Biomedical implants and devices: Assessment of magnetic field interactions with a 3.0-Tesla MR system

被引:154
作者
Shellock, FG
机构
[1] Univ So Calif, Keck Sch Med, Los Angeles, CA USA
[2] Inst Magnet Resonance Safety Educ & Res, Los Angeles, CA USA
关键词
magnetic resonance; safety; magnetic resonance imaging; implants; bioeffects; high field;
D O I
10.1002/jmri.10207
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];
摘要
Purpose: To evaluate magnetic field interactions for 109 different biomedical implants and devices in association with exposure to a 3.0-Tesla magnetic resonance (MR) system. Materials and Methods: A total of 109 implants and devices (aneurysm clips, 32: clips, fasteners, and staples, 10; coils and stents, 10; heart valve prostheses and annuloplasty rings, 12; orthopedic implants, five; suture materials, 13; vascular access ports and accessories, 13; miscellaneous implants and devices, 14) were tested for magnetic field interactions at 3.0-Tesla using previously-described, standardized techniques to assess magnetic field translational attraction and torque. Results: The deflection angles and torque measurements ranged, respectively, from 0 to 16degrees and 0 to +2 for the aneurysm clips; 0 to 90degrees and 0 to +4 for the clips, fasteners, and staples; 0 to 47degrees and 0 to +4 for the coils and stents; 0 to 4degrees and 0 to + 1 for the heart valve prostheses and annuloplasty rings; 0 to 12degrees and 0 to +2 for the orthopedic implants; 0 to 13degrees and 0 to + 2 for the suture materials; 0 to 52degrees and 0 to + 4 for the vascular access ports and accessories; and 0 to 28degrees and 0 to +3 for the miscellaneous implants and devices. Conclusion: Of the 109 implants and devices assessed for magnetic field interactions at 3.0-Tesla, four (4%) are potentially unsafe based on deflection angle criteria. The implications of these results for patients undergoing MR procedures at 3.0-Tesla is discussed. Notably, these results are specific to the 3.0-Tesla MR system used for this evaluation.
引用
收藏
页码:721 / 732
页数:12
相关论文
共 57 条
[31]
Shellock F. G., 2001, MAGNETIC RESONANCE P
[32]
MR IMAGING AND METALLIC IMPLANTS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION - ASSESSMENT OF FERROMAGNETISM AND ARTIFACT [J].
SHELLOCK, FG ;
MINK, JH ;
CURTIN, S ;
FRIEDMAN, MJ .
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING, 1992, 2 (02) :225-228
[33]
Shellock FG, 2000, J MAGN RESON IMAGING, V12, P30, DOI 10.1002/1522-2586(200007)12:1<30::AID-JMRI4>3.0.CO
[34]
2-S
[35]
MR-IMAGING AND VASCULAR ACCESS PORTS - EX-VIVO EVALUATION OF FERROMAGNETISM, HEATING, AND ARTIFACTS AT 1.5 T [J].
SHELLOCK, FG ;
NOGUEIRA, M ;
MORISOLI, S .
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING, 1995, 5 (04) :481-484
[36]
Cranial bone map fixation clamps: Compatibility at MR imaging [J].
Shellock, FG ;
Shellock, VJ .
RADIOLOGY, 1998, 207 (03) :822-825
[37]
HIGH-FIELD-STRENGTH MR IMAGING AND METALLIC BIOMEDICAL IMPLANTS - AN EXVIVO EVALUATION OF DEFLECTION FORCES [J].
SHELLOCK, FG ;
CRUES, JV .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 151 (02) :389-392
[38]
Metallic stents: Evaluation of MR imaging safety [J].
Shellock, FG ;
Shellock, VJ .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1999, 173 (03) :543-547
[39]
Spetzler titanium aneurysm clips: Compatibility at MR imaging [J].
Shellock, FG ;
Shellock, VJ .
RADIOLOGY, 1998, 206 (03) :838-841
[40]
MR compatibility of Guglielmi detachable coils [J].
Shellock, FG ;
Detrick, MS ;
BrantZawadski, MN .
RADIOLOGY, 1997, 203 (02) :568-570