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呼叫行动:改善心血管植入式电子设备患者的MRI接入

Robert J Russo¹, Lindsey Gakenheimer-Smith², Ulrika M Birgersdotter-Green³

¹Scripps Research, La Jolla, California.

|April 28, 2025

概括

患有心脏植入式电子设备 (CIED) 的患者面临着对MRI扫描的限制. 本声明概述了障碍,并提供了改善这些患者MRI可访问性的建议.

科学领域:

心脏病学心脏病学
医疗成像医学成像
电子生理学电子生理学

背景情况:

磁共振成像 (MRI) 对于诊断各种疾病至关重要,但心血管植入式电子设备 (CIED) 的患者的访问受到限制.
尽管在特定条件下证明了安全性,但仍有重大障碍阻碍了CIED患者的MRI接入.

研究的目的:

识别和描述CIED患者MRI访问的持续障碍.
为改善临床护理和MRI可访问性提供可行的建议.
解决影响MRI访问的监管,运营和机构挑战.

主要方法:

由一个多学科的编写委员会制定行动号召声明.
对最近心律学会 (HRS) 关于MRI访问的会员调查结果的分析.
审查不断变化的供应商特定的MRI排除及其影响.

主要成果:

持续的监管,运营和机构障碍限制了CIED患者的MRI访问.
特定的患者群体,包括具有多个或混合供应商设备,废弃线索或心上线索的患者,面临着独特的挑战.
电生理学团队经历了与MRI程序相关的重大临床和行政负担.

结论:

消除非数据驱动的障碍对于公平获得临床上适用的MRI至关重要.
专业,行业和监管机构之间的合作对于改善MRI访问至关重要.
对电生理学团队来说,需要对MRI相关护理进行公平的认可和报销.

关键词:

访问访问访问访问访问心血管植入式电子设备是什么卫生政策卫生政策磁共振成像技术磁共振成像技术

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Magnetic Resonance Imaging

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...