Implantable microstimulator: magnetic resonance safety at 1.5 Tesla

Invest Radiol. 2004 Oct;39(10):591-9. doi: 10.1097/01.rli.0000138090.43450.ec.

Abstract

Rationale and objective: Ex vivo testing is necessary to characterize implants to determine if it is safe for the patient to undergo a magnetic resonance imaging (MRI) examination. Therefore, the objective of this study was to evaluate MR safety for an implantable microstimulator in association with a 1.5 Tesla MR system.

Methods: A microstimulator (RF BION, Alfred E. Mann Foundation for Scientific Research, Valencia, CA) was evaluated for magnetic field interactions and MRI-related heating. The functional aspects of this implant were assessed immediately before and after exposure to MRI (15 different pulse sequences). Artifacts were also characterized.

Results: Magnetic field interactions exhibited by the microstimulator will not pose a hazard after a suitable postimplantation period has elapsed. Temperature changes will not pose a risk. The function of the microstimulator was unaffected by MRI. Artifacts will only create a problem if the area of interest is in proximity to this implant (largest artifact area: T1-weighted spin echo, 2291 mm2; gradient echo, 3310 mm2).

Conclusion: The overall findings indicated that it is safe for a patient with the microstimulator to undergo MRI at 1.5 Tesla by following specific safety guidelines described herein.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Artifacts*
  • Electric Stimulation Therapy / instrumentation*
  • Electromagnetic Fields / adverse effects
  • Equipment Safety
  • Hot Temperature
  • Humans
  • Magnetic Resonance Imaging / adverse effects*
  • Magnetic Resonance Imaging / instrumentation*
  • Magnetic Resonance Imaging / standards
  • Microelectrodes*
  • Nervous System Diseases / therapy
  • Phantoms, Imaging
  • Prostheses and Implants*