Tobias Gilk, MRSO, MRSE, Architect and MRI Safety Profile picture
Past-Chair of ABMRS. MRSE & MRSO ⚕️. Radiology / MRI Safety Guy ⚠️. Architect 🖋️. Speaker 🗣️. Expert Witness. @tobiasgilk@mastodon.world Opinions are my own.
Aug 4, 2023 9 tweets 2 min read
From the state investigation into this MRI accident:

"the Chief of Radiology on 3/15/23 at 14:05, stated that the MRMD received MR safety training in their Residency and Fellowship programs."

Let's challenge that, shall we?

#radiology #MRI #MRIsafety

(1 of 7) Image *Today* (2023) the @acgme does not have MRI safety training minimum criteria in their Diagnostic Radiology Graduate Medical Education Program Requirements:

This means radiologists can complete their residency w/o *any* training in #MRIsafety.

(2 of 7)acgme.org/globalassets/p…
Mar 26, 2022 21 tweets 4 min read
WRT this week's conviction of a nurse for a medication error... I have thoughts...

1/n
First, let me state that I have *not* been following the case closely, and I'm not commenting on the merits of this specific case. That a conviction was obtained may be an indication of the strength of the legal case, but says nothing about whether trial was the best venue.

2/n
Jan 23, 2022 9 tweets 5 min read
I am in awe of what @RadiologyACR has done in the realm of #MRIsafety best practices. Their 2020 Manual is unparalleled in both breadth and depth (acr.org/Clinical-Resou…).

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.
Jan 11, 2022 14 tweets 4 min read
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…"
Jul 27, 2020 17 tweets 4 min read
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)
Jul 17, 2020 12 tweets 5 min read
You're invited to join in the recognition of MRI Safety Week from July 27 (the anniversary of the infamous Colombini accident) through to August 2.

#MRIsafety #MRI #Radiology #PatientSafety

(1/11) 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)