QI: MR Safety - Case-based Approach (Part 2) | Domain: Staff and Patient Safety (2022)-T3-RCP40-2022

Video Transcription

Video Summary

The session discussed various aspects of MRI safety, particularly in relation to implanted devices and the procedural challenges in MR environments. It emphasized the importance of non-reimbursed MRI safety work, motivated by patient care rather than financial gain, engaging physicians, technologists, and physicists. One notable topic was about unusual device behavior at different magnetic strengths, exemplified by a situation where a 3 Tesla MRI was more compatible with a specific device than the expected 1.5 Tesla. The panel highlighted the critical role of screening, communication, and coordination in developing effective MRI safety protocols. These protocols involve engaging MR Safety Officers (MRSOs), managing communication between diverse stakeholders, and ensuring robust screening for implants.<br /><br />Speakers provided case studies illustrating challenges and solutions in MRI safety, including interpreting device manuals and crafting strategies to reduce specific absorption rates (SAR) to safe levels. They also discussed complex cases emphasizing multi-step processes for managing off-label scans and potential hazardous events, like projectile incidents in the MRI suite. Lessons learned from these incidents underscored the importance of rigorous procedure guides, comprehensive safety checks, and continual training and refinement of safety protocols to prevent recurrence. The session concluded on the importance of teamwork and systematic improvements to enhance MRI safety.

Keywords

MRI safety

implanted devices

3 Tesla

screening protocols

MR Safety Officers

specific absorption rate

projectile incidents

safety training

teamwork