That said, the ACR's MRI accreditation program requirements are largely bereft of it's own guidance.
This hasn't stopped @RadiologyACR from continuing to promote its MR accreditation programs' purported #MRIsafety assurances, including in prepared press-releases provided to accredited sites upon receipt of their MR accreditation.
Just today I was alerted to one of these (hdnews.net/2022/01/22/mri…), where the accreditation is purported to 'ensure the highest level of safety.'
Does this include minimum MRI safety training content / curriculum & frequency like @TJCommission's accreditation criteria?
No.
Does @RadiologyACR MRI accreditation require safety training for incidental staff who provide patient care within MRI (not MRI personnel) like @IACaccred does (kind of)?
No.
Does @RadiologyACR MRI accreditation require ferromagnetic detection systems like the FGI has since 2010?
How many of the (over 100) individual performance elements of the ACR's Manual on MR Safety (acr.org/Clinical-Resou…) are also minimum performance requirements for their MRI accreditation programs?
ACR MRI accreditation *is* a tremendously powerful tool of image quality, but it is a profound exaggeration to include statements about how their MRI accreditation 'ensures MRI safety' in the same context as it 'assures image quality.'
Again, the existing @RadiologyACR *guidance* on MRI safety is unparalleled in the world today, and I am both proud and humbled to have played a role in those efforts. But the MR accreditation requirements today are miles from 'ensuring safety', or even their own safety manual.
So recently I did a FOIA (Freedom of Information Act) request regarding CMS radiology (MRI) safety standards at outpatient imaging centers.
The results were disturbing...
The 2008 MIPPA act sect. 135, (3) provides that the "Secretary [of HHS] shall establish procedures to ensure that the criteria used by an accreditation organization…"
...and "standards that require the supplier have procedures in place to ensure the safety of persons who furnish the technical component of advanced diagnostic imaging services and individuals to whom such services are furnished"
For those who don't know why this week, MRI Safety Week ⚠️ always includes July 27th, the date of the most infamous MRI accident (in 2001) in which a young boy died when an oxygen tank was brought into the MRI scanner room. This weeks seeks to build safety from tragedy.
(1/16)
Nineteen years ago a six-year old boy tripped on the playground, and struck his head. Worried about a concussion, his mother took him to the ER, where they performed a CT on young Michael Colombini.
(2/16)
The CT showed no skull fracture, but it *did* reveal a brain tumor, and he was transferred from the small hospital to the large county hospital for an immediate surgery to remove it. The boy actually had a pre-op MRI before his surgery without incident.
(3/16)
Some of you may be thinking, 'hey, isn't MRI the "safe" imaging choice? We're supposed to worry about X-rays and ionizing radiation, and move to MRI when possible, right?'
Well a lot of elements baked into that conventional wisdom have been shifting over time...
(2/11)
Let's start with medical ionizing radiation exposure (predominantly experienced as X-rays). Concern about medical radiation exposure, and resulting technological advancements in imaging equipment, have substantially reduced per-exam patient exposure.