Consensus document on magnetic resonance imaging in patients with cardiac implanted electronic devices

Area of Science:

• Cardiology and Radiology
• Medical Imaging and Device Technology

Background:

• Magnetic resonance imaging (MRI) is crucial for diagnosing various conditions, with increasing use expected.
• The rise in cardiac implantable electronic devices (CIEDs) necessitates MRI compatibility.
• MR-conditional devices have advanced, but conventional CIEDs also present low risks under specific conditions.

Purpose of the Study:

• To provide guidelines for MRI in patients with CIEDs.
• To ensure patient and professional safety during MRI procedures.
• To facilitate access to MRI for CIED patients.

Main Methods:

• Consensus document development by cardiology and radiology societies.
• Review of potential risks and advancements in MR-conditional devices.
• Formulation of recommendations for risk-benefit analysis, consent, scheduling, programming, and monitoring.

Main Results:

• Established guidelines for safe MRI in CIED patients.
• Highlighted low risks associated with conventional CIEDs under specific circumstances.
• Recommended standardized procedures and institutional agreements.

Conclusions:

• Standardized procedures and collaboration are vital for safe MRI in CIED patients.
• Guidelines support informed decision-making and patient access to MRI.
• Optimized patient safety and legal support are provided for MRI utilization.