Two tragic deaths last year have brought to light the need for stricter safety
procedures and policies in MR suites. Medical Imaging discussed issues and solutions with
one of the nations leading authorities on the topic, Emanuel Kanal, M.D., from the
University of Pittsburgh (Pa.) Medical Center.
The tragic death last
year of a six-year-old boy at a Valhalla, N.Y., medical facility has brought to the
forefront the need for stricter safety procedures and policies in MR suites everywhere. On
July 27, 2001, an oxygen cylinder, brought into the room to care for the boys
respiratory condition, was drawn magnetically into the MR scanner, striking the boy in the
head. The boy, who was afflicted with other ailments, died two days later.
After an internal review of the incident, the facility CEO said in a prepared
statement that an accident of this kind could have happened at any hospital or
radiology facility in the U.S. and could still happen even today. The final report
did not attribute blame to any individual, but did result in 32 safety changes at the
institution, ranging from enlarged safety zones to new warning signs to secure the area.
Emanuel Kanal, M.D., professor of radiology and neuroradiology and director of
magnetic resonance (MR) services at the University of Pittsburgh (Pa.) Medical Center
(UPMC), is one of the nations leading authorities on MR safety. He serves as a
consultant to the FDA on MR safety issues and has chaired or served on MR safety
committees for more than 17 years. He also sits on the American College of
Radiologys (ACR) Task Force on Patient Safety and chairs the ACRs Blue Ribbon
Panel on MR Safety.
As of press time, the panel had just received notification of final approval from
the ACR for the panels recommendations on how facilities can make the MR environment
safer for patients, healthcare practitioners, emergency personnel and anyone else who
might have access to an MR suite. Medical Imaging recently spoke with Kanal on the current
state of MR safety.
Please refer to the April 2002
issue for the complete story.
For information on article reprints, contact
Martin St. Denis