Understanding MRI Safety Competence and Risk Awareness in Radiography Education

Abstract

Introduction: Magnetic Resonance Imaging (MRI) safety is a concern in radiological practice since such examinations are performed under high-risk conditions including strong magnetic fields, RF energy and complicated safety instructions. Despite its significance, the subject of MRI safety training continues to be taught unevenly in the radiology curricula and students enter clinical practice not well-prepared.

Objective: The purpose of this study is to assess the level of MR safety knowledge, previous training exposure and self-perception on preparedness among radiology students at various levels in their academic program, and to identify knowledge gaps necessary for evidence-based development of curriculum

Methods: A cross-sectional mixed method approach was used. A preliminary 1,093 potential participants were recruited (all radiology students in B.Sc., Diploma, M.Sc. and MD programs), after exclusions. Quantitative data were obtained using a validated 20-item MRI safety questionnaire and qualitative feedback was gained from 100 semi-structured student interviews. Descriptive statistics, chi-square tests and thematic analysis were used.

Results: No participants reported prior official MRI safety instruction. The overall knowledge scores were poor: The highest percentage for any question was 14%. The postgraduates’ score was better than that of the undergraduates and diploma holders. There was inadequate knowledge of SAR, Gauss lines, implant compatibility, and emergency procedures. Interviews produced 3 themes: going in with theory and no hands-on, uncertainty in the emergency, and high desire for sim training.

Conclusion: The data indicate an overall deficiency in structured, organized MRI safety education. An urgent step is to integrate standardized, simulation improved and competence-based modules to increase readiness, lower risk, and enhance patient safety/practitioner safety.