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The Bonebridge (BB) implant offers intact skin but causes significant MRI artifacts. Percutaneous bone conduction implants (BCI) are preferred for patients needing brain MRI scans.

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Area of Science:

  • Neurosurgery
  • Otolaryngology
  • Medical Imaging

Background:

  • The Bonebridge (BB) is a transcutaneous bone conduction implant (BCI) designed to avoid skin issues associated with percutaneous systems.
  • It is marketed as MRI conditional up to 1.5 Tesla (T).

Observation:

  • This report details the extensive neurocranial artifact observed after BB implantation.
  • The artifact size must be considered during patient counseling for BCI candidacy.

Findings:

  • The BB implant generates a substantial artifact in MRI scans of the neurocranium.
  • Percutaneous BCIs produce minimal artifacts, making them suitable for patients requiring brain imaging.

Implications:

  • Patients with conductive, mixed, or single-sided hearing loss considered for BCI need counseling regarding MRI limitations.
  • For patients with intracranial tumors or other brain conditions requiring MRI, percutaneous BCIs are the recommended implant choice due to minimal artifact interference.