Towards Sustainable Magnetic Resonance Neuro Imaging: Pathways for Energy Optimization and Cost Reduction Strategies

We evaluated the energy consumption of a 3T MRI using a central monitoring system, focusing on hospital energy costs during peak winter months from 2021 to 2023. We analyzed consumption during non-productive phases like end-of-day standby and assessed their impact. For active use, we compared standard and AI-enhanced protocols on phantoms, scheduling high-demand protocols during off-peak hours to benefit from lower energy prices. Standard protocols consumed 3.4 to 15 kWh, while optimized protocols used 2.3 to 10.6 kWh, reducing consumption by 32% on average. Savings per scan ranged from EUR 0.03 to EUR 3.7. The electrical consumption of a brain MRI protocol is equivalent to that of 3–4 knee protocols or 2–3 lumbar spine protocols. Using AI-optimized protocols and management, 41 protocols can be completed in 12 h, up from 30, reducing daily costs by EUR 2.38 to EUR 29.18. Annually, AI-optimized protocols could save 7900 to 8800 kWh per MRI unit, totaling 10,500 to 11,600 MWh across France’s MRI fleet, equivalent to the yearly consumption of about 4700 to 5300 people. Optimizing MRI resource use can expand patient access while significantly reducing the associated energy footprint. These findings support the implementation of more sustainable practices in medical imaging without compromising care quality.