MRI safety of devices and implants

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  • Опубліковано 11 січ 2024
  • This is a survey of the safety of medical devices and implants in magnetic resonance imaging (MRI).
    Information adapted from Wikipedia, 2009 FDA guidelines, and TrueLearn.
    ADDITIONAL TAGS:
    2009 FDA labeling system:
    MRI safe: poses no hazard in all MRI environments
    MRI conditional: safe under defined MRI environments; if the model number or name is known, conditions can be found at MRIsafety.com or on the manufacturer's website
    MRI unsafe: not safe in any MRI environments.
    Device/Implant
    Safety Comments
    Arterial stents, coils, clips
    After six to eight weeks, they become embedded in the arteries and are MRI safe
    Bare metal coronary stents are considered MRI safe immediately after placement
    Breast implants/tissue expanders
    Most are rated MRI safe
    Some do have metallic components or magnetic injection site guides, and safety should be verified prior to imaging
    Bullets/Shrapnel/Metallic Fragments
    MRI is contraindicated if an object is near vital structures (eye, heart, arteries)
    Prior radiographic imaging should be reviewed to assess the location; if radiographic imaging is unavailable, consider using radiography or computed tomography to assess the location
    Cardiac valves
    Rated as MRI safe or conditional
    Cardiovascular implantable electronic device (pacemakers and/or implantable cardioverter-defibrillators)
    A cardiologist should be involved before, during, and after the MRI
    If an object is a legacy device, it is considered MRI unsafe
    Most modern CIEDs are MRI conditional
    Cerebrospinal fluid shunt
    Typically rated as MRI safe or conditional
    Cochlear implants
    The battery should be removed, and implant wrapping scheduling should occur before MRI is performed
    Contraceptive devices
    Most are rated as MRI safe or conditional
    Copper or steel (commonly used in China but can cause artifact) intrauterine devices have had no adverse effects
    Subdermal implants are MRI safe
    Dental implants
    Detachable implants should be removed
    Permanent implants tend to be ferromagnetic but do not pose harm due to being securely fixed to the bone or surrounding teeth
    Drug infusion pumps/patches
    Should be removed because of the risk of malfunction and thermal injury
    IVC filters
    If MRI is required, it should ideally be performed at least 8 weeks after placement to allow for embedding in the IVC
    Intracranial aneurysm clip
    Identification of the clip is required to prevent injury or death
    Jewelry
    All metallic jewelry should be removed
    Neurostimulators
    Rated as MRI conditional or unsafe
    Orthopedic implants
    Most are MRI conditional and consist of titanium which is not ferromagnetic
    Screws and anchors may be ferromagnetic but are secured in the bone and do not pose a hazard but will cause imaging artifact
    Penile prostheses
    Rated as MRI safe or conditional except for duraphase and omniphase, which are MRI-unsafe bc risk of displacement or torque injury
    Permanent makeup and tattoos
    Typically do not cause issues with MRI. Ferromagnetic ink can cause imaging artifacts. Dark or curved patterns can cause minor burning → treat with cold compress
    Surgical skin staples
    After six to eight weeks, granulomas form, and MRI can be performed
    Urinary catheters
    MRI safe because they are composed of plastic
    Vascular ports and intravenous catheters
    Rated as MRI safe or conditional

КОМЕНТАРІ • 1

  • @EricPham-gr8pg
    @EricPham-gr8pg 4 місяці тому +1

    The trick is don't use electromagnetic but must use permanent magnet and use gravity and magnet lense use gridline , distance , and optic lense. The problem should kept low tesla or blood rush up like pump