With the continuously growing number of MRI examinations and the enorm
ous speed with which new technological developments are being implemen
ted patient monitoring and safety are becoming increasingly important
issues, which MRI system producers and lawmakers have taken into consi
deration only to a limited extent. Therefore, institutions that operat
e MRI units have had to solve these problems on their own. For forensi
c reasons at least a monitoring concept should be developed with suita
ble equipment and careful documentation in every institution that oper
ates an MRI unit. This article proposes how to plan and conduct adequa
te patient monitoring during MRI examinations.