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American College of Radiology Manual on MR Safety: 2024 Update and Revisions

Ivan Pedrosa1, David A Altman1, Jonathan R Dillman1

  • 1From the Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Tex (I.P.); Department of Radiology, Mecklenburg Radiology Associates, Charlotte, NC (D.A.A.); Department of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio (J.R.D.); Department of Radiology and Biomedical Imaging, University of California-San Francisco, San Francisco, Calif (M.N.H.); Department of Radiology, University of Miami-Miller Medical School, Miami, Fla (A.M.M.); Departments of Radiology, Medical Physics, Biomedical Engineering, Medicine, and Emergency Medicine, University of Wisconsin, Madison, Wis (S.B.R.); Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI (J.M.R.); Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Tex (R.J.S.); Department of Diagnostic Imaging, Rhode Island and Hasbro Children's Hospital-Brown University Health, Providence, RI (J.A.W.); Department of Quality and Safety, American College of Radiology, Reston, Va (D.L.H.); and Department of Radiology, Mayo Clinic, 200 1st St, Rochester, MN 55905 (R.E.W.).

Radiology
|April 1, 2025
PubMed

Insights

The American College of Radiology (ACR) updated its Manual on MR Safety to provide a single, structured resource for safe MRI use. This manual consolidates recommendations for expanding MRI applications and evolving technologies.

Area of Science:

  • Radiology and Medical Imaging
  • Biomedical Engineering

Background:

  • The American College of Radiology (ACR) first published MRI safety guidelines in 2002.
  • MRI technology and its clinical applications have significantly advanced since 2002.
  • Previous updates to ACR recommendations were dispersed, lacking a unified, structured format.

Purpose of the Study:

  • To introduce the newly structured ACR Manual on MR Safety.
  • To detail new content and recommendations within the updated manual.
  • To highlight areas requiring further research in MRI safety.

Main Methods:

  • Review of the updated online ACR Manual on MR Safety.
  • Analysis of the manual's structure and new content.
  • Discussion of the rationale behind specific safety recommendations.

Main Results:

  • The ACR Committee on MR Safety has compiled comprehensive guidelines into a single, accessible document.
  • The manual addresses the safe use of diverse MRI technologies and expanding clinical indications.
  • Specific recommendations, such as for remote operation, are explained.

Conclusions:

  • The updated ACR Manual on MR Safety serves as a crucial, consolidated resource for healthcare professionals.
  • It standardizes guidance for the safe utilization of MRI equipment in human imaging.
  • The manual identifies knowledge gaps, guiding future research in MRI safety practices.

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