TY - JOUR
T1 - Neurostimulation System Used for Deep Brain Stimulation (DBS)
T2 - MR Safety Issues and Implications of Failing to Follow Safety Recommendations
AU - Rezai, Ali R.
AU - Phillips, Michael
AU - Baker, Kenneth B.
AU - Sharan, Ashwini D.
AU - Nyenhuis, John
AU - Tkach, Jean
AU - Henderson, Jaimie
AU - Shellock, Frank G.
PY - 2004/5
Y1 - 2004/5
N2 - The use of magnetic resonance imaging (MRI) in patients with neurostimulation systems used for deep brain stimulation requires the utmost care, and no individual should undergo an MR examination in the absence of empirical evidence that the procedure can be performed safely. The risks of performing MRI in patients with neurostimulators include those associated with heating, magnetic field interactions, induced currents, and the functional disruption of these devices. The exact safety recommendations for the particular neurostimulation system with regard to the pulse generator, leads, electrodes, operational conditions for the device, the positioning of these components, and the MR system conditions must be carefully followed for MRI. As highlighted by 2 recent accidents, the failure to strictly follow safety recommendations (eg, use a 1.5-T MR system with a send/receive head radiofrequency coil only; limit the specific absorption rate to 0.4 W/kg; etc.) may result in serious, temporary, or permanent injury to the patient including the possibility of transient dystonia, paralysis, coma, or even death.
AB - The use of magnetic resonance imaging (MRI) in patients with neurostimulation systems used for deep brain stimulation requires the utmost care, and no individual should undergo an MR examination in the absence of empirical evidence that the procedure can be performed safely. The risks of performing MRI in patients with neurostimulators include those associated with heating, magnetic field interactions, induced currents, and the functional disruption of these devices. The exact safety recommendations for the particular neurostimulation system with regard to the pulse generator, leads, electrodes, operational conditions for the device, the positioning of these components, and the MR system conditions must be carefully followed for MRI. As highlighted by 2 recent accidents, the failure to strictly follow safety recommendations (eg, use a 1.5-T MR system with a send/receive head radiofrequency coil only; limit the specific absorption rate to 0.4 W/kg; etc.) may result in serious, temporary, or permanent injury to the patient including the possibility of transient dystonia, paralysis, coma, or even death.
KW - Deep brain stimulation
KW - Implants
KW - Magnetic resonance imaging
KW - Neurostimulator
KW - Safety
KW - Specific absorption rate
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U2 - 10.1097/01.rli.0000124940.02340.ab
DO - 10.1097/01.rli.0000124940.02340.ab
M3 - Review article
C2 - 15087724
AN - SCOPUS:1942533027
VL - 39
SP - 300
EP - 303
JO - Investigative Radiology
JF - Investigative Radiology
SN - 0020-9996
IS - 5
ER -