Low-field magnetic resonance imaging: Increased safety for pacemaker patients?

Europace

Volumn 12, Issue 7, 2010, Pages 952-960

  Strach, Katharina ^a   Naehle, Claas Philip ^a   Mühlsteffen, Artur ^b   Hinz, Michael ^c   Bernstein, Adam ^d   Thomas, Daniel ^a   Linhart, Markus ^a   Meyer, Carsten ^a   Bitaraf, Sascha ^e   Schild, Hans ^a   Sommer, Torsten ^a  

^a UNIVERSITY HOSPITAL BONN   (Germany)

^b Radiology Clinic Munic North   (Germany)

^c Aeromedical Center   (Germany)

^d HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^e Department of Medicine Cardiology University Hospital Bonn ^*  (Germany)

Author keywords

Abandoned leads; Low field MRI; Magnetic resonance imaging; Pacemaker; Safety

Indexed keywords

ADULT; AGED; ARTICLE; CONTROLLED STUDY; ELECTRIC POTENTIAL; ELECTROCARDIOGRAM; FEMALE; HEART ARRHYTHMIA; HEART RATE; HUMAN; IMPEDANCE CARDIOGRAPHY; MAJOR CLINICAL STUDY; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PACEMAKER; PRIORITY JOURNAL; PULSE OXIMETRY; RISK ASSESSMENT; ARTIFICIAL HEART PACEMAKER; BODY BURDEN; MIDDLE AGED; RADIATION DOSE; VERY ELDERLY; WHOLE BODY COUNTING; WHOLE BODY IMAGING;

ADULT; AGED; AGED, 80 AND OVER; BODY BURDEN; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; PACEMAKER, ARTIFICIAL; RADIATION DOSAGE; WHOLE BODY IMAGING; WHOLE-BODY COUNTING;

EID: 77955005377     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/euq081     Document Type: Article

References (46)

