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The Evolution of MRI Safety

This conversation with Toby Gilk explores the evolution of MR safety. It begins with a discussion of the early publications on MRI safety, including the 1985 report from the American Association of Physicists in Medicine. The conversation then moves on to the Michael Columbini incident in 2001, which brought attention to the need for better MRI safety practices. The ACR's response to the incident, including the formation of the MRI Safety Committee and the publication of the white paper, is also discussed. The conversation highlights how MR safety has evolved over the years, with advancements in MRI technology and changes in patient complexity. The shift from MR-compatible labeling to MR conditional labeling is explored, as well as the challenges technologists face in scanning implants off-label. Overall, the conversation provides insights into the history and development of MR safety. The conversation discusses the importance of accurate labeling and testing of MRI magnets, as well as the role of the FDA in accepting extrapolation calculations. It also highlights the need for regulations and standards in MRI safety, as well as the role of the ABMRS in certifying individuals in MR safety roles. The conversation acknowledges that while there have been improvements in MRI safety over the years, there is still work to be done to keep up with the growing risks and ensure patient safety.