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Related Experiment Videos

Magnetic resonance imaging and deep brain stimulation.

Ryan J Uitti1, Yoshio Tsuboi, Robert A Pooley

  • 1Department of Neurology, Mayo Clinic, Jacksonville, Florida, FL 32224, USA.

Neurosurgery
|November 26, 2002
PubMed
Summary

Cranial magnetic resonance imaging (MRI) did not cause significant deep brain stimulation (DBS) lead displacement or program interference in patients. This finding suggests MRI may be safe for individuals with these implanted systems.

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Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Deep brain stimulation (DBS) is a crucial therapy for neurological disorders.
  • The safety of magnetic resonance imaging (MRI) in patients with implanted DBS systems is a significant clinical concern.
  • Lead displacement and program interference are potential risks during MRI in DBS patients.

Purpose of the Study:

  • To evaluate the association between cranial MRI and deep brain stimulation (DBS) lead displacement.
  • To assess the impact of MRI on DBS system program interference and clinical efficacy.
  • To determine the safety of MRI in patients with implanted DBS devices.

Main Methods:

  • In vitro and in vivo studies were conducted using specific DBS hardware (Itrel II IPG, Medtronic 3387/3389 leads) and a 1.5-T GE MRI scanner.

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  • In vivo analysis involved comparing pre- and post-implantation volumetric MRI data in five patients to measure lead movement.
  • In vitro experiments systematically assessed lead and IPG behavior within the MRI magnetic field.
  • Main Results:

    • In vivo, 88% of lead deviations were within the measurement error (1.4 mm), with a maximum deviation of 3 mm in 2% of cases.
    • No significant changes in tremor control or clinical response were observed post-MRI.
    • In vitro, DBS leads showed no deflection, and no changes in IPG battery, lead impedance, or program settings occurred.

    Conclusions:

    • Cranial MRI is not associated with significant deep brain stimulation electrode movement or altered clinical outcomes.
    • Further research is needed to evaluate other IPG models, components, and MRI scanners.
    • Specific guidelines for MRI use in patients with implanted DBS systems are recommended.