“Current Practices and Attitudes towards Magnetic Resonance Imaging Safety during Pregnancy in Egyptian Healthcare Facilities: A Survey Study”

Abstract

AbstractIntroductionMagnetic resonance imaging (MRI) is a widely used diagnostic tool, but its safety during pregnancy remains a topic of concern. This study aimed to assess the current practices and attitudes towards MRI safety during pregnancy in Egypt.MethodsA survey was conducted among 41 MRI facilities across the country, with a response rate of 85%. The survey assessed patient load, safety protocols, screening procedures, administration of contrast agents, follow-up assessments, and consent requirements for MRI during pregnancy.ResultsThe majority of facilities (45%) reported a patient load between 100 and 200 exams per month. Regarding safety protocols, only 28% of facilities had a written policy on the exposure of pregnant patients to magnetic fields, while a mere 12% had a written policy on the exposure of pregnant health workers to MRI. Although 86% of facilities had a special MRI screening form, 27% did not consistently inquire about pregnancy during the screening procedure. Only 32% of facilities administered MRI contrast agents to pregnant patients when necessary. None of the facilities conducted regular follow-up assessments for babies exposed to the magnetic field in utero. Approximately 62% of facilities required special consent for MRI during pregnancy, with the patient herself (38%) and the husband (28%) being the common signatories.ConclusionThe study highlights the need for enhanced awareness and implementation of MRI safety guidelines during pregnancy in Egyptian healthcare facilities. Standardized protocols, improved screening procedures, regular follow-up assessments, and informed consent are crucial to ensure the safety and well-being of pregnant patients and healthcare workers. These findings provide a basis for future research and policy development to optimize MRI safety practices in Egypt.