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Related Concept Videos

Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Deep Brain Stimulation with Simultaneous fMRI in Rodents
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Optimized, Minimal Specific Absorption Rate MRI for High-Resolution Imaging in Patients with Implanted Deep Brain

A M Franceschi1, G C Wiggins1, A Y Mogilner2

  • 1From the Departments of Radiology (A.M.F., G.C.W., T.S., S.C., Y.W.L.).

AJNR. American Journal of Neuroradiology
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This summary is machine-generated.

High-quality brain MRI is now feasible in patients with deep brain stimulators. This optimized protocol ensures safety and provides adequate imaging for surgical planning, overcoming previous challenges.

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Area of Science:

  • Neurology
  • Radiology
  • Neurosurgery

Background:

  • Deep brain stimulator (DBS) implantation presents challenges for high-resolution brain MRI due to safety concerns.
  • Previous concerns have limited MRI use in patients with implanted DBS devices.

Purpose of the Study:

  • To present a practical clinical protocol for obtaining high-resolution brain MRI in patients with existing DBS implants.
  • To demonstrate the feasibility of achieving presurgical quality imaging for staged DBS insertion.

Main Methods:

  • Optimized a 1.5T MRI protocol to minimize specific absorption rate (SAR) while maintaining image quality for surgical planning.
  • Reviewed 29 patients with DBS implants who underwent MRI between 2012 and 2015.
  • Assessed image quality and artifacts qualitatively by a neuroradiologist and functional neurosurgeon.

Main Results:

  • Twenty-nine patients (Parkinson disease, dystonia, essential tremor) with DBS implants were successfully imaged.
  • No adverse events occurred during or after MRI scans.
  • Mild susceptibility artifacts were present but did not compromise overall image quality; all preoperative studies were adequate for guiding second DBS electrode placement.

Conclusions:

  • An optimized, low-SAR MR imaging protocol can safely acquire high-quality brain images in patients with DBS.
  • These images are sufficient for guiding subsequent deep brain stimulator placement.
  • This protocol addresses a significant challenge in neuroimaging for patients with neuromodulation devices.