Safety of MRI in patients with metal implants and implanted devices

Česká verzia

Authors: M. Sýkora1 ^,2; R. Traubnerová ¹; P. Traubner ¹
Authors place of work: I. neurologická klinika LF UK a FNsP, Mickiewiczova 13, 81369 Bratislava ¹; Neurologische Klinik, Universität Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg ²
Published in the journal: Cesk Slov Neurol N 2008; 71/104(1): 47-52
Category: Review Article

Summary

Regarding the wide variability of metallic implants and implanted devices and safety of the magnetic resonance imaging (MRI) it is necessary to increase the professional awareness about its compatibility with the magnetic fields. Metallic implants and materials are often believed to be a contraindication to the examination because of the possible risk of deflexion or shift, overheating, electric current induction or artifact missinterpretation. This review deals with individual types of interactions between artificial materials and magnetic fields of MRI machines and its impact on live organisms and clinical practice.

Key words:
magnetic resonance, MRI, safety, metallic implants, deep brain stimulation, DBS, vagus nerve stimulation, VNS

Zdroje

1) Shellock FG. Magnetic resonance safety update 2002: implants and devices.

J Magn Reson Imaging 2002; 16: 485-96.

2) Applebaum EL, Valvassori GE. Effects of magnetic resonance imaging fields on stapedectomy prostheses. Arch Otolaryngol 1985; 111: 820-821.

3) New PF, Rosen BR, Brady TJ, Buonanno FS, Kistler JP, Burt CT et al. Potential hazards and artifacts of ferromagnetic and nonferromagnetic surgical and dental materials and devices in nuclear magnetic resonance imaging. Radiology 1983; 147: 139-148.

4) Shellock FG. Reference manual for magnetic resonance safety and patient management: 2003 edition. Salt Lake City: Amirsys, Inc. 2003.

5) Shellock FG. Magnetic resonance procedures: health effects and safety. Boca Raton, FL: CRC Press 2001.

6) Wichmann W, Von Ammon K, Fink U, Weik T, Yasargil GM. Aneurysm clips made of titanium: magnetic characteristics and artifacts in MRI. Am J Neuroradiol 1997; 18: 939-944.

7) Kanal E, Shellock FG. Aneurysm clips: effects of long-term and multiple exposures to a 1.5-T MRI system. Radiology 1999; 210: 563-565.

8) New PF, Rosen BR, Brady TJ, Buonanno FS, Kistler JP, Burt CT et al. Potential hazards and artifacts of ferromagnetic and nonferromagnetic surgical and dental materials and devices in nuclear magnetic resonance imaging.

Radiology 1983; 147: 139-148.

9) Tenforde, Budinger. Biologic effects and physical safety aspects of NMRI imaging and in vivo spectroscopy. American Assoc. Physicist in Medicine, Summer School on NMRI in Medicine, 1985.

10) Barrafato D, Henkelman RM. Magnetic resonance imaging and surgical clips.

Can J Surg 1984; 27: 509-512.

11) Dujovny M, Kossovsky N, Kossowsky R, Valdivia R, Suk JS, Diaz FG et al. Aneurysm clip motion during magnetic resonance imaging: in vivo experimental study with metallurgical factor analysis. Neurosurgery 1985; 17: 543-548.

12) Hennemeyer CT, Wicklow K, Feinberg DA, Derdeyn CP. In vitro evaluation of platinum Guglielmi detachable coils at 3 T with a porcine model: safety issues and artifacts. Radiology 2001; 219: 732-737.

13) Shellock FG, Shellock VJ. Metallic stents: evaluation of MRI imaging safety.

AJR Am J Roentgenol 1999; 173: 543-547.

14) Taal BG, Muller SH, Boot H, Koops W. Potential risks and artifacts of magnetic resonance imaging of self-expandable esophageal stents.

Gastrointest Endosc 1997; 46: 424-429.

15) Teitelbaum GP, Bradley WG Jr, Klein BD. MRI imaging artifacts, ferromagnetism, and magnetic torque of intravascular filters, stents, and coils. Radiology 1988; 166: 657-664.

16) Taal BG, Muller SH, Boot H, Koop W. Potential risks and artifacts of magnetic resonance imaging of self-expandable esophageal stents. Gastrointestinal Endoskopy 1997; 46:424-429.

17) Greatbatch W, Miller V, Shellock FG. Magnetic resonance safety testing of a newly-developed fiber-optic cardiac pacing lead. J Magn Reson Imaging 2002; 16: 97-103.

18) Achenbach S, Moshage W, Diem B, Bieberle T, Schibgilla V, Bachmann K. Effects of magnetic resonance imaging on cardiac pacemakers and electrodes.

Am Heart J 1997; 134: 467-473.

