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磁共振安全指南更新——放射科医生须知

Updates on the MR safety guidelines - Essentials for radiologists.

作者信息

Zandieh Ghazal, Yazdaninia Iman, Afyouni Shadi, Borhani Ali, Yokoo Takeshi, Kamel Ihab R

机构信息

Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medicine, John's Hopkins University, Baltimore, MD, USA.

Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

Clin Imaging. 2025 Feb;118:110394. doi: 10.1016/j.clinimag.2024.110394. Epub 2024 Dec 24.

Abstract

Magnetic Resonance Imaging (MRI) is a sophisticated diagnostic tool that utilizes the magnetic properties of biological tissue to generate detailed images of internal structures without the use of ionizing radiation. Despite its benefits in providing high-contrast images of soft tissues, the strong magnetic fields used in MRI present a unique safety challenge. Increasing MRI-related accidents and the prevalence of patients with metallic implants in recent years underscore the critical need for stringent MR safety protocols. This article reviews the latest 2024 updates in the MRI safety manual by the American College of Radiology (ACR), highlighting the comprehensive efforts to manage risks associated with MRI, including projectile and burn incidents, patients with medical devices, and emerging complex MRI environments. The manual emphasizes the importance of specialized training for healthcare professionals to navigate the complexities of MRI safety to ensure patient and staff safety. This review also touches on the dynamic landscape of MRI safety standards, driven by technological advances and evolving clinical practices, aiming to provide a thorough understanding of current best practices in MRI safety management. LIST OF UPDATES.

摘要

磁共振成像(MRI)是一种精密的诊断工具,它利用生物组织的磁性特性来生成内部结构的详细图像,而无需使用电离辐射。尽管MRI在提供软组织的高对比度图像方面具有诸多优势,但MRI中使用的强磁场带来了独特的安全挑战。近年来,与MRI相关的事故不断增加,且体内有金属植入物的患者日益增多,这凸显了制定严格的MR安全协议的迫切需求。本文回顾了美国放射学会(ACR)2024年MRI安全手册的最新更新内容,重点介绍了为管理与MRI相关的风险所做的全面努力,包括抛射物和灼伤事件、有医疗设备的患者以及新兴的复杂MRI环境。该手册强调了对医疗保健专业人员进行专门培训的重要性,以便应对MRI安全的复杂性,确保患者和工作人员的安全。本综述还探讨了由技术进步和不断演变的临床实践推动的MRI安全标准的动态格局,旨在全面了解当前MRI安全管理的最佳实践。更新列表。

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