A Comprehensive Practice Guideline for Magnetic Resonance Imaging Compatibility in Implanted Neuromodulation Devices

Area of Science:

• Neuromodulation and Medical Imaging

Background:

• Historically, implanted neuromodulation devices were contraindicated for MRI due to safety concerns.
• Technological advancements and community consensus have paved the way for MRI compatibility.
• The FDA's evolving labeling reflects the progress in device safety for MRI environments.

Purpose of the Study:

• To provide a comprehensive overview of MRI guidelines for currently available implanted neuromodulation devices.
• To assist physicians in determining the appropriate conditions for performing MR imaging in patients with these devices.
• To consolidate information on MRI compatibility for various neuromodulation systems.

Main Methods:

• A narrative review of existing literature and manufacturer data.
• Searches were conducted across major databases including PubMed, MEDLINE/OVID, and SCOPUS.
• Manual bibliographical searches of primary and review articles were also performed.

Main Results:

• Specific guidelines and recommendations are presented for each type of implanted neuromodulation device.
• Information covers compatibility and safety protocols for use within MR environments.
• The review details MRI protocols for spinal cord stimulators, intrathecal drug delivery systems, and more.

Conclusions:

• This represents the first comprehensive guideline on MRI compatibility for diverse neuromodulation devices.
• Developed by the American Society of Pain and Neuroscience, it addresses current market products.
• The guideline aims to enhance patient care by facilitating safe MRI procedures.