
Abstract:
In this paper we report on current experience and review magnetic resonance safety protocols and literature in order to define practices surrounding MRI-guided interventional and surgical procedures. Direct experience, the American College of Radiology White paper on MR Safety, and various other sources are summarized. Additional recommendations for interventional and surgical MRI-guided procedures cover suite location/layout, accessibility, safety policy, personnel training, and MRI compatibility issues. Further information is freely available for sites to establish practices to minimize risk and ensure safety. Interventional and intraoperative MRI is emerging from its infancy, with twelve years since the advent of the field and well over 10,000 cases collectively performed. Thus, users of interventional and intraoperative MRI should adapt guidelines utilizing universal standards and terminology and establish a site-specific policy. With policy enforcement and proper training, the interventional and intraoperative MR imaging suite can be a safe and effective environment.
Insights
This paper reviews magnetic resonance imaging (MRI)-guided interventional and surgical procedures, offering safety protocols and recommendations. Implementing site-specific policies and training ensures a safe environment for these emerging medical practices.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Surgical Procedures
Background:
- Interventional and intraoperative Magnetic Resonance Imaging (MRI) has advanced significantly over the past 12 years.
- Over 10,000 collective cases demonstrate the growing application of MRI-guided procedures.
- Established safety protocols and literature reviews are crucial for this evolving field.
Purpose of the Study:
- To define best practices for MRI-guided interventional and surgical procedures.
- To summarize current experience and review existing safety protocols and literature.
- To provide recommendations for establishing safe and effective MRI interventional suites.
Main Methods:
- Review of direct experience with MRI-guided procedures.
- Analysis of the American College of Radiology White Paper on MR Safety.
- Synthesis of various literature sources and safety guidelines.
Main Results:
- Key recommendations cover suite location, layout, accessibility, safety policies, personnel training, and MRI compatibility.
- Guidelines should utilize universal standards and terminology.
- Site-specific policies are essential for risk minimization.
Conclusions:
- Interventional and intraoperative MRI suites can be safe and effective environments.
- Adaptation of guidelines and establishment of site-specific policies are recommended.
- Policy enforcement and proper personnel training are critical for safety.
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