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MRI 相关的 FDA 不良事件报告:一项 10 年回顾。

MRI-related FDA adverse event reports: A 10-yr review.

机构信息

Division of Radiological Health, Center for Devices and Radiological Health, US Food and Drug Administration, 10903 New Hampshire, Ave WO66-Rm 4236, Silver Spring, MD, 20993, USA.

Office of In Vitro Devices and Radiological Health, Center for Devices and Radiological Health, US Food and Drug Administration, 10903 New Hampshire, Ave WO66-Rm 4236, Silver Spring, MD, 20993, USA.

出版信息

Med Phys. 2019 Dec;46(12):5562-5571. doi: 10.1002/mp.13768. Epub 2019 Oct 8.

Abstract

PURPOSE

To provide an overview of the types of adverse events reported to the US Food and Drug Administration (US FDA) for magnetic resonance (MR) systems over a 10-yr period.

METHODS

Two reviewers independently reviewed adverse events reported to FDA for MR systems from 1 January 2008 to 31 December 2017 and manually categorized events into eight event types. Thermal events were further subcategorized by probable cause. Objects that became projectiles were also categorized.

RESULTS

FDA received 1568 adverse event reports for MR systems between 1 January 2008 and 31 December 2017. This analysis included 1548 reports. Thermal events were the most commonly reported serious injury (59% of analyzed reports). Mechanical events - defined as slips, falls, crush injuries, broken bones, and cuts; musculoskeletal injuries from lifting or movement of the device - (11%), projectile events (9%), and acoustic events (6%) were also observed.

CONCLUSIONS

Adverse events related to MR systems consistent with the known hazards of the MR environment continue to be reported to FDA. Increased awareness of the types of adverse events occurring for MR imaging systems is important for prevention.

摘要

目的

概述在过去 10 年中向美国食品和药物管理局(FDA)报告的磁共振(MR)系统不良事件的类型。

方法

两名审查员独立审查了 2008 年 1 月 1 日至 2017 年 12 月 31 日向 FDA 报告的磁共振系统不良事件,并手动将事件分类为 8 种事件类型。热事件进一步根据可能的原因进行细分。成为射弹的物体也进行了分类。

结果

2008 年 1 月 1 日至 2017 年 12 月 31 日期间,FDA 收到了 1568 份磁共振系统不良事件报告。本分析包括 1548 份报告。热事件是最常见的严重伤害报告(分析报告的 59%)。还观察到机械事件(定义为滑倒、跌倒、挤压伤、骨折和割伤;设备的提升或移动引起的肌肉骨骼损伤)(11%)、射弹事件(9%)和声学事件(6%)。

结论

与磁共振环境已知危害一致的磁共振系统不良事件继续向 FDA 报告。提高对磁共振成像系统不良事件类型的认识对于预防至关重要。

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