Title: Update on MRI Safety in Patients with Cardiac Implantable Electronic Devices
Abstract: HomeRadiologyVol. 288, No. 3 PreviousNext Reviews and CommentaryEditorialUpdate on MRI Safety in Patients with Cardiac Implantable Electronic DevicesTimothy M. Markman, Henry R. Halperin, Saman Nazarian Timothy M. Markman, Henry R. Halperin, Saman Nazarian Author AffiliationsFrom the Division of Cardiology, Section for Cardiac Electrophysiology, Hospital of the University of Pennsylvania, 3400 Spruce St, Founders 9118, Philadelphia, PA 19104 (T.M.M., S.N.); Division of Cardiology, Section for Cardiac Electrophysiology (H.R.H., S.N.), and Departments of Radiology and Biomedical Engineering (H.R.H.), The Johns Hopkins University, Baltimore, Md.Address correspondence to S.N. (e-mail: [email protected]).Timothy M. MarkmanHenry R. HalperinSaman Nazarian Published Online:Jul 3 2018https://doi.org/10.1148/radiol.2018180360MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In References1. Beinart R, Nazarian S. Effects of external electrical and magnetic fields on pacemakers and defibrillators: from engineering principles to clinical practice. Circulation 2013;128(25):2799–2809. Crossref, Medline, Google Scholar2. Sweesy MW. Understanding electromagnetic interference. Heart Rhythm 2004;1(4):523–524. Crossref, Medline, Google Scholar3. Kolb C, Zrenner B, Schmitt C. Incidence of electromagnetic interference in implantable cardioverter defibrillators. Pacing Clin Electrophysiol 2001;24(4 Pt 1):465–468. Crossref, Medline, Google Scholar4. Vahlhaus C. Heating of pacemaker leads during magnetic resonance imaging. Eur Heart J 2005;26(12):1243; author reply 1243–1244. Crossref, Medline, Google Scholar5. Tandri H, Zviman MM, Wedan SR, Lloyd T, Berger RD, Halperin H. Determinants of gradient field-induced current in a pacemaker lead system in a magnetic resonance imaging environment. Heart Rhythm 2008;5(3):462–468. Crossref, Medline, Google Scholar6. Nazarian S, Roguin A, Zviman MM, 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(12):1277–1284. Crossref, Medline, Google Scholar7. Nazarian S, Reynolds MR, Ryan MP, Wolff SD, Mollenkopf SA, Turakhia MP. Utilization and likelihood of radiologic diagnostic imaging in patients with implantable cardiac defibrillators. J Magn Reson Imaging 2016;43(1):115–127. Crossref, Medline, Google Scholar8. Levine GN, Gomes AS, Arai AE, et al. Safety of magnetic resonance imaging in patients with cardiovascular devices: an American Heart Association scientific statement from the Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology, and the Council on Cardiovascular Radiology and Intervention: endorsed by the American College of Cardiology Foundation, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic Resonance. Circulation 2007;116(24):2878–2891. Crossref, Medline, Google Scholar9. Wilkoff BL, Bello D, Taborsky M, et al. Magnetic resonance imaging in patients with a pacemaker system designed for the magnetic resonance environment. Heart Rhythm 2011;8(1):65–73. Crossref, Medline, Google Scholar10. Faris OP, Shein M. Food and Drug Administration perspective: Magnetic resonance imaging of pacemaker and implantable cardioverter-defibrillator patients. Circulation 2006;114(12):1232–1233. Crossref, Medline, Google Scholar11. Gimbel JR, Johnson D, Levine PA, Wilkoff BL. Safe performance of magnetic resonance imaging on five patients with permanent cardiac pacemakers. Pacing Clin Electrophysiol 1996;19(6):913–919. Crossref, Medline, Google Scholar12. Bertelsen L, Petersen HH, Philbert BT, Svendsen JH, Thomsen