QI: MR Safety: Case Based Approach to Scanning Patients with Active Implants | Domain: Staff and Patient Safety (2023)-R3-RCP23-2023

Video Transcription

Video Summary

The video transcript discusses the safety assessment protocols for patients with active non-cardiac and cardiac implants undergoing MRI scans, with particular emphasis on malfunctions and heating concerns. The workflow at Mayo Clinic involves a triage system where initial assessments are conducted by a specialized MR safety officer (MRSO) or an MR safety expert (MRSE), potentially involving radiologists for final decisions. The presentation stresses the importance of following detailed device manuals, ensuring the latest guidelines are used on the scan day, and modifying scan protocols to minimize heating and movement risks. Additional sections cover real-life scenarios and the logistics of scanning off-label patients, along with the role of teamwork in implementing safety measures.<br /><br />The subsequent segments explore heating control strategies in MRI, demonstrating how protocol adjustments (like reducing SAR and B1 RMS) and patient setup affect safety. There’s an emphasis on risk-benefit analysis for off-label scanning, illustrating with case studies the necessity of comprehensive collaboration and communication between medical staff. Finally, the video underscores the importance of a preemptive plan for potential MRI safety incidents, detailing the investigation and amendment process after such events to improve safety protocols.

Keywords

MRI safety

non-cardiac implants

cardiac implants

Mayo Clinic

MR safety officer

heating control

protocol adjustments

risk-benefit analysis