磁共振成像在患者的耳植入物没有磁体去除:一个放射管理的协议,以提高运营效率和改善工作流程
B Jake Johnson1, Robert J Macielak1, Robert E Watson2
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.
概括
一个新的放射学协议允许磁共振成像 (MRI) 用于耳植入物和听觉脑干植入物患者,而无需移除磁体. 这种方法成功地减少了疼痛和磁位移,改善了患者的护理.
科学领域:
- 放射学 放射学是一门学科.
- 神经外科 神经外科
- 医疗器械技术 医疗器械技术
背景情况:
- 耳植入物 (CI) 和听觉脑干植入物 (ABI) 的患者通常需要MRI扫描.
- 传统的MRI协议需要移除磁铁,带来风险和后勤挑战.
- 开发一个安全的,非侵入性的MRI协议对于这种患者群体至关重要.
研究的目的:
- 详细介绍在CI和ABI患者中进行MRI的放射学管理协议的创建,实施和验证.
- 为了使MRI获取无需移除设备磁铁.
- 为神经病理学患者建立一个精简和安全的成像途径.
主要方法:
- 一个回顾性回顾和描述一种新的放射学管理护理途径.
- 协议的制定涉及放射安全和神经病学专家的投入.
- 关键的保障措施包括技术人员培训,患者教育和临床审计;测量结果是磁位移和MRI终止由于疼痛.
主要成果:
- 301个植入耳朵在没有移除磁铁的情况下接受了MRI.
- 在MRI条件直径磁铁的患者中,没有发生磁铁脱离或与疼痛相关的终止.
- 传统的轴磁体植入物有9.6%的与疼痛相关的终止率和3.0%的磁体位移率,大多数位移都是非手术处理的.
结论:
- 一个放射学管理的协议使得IC和ABI接收者可以安全地进行MRI,而无需移除磁铁.
- 该协议简化了护理,并减少了耳鼻喉科提供者的临床负担.
- 提供的资源 (流程图,培训模块,患者材料) 可以适应类似的实施.
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