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Updated: Jun 19, 2026

Cardiac Magnetic Resonance Imaging at 7 Tesla
Published on: January 6, 2019
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
Background:
The purpose of this study was to evaluate possible cumulative effects of repeated magnetic resonance imaging (MRI) examinations on pacemaker systems in patients with cardiac pacemakers.
Methods And Results:
The records of pacemaker patients who underwent repetitive MRI examinations in our institution were reviewed to identify patients who underwent two or more MRI examinations at 1.5T of any anatomical region. Using these criteria, a total of 47 patients who underwent a total 171 MRI examinations were identified and included in this study. Institutional Review Board approval for all pacemaker investigations was obtained. Written informed consent was obtained from all patients. Pacemakers were interrogated immediately before and after MR imaging, and after 3 months, including measurement of pacing capture threshold (PCT), lead impedance (LI), and battery voltage (BV). PCT, LI, and BV were analyzed for changes dependant on the number of MRI exams performed. Mean changes over time and changes between first and last pacemaker interrogation of PCT, LI, and BV were calculated. A statistically significant (P < 0.05), but clinically irrelevant trend for decrease in PCT and BV was found. No significant or clinically relevant changes in LI were observed.
Conclusion:
In this first study, no clinically relevant, cumulative changes in PCT, LI, or BV could be detected in PM patients who underwent two or more MRI examinations. However, a careful benefit/risk evaluation, among other MRI- and pacemaker-related safety precautions, remains mandatory, as clinically relevant alterations to the PM system cannot be excluded by all means.
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.
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