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脊柱假肢的MRI安全性:一个系统的审查
Ghazal S Daher1, Armine Kocharyan1, Matthew L Carlson1
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.
概括
现代牙假肢在磁共振成像 (MRI) 扫描中是安全的. 1987年后的植入物没有出现不良结果,确保了MRI程序期间的患者安全.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 生物材料科学 生物材料科学
- 放射学 放射学是一门学科.
背景情况:
- 在磁共振成像 (MRI) 过程中评估医疗植入物的安全性对于患者护理至关重要.
- 形假肢通常用于耳科手术,因此需要了解它们的MRI兼容性.
研究的目的:
- 在MRI过程中评估牙假肢的安全性.
- 为了确定与MRI暴露相关的潜在风险,对于带有子植入物的患者.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Cochrane,Web of Science,Scopus) 进行了系统的文献搜索,截至2021年11月.
- 包括在内的研究报告了在接受MRI的患者中牙假肢相互作用或位移,包括尸体和动物模型.
主要成果:
- 19项研究符合纳入标准.
- 虽然体外研究显示了一些不钢假肢的运动器件,但在人体尸体研究中没有报告任何位移或不良结果.
- 在20世纪80年代发生了铁磁片植入物的召回;这些特定的老植入物的患者应在1.5TMRI时保持谨慎.
结论:
- 现代形假肢 (1987年以后) 被认为在体内MRI暴露时是安全的.
- 建议在1987年之前植入植入体的患者谨慎使用,建议使用1.5TMRI扫描仪.
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