Evaluation of cumulative effects of MR imaging on pacemaker systems at 1.5 Tesla

Claas P Naehle1, Volkert Zeijlemaker, Daniel Thomas

  • 1Department of Radiology, University of Bonn, Bonn, Germany. cp@naehle.net

Abstract

Insights

Repeated MRI scans in patients with pacemakers showed no clinically significant cumulative effects on pacemaker function. Pacemaker systems (PM) demonstrated stable performance despite multiple magnetic resonance imaging (MRI) examinations.

Area of Science:

  • Cardiovascular Imaging
  • Medical Device Engineering
  • Radiology

Background:

  • Cardiac pacemakers (PM) are common in patients requiring medical imaging.
  • Magnetic resonance imaging (MRI) is a valuable diagnostic tool but poses potential risks to implanted devices.
  • Cumulative effects of repeated MRI exposure on PM systems are not well-established.

Purpose of the Study:

  • To investigate the cumulative impact of multiple MRI examinations on pacemaker system parameters.
  • To assess potential changes in pacing capture threshold (PCT), lead impedance (LI), and battery voltage (BV) after repeated 1.5T MRI scans.

Main Methods:

  • Retrospective review of 47 patients with pacemakers who underwent 171 MRI examinations at 1.5T.
  • Pacemaker interrogation before and after MRI, and at 3 months, measuring PCT, LI, and BV.
  • Statistical analysis of changes in PCT, LI, and BV based on the number of MRI exams.

Main Results:

  • A statistically significant, but clinically irrelevant, trend for decreased PCT and BV was observed.
  • No significant or clinically relevant changes in LI were detected across repeated MRI examinations.
  • The majority of pacemaker parameters remained stable throughout the study period.

Conclusions:

  • No clinically relevant cumulative changes in pacemaker function were detected after multiple MRI examinations.
  • While findings suggest safety, a careful benefit/risk assessment remains crucial for each patient.
  • Further research and adherence to safety precautions are recommended for MRI in pacemaker patients.