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Guidelines for documentation and consent for nonclinical, nonresearch MRI in human subjects
Scott B Reeder1, Vera Kimbrell2, Titti Owman3
1Departments of Radiology, Medical Physics, Biomedical Engineering, Medicine, and Emergency Medicine, University of Wisconsin, Madison, Wisconsin, USA.
Abstract:
Magnetic resonance imaging (MRI) of human subjects is widely performed for clinical and research purposes. Clinical MRI requires a physician order, while research MRI typically requires an approved protocol from a local Institutional Review Board, as well as informed consent. However, there are several circumstances in which it is appropriate to perform MRI in human subjects, that constitute neither clinical nor research activities. Examples include clinical protocol development, training and teaching, and quality assurance testing. We refer to such activities as nonclinical, nonresearch MRI. The purpose of this document is to provide principles and guidelines for appropriate and safe use of MRI in human subjects for nonclinical, nonresearch purposes.
Level Of Evidence:
1 J. Magn. Reson. Imaging 2017;45:36-41.
Insights
This document outlines guidelines for nonclinical, nonresearch Magnetic Resonance Imaging (MRI) in humans. It covers safe practices for activities outside of typical clinical or research settings, ensuring appropriate use of MRI technology.
Area of Science:
- Medical Imaging
- Radiology
- Biomedical Engineering
Background:
- Magnetic Resonance Imaging (MRI) is extensively used for clinical diagnosis and scientific research in human subjects.
- Standard MRI procedures necessitate physician orders for clinical use or Institutional Review Board approval and informed consent for research.
- Certain MRI applications fall outside these conventional categories, requiring specific guidance.
Purpose of the Study:
- To establish principles and guidelines for the safe and appropriate utilization of MRI in human subjects.
- To define and address 'nonclinical, nonresearch MRI' activities.
- To provide a framework for scenarios such as clinical protocol development, training, and quality assurance testing.
Main Methods:
- The document synthesizes existing knowledge and expert consensus on MRI safety.
- It outlines best practices for nonclinical, nonresearch MRI scenarios.
- Recommendations are based on established principles of radiation safety and human subject protection.
Main Results:
- Identified and defined 'nonclinical, nonresearch MRI' as a distinct category of human MRI use.
- Provided specific examples of such activities, including protocol development, training, and quality assurance.
- Established a set of principles for the safe and ethical conduct of these MRI procedures.
Conclusions:
- Nonclinical, nonresearch MRI activities are essential but require specific safety and ethical considerations.
- Adherence to established guidelines ensures the appropriate and safe use of MRI technology in these contexts.
- This framework supports the responsible implementation of MRI for diverse applications beyond standard clinical care and research.
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