Brain Nerve. 2026 Mar;78(3):245-248. doi: 10.11477/mf.188160960780030245.
ABSTRACT
While the Industrial Safety and Health Act mandates the maintenance of workers' health, more than 100 health-related accidents involving commercial vehicles occur annually. The primary causes of these accidents include cerebrovascular, cardiovascular, and sleep disorders. Although guidelines were issued in 2018 for the implementation of countermeasures against cerebrovascular disease, screening examinations such as brain MRIs remain recommended rather than mandatory. Furthermore, the declining number and aging of occupational drivers already constitute serious challenges. To strengthen future accident-prevention systems, it is necessary to clarify the effectiveness of brain MRI screenings in reducing accidents and to consider mandating these examinations for older drivers, similarly as in the requirements for aircraft pilots. Based on the results of a pilot project conducted by the Ministry of Land, Infrastructure, Transport and Tourism from 2018 to 2020, this article evaluates the utility of brain MRI screenings and examines future directions for their implementation.
PMID:41804515 | DOI:10.11477/mf.188160960780030245