C, Vejlstrup N. Safety of magnetic resonance scanning without monitoring of patients with pacemakers. Europace 2017;19(5):818–823. Medline, Google Scholar13. Nazarian S, Hansford R, Rahsepar AA, et al. Safety of Magnetic Resonance Imaging in Patients with Cardiac Devices. N Engl J Med 2017;377(26):2555–2564. Crossref, Medline, Google Scholar14. Nazarian S, Hansford R, Roguin A, et al. A prospective evaluation of a protocol for magnetic resonance imaging of patients with implanted cardiac devices. Ann Intern Med 2011;155(7):415–424. Crossref, Medline, Google Scholar15. Russo RJ, Costa HS, Silva PD, et al. Assessing the Risks Associated with MRI in Patients with a Pacemaker or Defibrillator. N Engl J Med 2017;376(8):755–764. Crossref, Medline, Google Scholar16. Indik JH, Gimbel JR, Abe H, et al. 2017 HRS expert consensus statement on magnetic resonance imaging and radiation exposure in patients with cardiovascular implantable electronic devices. Heart Rhythm 2017;14(7):e97–e153. Crossref, Medline, Google Scholar17. U.S. Centers for Medicare & Medicaid Services. Proposed Decision Memo for Magnetic Resonance Imaging (MRI) (CAG-00399R4). https://www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=2892017. Accessed February 9, 2018. Google ScholarArticle HistoryReceived: Feb 9 2018Revision requested: Feb 15 2018Revision received: Feb 26 2018Accepted: Feb 26 2018Published online: July 03 2018Published in print: Sept 2018 FiguresReferencesRelatedDetailsCited ByAssessment of Saudi Arabian Nurses' Knowledge and Attitudes Toward Magnetic Resonance Imaging SafetyAliAlghamdi, MaaidahAlghamdi, SultanAlamri, MahaAlshehri, IbtisamAlatawi, SomyahAlzahrani, MashaelAldarbi, NoraAlali2021 | Journal of Radiology Nursing, Vol. 40, No. 2Performing MRI on patients with MRI-conditional and non-conditional cardiac implantable electronic devices: an update for radiologistsA.Cunqueiro, M.L.Lipton, R.J.Dym, V.R.Jain, J.Sterman, M.H.Scheinfeld2019 | Clinical Radiology, Vol. 74, No. 12Micro/nanomachines: what is needed for them to become a real force in cancer therapy?LucieReinišová, SoňaHermanová, MartinPumera2019 | Nanoscale, Vol. 11, No. 14Facilitating Magnetic Resonance Imaging in Patients With a Cardiac DeviceMichael U.Antonucci2019 | Circulation, Vol. 140, No. 5Recommended Articles MRI in Patients with Cardiac Implantable Electronic DevicesRadiology2018Volume: 289Issue: 2pp. 281-292Safety and Clinical Impact of MRI in Patients with Non–MRI-conditional Cardiac DevicesRadiology: Cardiothoracic Imaging2020Volume: 2Issue: 5Outcome of MRI in Patients with Nonconditional Devices with Mismatch between Manufacturer of Leads and GeneratorRadiology: Cardiothoracic Imaging2022Volume: 4Issue: 3Patient Orientation Affects Lead-Tip Heating of Cardiac Active Implantable Medical Devices during MRIRadiology: Cardiothoracic Imaging2019Volume: 1Issue: 3The Relationship between MRI Radiofrequency Energy and Function of Nonconditional Implanted Cardiac Devices: A Prospective EvaluationRadiology2020Volume: 295Issue: 2pp. 307-313See More RSNA Education Exhibits 2019 MRI Safety Updates for Radiologists: Are We Too Careful or Careless?Digital Posters2019Novel Implantable Devices in the Abdomen and Pelvis: A Primer for RadiologiestsDigital Posters2022Safely Imaging Patients Implanted with MRI Conditional, Non-conditional, and Other Active DevicesDigital Posters2022 RSNA Case Collection Cardiac sarcoidosisRSNA Case Collection2020Omental TorsionRSNA Case Collection2021Atrial Septal DefectRSNA Case Collection2021 Vol. 288, No. 3 Metrics Altmetric Score PDF download