19) Pavlicek W, Geisinger M, Castle L, Borkowski GP, Meaney TF, Bream BL et al. The effects of nuclear magnetic resonance on patients with cardiac pacemakers. Radiology 1983; 147: 149-153.

20) Luechinger R, Duru F, Scheidegger MB, Boesiger P, Candinas R. Force and torque effects of a 1.5-Tesla MRI scanner on cardiac pacemakers and ICDs.

Pacing Clin Electrophysiol 2001; 24: 199-205.

21) Sommer T, Vahlhaus C, Lauck G, von Smekal A, Reinke M, Hofer U et al. MRI imaging and cardiac pacemakers: in-vitro evaluation and in-vivo studies in 51 patients at 0.5 T. Radiology 2000; 215: 869-879.

22) Schmiedel A, Hackenbroch M, Yang A, Nahle CP, Skowasch D, Meyer C et al. Magnetic resonance imaging of the brain in patients with cardiac pacemakers. Experimental and clinical investigations at 1.5 Tesla. Rofo 2005; 177: 731-744.

23) Loew J, Loewy A, Kendall EJ. Reconsideration of pacemakers and MRI imaging. Radiographics 2004; 24: 1257-68.

24) Martin ET, Coman JA, Shellock FG, Pulling C, Fair R, Jenkins K. Magnetic resonance imaging and cardiac pacemaker safety at 1.5-Tesla. Magnetic resonance imaging and cardiac pacemaker safety at 1.5-Tesla. J Am Coll Cardiol 2004; 43: 1315-1324.

25) Roquin A, Zviman M, Meininger GR, Rodrigues ER, Dickfeld TM, Lardo AC et al. Modern pacemaker and implantable cardioverter-defibrillator systems can be MRI-safe. Circulation 2004; 110: 475-482.

26) Edwards MB, Taylor KM, Shellock FG. Prosthetic heart valves: evaluation of magnetic field interactions, heating and artifacts at 1.5 T. J Magn Reson Imaging 2000; 12: 363-369.

27) Soulen RL, Budinger TF, Higgins CB. Magnetic resonance imaging of prosthetic heart valves. Radiology 1985; 154: 705-707.

28) Shellock FG. Prosthetic heart valves and annuloplasty rings: assessment of magnetic field interactions, heating, and artifacts at 1.5 Tesla. J Cardiovasc Magn Reson 2001; 3: 317-324.

29) Condon B, Hadley DM. Potential MRI hazard to patients with metallic heart valves: the Lenz effect. J Magn Reson Imaging 2000; 12: 171-6.

30) Bachmann R, Deutsch HJ, Jungehulsing M, Sechtem U, Hilger HH, Schicha H. Magnetic resonance tomography in patients with a heart valve prosthesis. Rofo 1991; 155: 499-505.

31) Tronnier VM, Staubert A, Hahnel S, Sarem-Aslani A. Magnetic resonance imaging with implanted neurostimulators: an in vitro and in vivo study.

Neurosurgery 1999; 44: 118-125.

32) Rezai AR, Finelli D, Nyenhuis JA, Hrdlicka G, Tkach J, Sharan A et al. Neurostimulation systems for deep brain stimulation: in vitro evaluation of magnetic resonance imaging-related heating at 1.5 tesla. J Magn Reson Imaging 2002; 15: 241-250.

33) Sharan A, Rezai AR, Nyenhuis JA, Hrdlicka G, Tkach J, Baker K et al. MRI safety in patients with implanted deep brain stimulation systems (DBS). Acta Neurochir Suppl. 2003; 87: 141-145.

34) Uitti RJ, Tsuboi Y, Pooley RA, Putzke JD, Turk MF, Wszolek ZK et al. Magnetic resonance imaging and deep brain stimulation. Neurosurgery 2002; 51: 1423-1428.

35) Bhidayasiri R, Bronstein JM, Sinha S, Krahl SE, Ahn S, Behnke EJ et al. Bilateral neurostimulation systems used for deep brain stimulation: in vitro study of MRI-related heating at 1.5 T and implications for clinical imaging of the brain. Magn Reson Imaging 2005; 23: 549-555.

36) Physician‘s Manual, VNS Therapy Pulse Model 102 Generator and VNS Therapy Pulse Duo Model 102R Generator, Cyberonics 26-0005-9100/3 U.S. Domestic Version.

37) Sucholeiki R, Alsaadi TM, Morris GL 3rd, Ulmer JL, Biswal B, Mueller WM. fMRI in patients implanted with a vagal nerve stimulator. Seizure 2002; 11: 157-162.

38) Shellock FG. Reference Manual for Magnetic Resonance Safety, Implants, and Devices: 2005 Edition. Los Angeles: Biomedical research publishing Group 2005.