The MR quality landscape in Europe.

Area of Science:

• Medical Imaging
• Radiology
• Quality Management

Background:

• Advanced MRI techniques, increased demand, and AI analysis necessitate robust Quality Assurance (QA) and Quality Control (QC) for consistent image quality.
• Ensuring MRI image quality across different institutions and over time is challenging due to evolving technology and usage patterns.

Purpose of the Study:

• To survey the implementation of MRI QA and QC in European clinical and research settings.
• To identify areas needing harmonization, coordination, or improved education in MRI QA/QC practices.

Main Methods:

• An anonymous survey was distributed to European healthcare professionals via professional societies (ESR, EFOMP, EFRS, ESMRMB).
• The survey covered participant/institution characteristics, national guidelines, and local QA/QC organization for conventional and quantitative MRI (qMRI).

Main Results:

• 269 responses from 37 countries revealed significant heterogeneity in MRI QA/QC regulations and practices.
• Few countries have mandated legislation; many rely on voluntary guidelines or lack formal protocols, despite widespread recognition of QA/QC importance.
• Respondents strongly agreed on the need for harmonized guidelines, multidisciplinary collaboration, and accessible training.

Conclusions:

• The European MRI quality landscape is heterogeneous, with varying regulations, training, and implementation of QA/QC.
• The European Society of Radiology (ESR) is well-positioned to drive harmonization of MRI quality education and practices.
• Recommendations for MRI quality control and assurance are proposed to improve patient safety and diagnostic accuracy.