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Germany, therefore started to include a routine MRI examination of the head and spine during the medical check-up of every pilot applicant more than 20 yr ago. This was introduced not only for flight safety, but also in the interest of the health of pilots and pilot applicants. In May 2016, the former 1 Tesla MRI device at the GAF CAM was replaced by a 3 Tesla high-field MRI. As shown recently, this exchange led to a significant increase in detected asymptomatic incidental findings, followed by an increase of the proportion of applicants who were initially classified