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Multi-Magnet Cochlear Implant Technology and Magnetic Resonance Imaging: The Safety Issue.

Pietro Canzi1,2, Elena Carlotto3, Elisabetta Zanoletti4

  • 1Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.

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|May 28, 2024
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Summary

Magnetic Resonance Imaging (MRI) is feasible for Hires Ultra 3D cochlear implant (CI) recipients. This study found minimal adverse events, primarily mild pain from headbands, encouraging wider MRI access for CI users.

Keywords:
Ultra 3Dcochlear implantsmagnetmagnetic resonance imagingsafety

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Area of Science:

  • Otolaryngology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Cochlear implant (CI) magnetic systems present challenges for Magnetic Resonance Imaging (MRI) access.
  • Safety concerns limit MRI availability for CI recipients despite advancements in CI technology.

Purpose of the Study:

  • To assess and record the experiences of Hires Ultra 3D (Advanced Bionics) recipients undergoing MRI examinations.
  • To evaluate safety issues and compare findings with existing literature.

Main Methods:

  • A multicentric European survey was conducted across 9 otologic referral centers.
  • Data from 65 MRI scans in 47 Hires Ultra 3D recipients, including pediatric cases, were collected and analyzed.
  • Preventive measures like scanning time, sedation, head wrapping, and local anesthesia were noted.

Main Results:

  • Only 4.6% (3/65) of examinations reported mild pain due to tight head bandages, with one requiring scan interruption.
  • No other significant adverse events were documented during the MRI procedures.
  • The study included pediatric and adolescent CI recipients, providing novel data.

Conclusions:

  • MRI execution is generally safe and feasible for Hires Ultra 3D recipients.
  • Findings support performing MRI in accordance with manufacturer guidelines for this CI population.
  • The study encourages greater confidence in providing MRI services to CI users.