1. Duru F, Luechinger R, Scheidegger MB, Luscher TF, Boesiger P, Candinas R. Pacing in magnetic resonance imaging environment: clinical and technical considerations on compatibility. Eur Heart J 2001;22:113-124
2. Luechinger R, Duru F, Scheidegger MB, Boesiger P, Candinas R. Force and torque effects of a 1.5-Tesla MRI scanner on cardiac pacemakers and ICDs. Pacing Clin Electrophysiol 2001;24:199-205.
3. PavlicekW, Geisinger M, Castle L, Borkowski GP, Meaney TF, Bream BL et al. The effects of nuclear magnetic resonance on patients with cardiac pacemakers. Radiology 1983;147:149-153
4. Schmiedel A, Hackenbroch M, Yang A, Nahle CP, Skowasch D, Meyer C et al. Magnetic resonance imaging of the brain in patients with cardiac pacemakers. Experimental and clinical investigations at 1.5 Tesla. Rofo 2005;177:731-744
5. Achenbach S, Moshage W, Diem B, Bieberle T, Schibgilla V, Bachmann K. Effects of magnetic resonance imaging on cardiac pacemakers and electrodes. Am Heart J 1997;134:467-473
6. Luechinger R, Zeijlemaker VA, Pedersen EM, Mortensen P, Falk E, Duru F et al. In vivo heating of pacemaker leads during magnetic resonance imaging. Eur Heart J 2005;26:376-83. discussion 25-27 (Pubitemid 40283097)
7. Peden CJ, Collins AG, Butson PC, Whitwam JG, Young IR. Induction of microcurrents in critically ill patients in magnetic resonance systems. Crit Care Med 1993; 21:1923-1928
8. Erlebacher JA, Cahill PT, Pannizzo F, Knowles RJ. Effect of magnetic resonance imaging on DDD pacemakers. Am J Cardiol 1986;57:437-440
9. Hayes DL, Holmes DR Jr, Gray JE. Effect of 1.5 tesla nuclear magnetic resonance imaging scanner on implanted permanent pacemakers. J Am Coll Cardiol 1987;10: 782-786
10. Holmes DR Jr, Hayes DL, Gray JE, Merideth J. The effects of magnetic resonance imaging on implantable pulse generators. Pacing Clin Electrophysiol 1986;9:360-370
11. Fetter J, Aram G, Holmes DR Jr, Gray JE, Hayes DL. The effects of nuclear magnetic resonance imagers on external and implantable pulse generators. Pacing Clin Electrophysiol 1984;7:720-727
12. Fontaine JM, Mohamed FB, Gottlieb C, Callans DJ, Marchlinski FE. Rapid ventricular pacing in a pacemaker patient undergoing magnetic resonance imaging. Pacing Clin Electrophysiol 1998;21:1336-1339
13. Vahlhaus C, Sommer T, Lewalter T, Schimpf R, Schumacher B, Jung Wet al. Interference with cardiac pacemakers by magnetic resonance imaging: are there irreversible changes at 0.5 Tesla? Pacing Clin Electrophysiol 2001;24:489-495
14. Gimbel JR. Unexpected asystole during 3T magnetic resonance imaging of a pacemaker-dependent patient with a 'modern' pacemaker. Europace 2009;11:1241-1242
15. Sommer T, Naehle CP, Yang A, Zeijlemaker V, Hackenbroch M, Schmiedel A et al. Strategy for safe performance of extrathoracic magnetic resonance imaging at 1.5 tesla in the presence of cardiac pacemakers in non-pacemaker-dependent patients: a prospective study with 115 examinations. Circulation 2006;114:1285-1292
16. Martin ET, Coman JA, Shellock FG, Pulling CC, Fair R, Jenkins K. Magnetic resonance imaging and cardiac pacemaker safety at 1.5-Tesla. J Am Coll Cardiol 2004;43: 1315-1324
17. Kurtz SM, Ochoa JA, Lau E, Shkolnikov Y, Pavri BB, Frisch D et al. Implantation trends and patient profiles for pacemakers and implantable cardioverter defibrillators in the United States: 1993-2006. Pacing Clin Electrophysiol;33:705-711
18. Sakakibara Y, Mitsui T. Concerns about sources of electromagnetic interference in patients with pacemakers. Jpn Heart J 1999;40:737-743
19. Kalin R, Stanton MS. Current clinical issues for MRI scanning of pacemaker and defibrillator patients. Pacing Clin Electrophysiol 2005;28:326-328
20. Nazarian S, Roguin A, Zviman MM, Lardo AC, Dickfeld TL, Calkins H et al. Clinical utility and safety of a protocol for noncardiac and cardiac magnetic resonance imaging of patients with permanent pacemakers and implantable- cardioverter defibrillators at 1.5 tesla. Circulation 2006;114:1277-1284
21. Shellock FG, Fischer L, Fieno DS. Cardiac pacemakers and implantable cardioverter defibrillators: in vitro magnetic resonance imaging evaluation at 1.5-tesla. J Cardiovasc Magn Reson 2007;9:21-31.
22. Shellock FG, Tkach JA, Ruggieri PM, Masaryk TJ. Cardiac pacemakers, ICDs, and loop recorder: evaluation of translational attraction using conventional ('longbore') and 'short-bore' 1.5- and 3.0-Tesla MR systems. J Cardiovasc Magn Reson 2003;5:387-397
