How we do it: Cardiac implantable devices are not a contraindication to MRI: time for a paradigm shift.
Publication/Presentation Date
5-1-2024
Abstract
Magnetic resonance imaging (MRI) is now an indispensable diagnostic tool in medicine due to its outstanding contrast resolution and absence of radiation exposure, enabling detailed tissue characterization and three-dimensional anatomical representation. This is especially important when evaluating individuals with congenital heart disease (CHD) who frequently require cardiac implantable electrical devices (CIEDs). While MRI safety issues have previously limited its use in patients with CIEDs, new advances have called these limitations into question. However, difficulties persist in the pediatric population due to the continued lack of specific safety data both related to imaging young children and the specific CIED devices they often require. This paper discusses MRI safety considerations related to imaging patients with CIEDs, investigates pediatric-specific problems, and describes thorough methods for safe MRI access, highlighting the significance of specialized institutional guidelines.
Volume
54
Issue
6
First Page
863
Last Page
875
ISSN
1432-1998
Published In/Presented At
De Leon-Benedetti, L. S., Ramirez-Suarez, K. I., Otero, H. J., Rapp, J. B., Biko, D. M., Smith, C., Serai, S. D., Janson, C., Shah, M., Englehardt, G., Fogel, M., & White, A. M. (2024). How we do it: Cardiac implantable devices are not a contraindication to MRI: time for a paradigm shift. Pediatric radiology, 54(6), 863–875. https://doi.org/10.1007/s00247-024-05902-y
Disciplines
Medicine and Health Sciences
PubMedID
38488925
Department(s)
Fellows and Residents
Document Type
Article