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"MR-conditional" pacemakers: the radiologist's role in multidisciplinary management
Patrick M Colletti1, Jerold S Shinbane, Frank G Shellock
1Department of Radiology, University of Southern California, Los Angeles, CA 90033, USA. colletti@usc.edu
AJR. American Journal of Roentgenology
|August 25, 2011
Summary
Patients with new MR-conditional pacemakers can now undergo MRI scans under specific conditions. Radiology professionals must be trained to manage these pacemakers during Magnetic Resonance Imaging procedures.
Area of Science:
- Medical Imaging
- Cardiology
- Biomedical Engineering
Background:
- The U.S. Food and Drug Administration has approved an MR-conditional pacemaker system.
- This approval enables patients with specific pacemakers to undergo Magnetic Resonance Imaging (MRI) examinations.
- These examinations require adherence to particular conditions and specialized healthcare professional oversight.
Purpose of the Study:
- To inform healthcare professionals about the implications of the new MR-conditional pacemaker system.
- To outline the necessary conditions and training for performing MRI scans on patients with these devices.
- To highlight the importance of proper pacemaker management during MRI procedures.
Main Methods:
- Review of the U.S. Food and Drug Administration's approval for MR-conditional pacemaker systems.
- Identification of specific conditions and limitations for MRI examinations with these pacemakers.
- Emphasis on the requirement for trained radiology healthcare professionals.
Main Results:
- Patients with MR-conditional pacemakers can undergo MRI examinations.
- Specific conditions must be met, including limitations on patient isocenter and coil positioning.
- Radiology professionals must possess training specific to the pacemaker system.
Conclusions:
- Radiologists must understand the limitations of 1.5-T MR systems concerning pacemaker patients.
- Proper programming of the pacemaker before and after the MRI scan is crucial.
- Trained personnel are essential for the safe conduct of MRI examinations in patients with MR-conditional pacemakers.
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