Magnetic Resonance Imaging (MRI) is a rapidly evolving modality, generally considered safe due to a lack of ionizing radiation. While MRI technology and techniques have advanced, many of the safety concerns remain the same as they have always been, since adverse MRI incident reporting records began. Patient thermal injuries are the most frequently reported adverse event, accounting for 59% of MRI incidents to the U.S. Food and Drug Administration (FDA)¹ and 47% to the Medicines and Healthcare products Regulatory Agency (MHRA).² Literature indicates that many incidents remain unreported. Patient thermal injuries are preventable and various methods for their mitigation have been published. However, recommendations can be variable, fragmented and confusing. The aim of this systematic review was to synthesise the evidence surrounding MRI safety guidance and incidents of skin injuries due to burns. Following the review of the literature, comprehensive recommendations are proposed for MRI safe practice to prevent thermal injuries to patients' skin.