MRI safety screening of children with implants: updates and challenges

Lisa H Betz1, Jonathan R Dillman2,3, Blaise V Jones2,3

  • 1Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave, Cincinnati, OH, 45229, USA. lisa.betz@cchmc.org.

Pediatric Radiology
|April 20, 2023
PubMed

Insights

Magnetic Resonance Imaging (MRI) is vital for pediatric care, but implanted medical devices can pose risks. This review details MRI safety protocols and device management for children, ensuring safe imaging.

Area of Science:

  • Medical Imaging
  • Pediatric Radiology
  • Biomedical Engineering

Background:

  • Magnetic Resonance Imaging (MRI) is a primary diagnostic tool for pediatric conditions.
  • MRI utilizes electromagnetic fields, posing potential safety risks, especially with implanted medical devices.
  • Existing MRI safety practices effectively mitigate risks in general clinical practice.

Purpose of the Study:

  • To review MRI physics relevant to implanted device safety in children.
  • To outline strategies for screening and assessing pediatric patients with implanted devices.
  • To discuss the management of common and novel implanted devices during MRI.

Main Methods:

  • Review of MRI physics principles related to safety.
  • Discussion of screening protocols for pediatric patients with implanted devices.
  • Case-based review of implanted device management in the MRI environment.

Main Results:

  • Understanding MRI physics is crucial for identifying device-related hazards.
  • Systematic screening and assessment are essential for patient safety.
  • Specific management strategies are required for different types of implanted devices.

Conclusions:

  • Adherence to MRI safety practices is paramount, particularly for pediatric patients with implanted devices.
  • Comprehensive knowledge of device characteristics and MRI interactions is critical.
  • Effective management protocols ensure the safe utilization of MRI in this vulnerable population.

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