Magnetic resonance imaging-associated burns: a systematic review
Elysia Jongue1, Malcolm Franke1, Nicholas Haydon1, 1Prince Of Wales Hospital, Sydney, New South Wales, Australia
Abstract
PURPOSE
Magnetic resonance imaging (MRI) is widely used in medical and surgical specialities for its superior soft tissue contrast, delivered without ionising radiation (Styan & Hoff, 2023). However, MRIs are not without hazard. The mechanism of MRIs create an inherent risk of burn injuries (Styan & Hoff, 2023). Although preventable, adverse events from MR imaging involving burns, have been reported. It remains essential for clinicians to be conscious of the risk of MRI-associated burns with the increasing use of this imaging modality (OECD, 2023).
METHODS
A systematic review was conducted on the Embase and MEDLINE databases using terms, “magnetic resonance imaging” and “burns”. Studies on burns sustained secondary to MRIs in human patients, were included.
RESULTS
Burns sustained secondary to MRIs have been reported in literature reviews, case series, and case report studies. Depth of burns ranged from superficial to full-thickness. MRI-associated burns were caused by incompatible metallic monitoring devices, objects and implants; metallic clothing fibres; and heat trapping. Direct contact with the MR system coils, and skin-to-skin contact were causes of other MRI-associated burns. Tattoo ink-related burns were uncommon. Recently with COVID-19 waves, burns from metal nose clips in face masks, have been reported.
CONCLUSION
MRI-associated burns are infrequent, however remain an inherent risk of this imaging technique. As the use of MR imaging continues to broaden, clinicians need be aware of the risks of burns sustained from MRIs, and the appropriate initial burns management.
Biography
Elysia Jongue is a senior resident in surgery currently working at the Prince of Wales Hospital.