23. Sommer T, Lauck G, Schimpf R, von Smekal A, Wolke S, Block W et al. MRI in patients with cardiac pacemakers: in vitro and in vivo evaluation at 0.5 tesla. Rofo 1998;168:36-43.
24. Heatlie G, Pennell DJ. Cardiovascular magnetic resonance at 0.5T in five patients with permanent pacemakers. J Cardiovasc Magn Reson 2007;9:15-19
25. Sepponen RE. Low-field MR imaging-development in Finland. Acta Radiol 1996; 37:446-454
26. Schenck JF. Safety of strong, static magnetic fields. J Magn Reson Imaging 2000;12: 2-19.
27. Finelli DA, Rezai AR, Ruggieri PM, Tkach JA, Nyenhuis JA, Hrdlicka G et al. MR imaging-related heating of deep brain stimulation electrodes: in vitro study. AJNR Am J Neuroradiol 2002;23:1795-1802
28. Preston TA, Fletcher RD, Lucchesi BR, Judge RD. Changes in myocardial threshold. Physiologic and pharmacologic factors in patients with implanted pacemakers. Am Heart J 1967;74:235-242
29. Hayashi N,Watanabe Y, Masumoto T, Mori H, Aoki S, Ohtomo K et al. Utilization of low-field MR scanners. Magn Reson Med Sci 2004;3:27-38.
30. Spouse E, Gedroyc WM. MRI of the claustrophobic patient: interventionally configured magnets. Br J Radiol 2000;73:146-151
31. Mala T, Edwin B, Samset E, Gladhaug I, Hol PK, Fosse E et al. Magnetic-resonanceguided percutaneous cryoablation of hepatic tumours. Eur J Surg 2001;167:610-617
32. Silverman SG, Tuncali K, Adams DF, vanSonnenberg E, Zou KH, Kacher DF et al. MR imaging-guided percutaneous cryotherapy of liver tumors: initial experience. Radiology 2000;217:657-664
33. Kanner AA, Vogelbaum MA, Mayberg MR,Weisenberger JP, Barnett GH. Intracranial navigation by using low-field intraoperative magnetic resonance imaging: preliminary experience. J Neurosurg 2002;97:1115-1124
34. Nimsky C, Ganslandt O, Gralla J, Buchfelder M, Fahlbusch R. Intraoperative lowfield magnetic resonance imaging in pediatric neurosurgery. Pediatr Neurosurg 2003;38:83-89 (Pubitemid 36132004)
35. Levivier M, Wikler D, De Witte O, Van de Steene A, Baleriaux D, Brotchi J. Pole- Star N-10 low-field compact intraoperative magnetic resonance imaging system with mobile radiofrequency shielding. Neurosurgery 2003;53:1001-1006 discussion 7.
36. Nimsky C, Ganslandt O, Hofmann B, Fahlbusch R. Limited benefit of intraoperative low-field magnetic resonance imaging in craniopharyngioma surgery. Neurosurgery 2003;53:72-80. discussion -1.
37. Sommer T, Vahlhaus C, Lauck G, von Smekal A, Reinke M, Hofer U et al. MR imaging and cardiac pacemakers: in vitro evaluation and in vivo studies in 51 patients at 0.5 T. Radiology 2000;215: 869-879
38. Roguin A, Zviman MM, Meininger GR, Rodrigues ER, Dickfeld TM, Bluemke DA et al. Modern pacemaker and implantable cardioverter/defibrillator systems can be magnetic resonance imaging safe: in vitro and in vivo assessment of safety and function at 1.5 T. Circulation 2004;110:475-482
39. Armour EP, McEachern D, Wang Z, Corry PM, Martinez A. Sensitivity of human cells to mild hyperthermia. Cancer Res 1993;53:2740-2744
40. Henriques FC. Studies of thermal injury v. The predictability and the significance of thermally induced rate processes leading to irreversible epidermal injury. Arch Path 1947;43:489-502.
41. Martinez AA, Meshorer A, Meyer JL, Hahn GM, Fajardo LF, Prionas SD. Thermal sensitivity and thermotolerance in normal porcine tissues. Cancer Res 1983;43: 2072-2075
42. Irnich W, Irnich B, Bartsch C, Stertmann WA, Gufler H, Weiler G. Do we need pacemakers resistant to magnetic resonance imaging? Europace 2005;7: 353-365
43. Hoult DI, Phil D. Sensitivity and power deposition in a high-field imaging experiment. J Magn Reson Imaging 2000;12:46-67.
44. Naehle CP, Litt H, Lewalter T, Sommer T. Do we need pacemakers resistant to magnetic resonance imaging?. Europace 2006;8:388. author reply 9.
45. Fries R, Steuer M, Schafers HJ, Bohm M. The R-on-T phenomenon in patients with implantable cardioverter-defibrillators. Am J Cardiol 2003;91:752-755
46. Luechinger R, Duru F, Zeijlemaker VA, Scheidegger MB, Boesiger P, Candinas R. Pacemaker reed switch behavior in 0.5, 1.5, and 3.0 Tesla magnetic resonance imaging units: are reed switches always closed in strong magnetic fields?. Pacing Clin Electrophysiol 2002;25:1419-1423