Safety of MRI in patients with implanted deep brain stimulation devices.
Identifieur interne : 000121 ( PubMed/Curation ); précédent : 000120; suivant : 000122Safety of MRI in patients with implanted deep brain stimulation devices.
Auteurs : Michele Tagliati [États-Unis] ; Joseph Jankovic ; Fernando Pagan ; Frandy Susatia ; Ioannis. Isaias ; Michael. OkunSource :
- NeuroImage ; 2009.
English descriptors
- KwdEn :
- Brain (anatomy & histology), Deep Brain Stimulation (instrumentation), Electrodes, Implanted, Equipment Safety, Humans, Insurance, Health, Liability, Legal, Magnetic Resonance Imaging (adverse effects), Practice Guidelines as Topic, Risk, Safety (legislation & jurisprudence), Surveys and Questionnaires.
- MESH :
- adverse effects : Magnetic Resonance Imaging.
- anatomy & histology : Brain.
- instrumentation : Deep Brain Stimulation.
- legislation & jurisprudence : Safety.
- Electrodes, Implanted, Equipment Safety, Humans, Insurance, Health, Liability, Legal, Practice Guidelines as Topic, Risk, Surveys and Questionnaires.
Abstract
To survey the safety of MRI in PD patients implanted with DBS devices.
DOI: 10.1016/j.neuroimage.2009.04.044
PubMed: 19376247
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pubmed:19376247Le document en format XML
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<author><name sortKey="Tagliati, Michele" sort="Tagliati, Michele" uniqKey="Tagliati M" first="Michele" last="Tagliati">Michele Tagliati</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Mount Sinai School of Medicine, New York, NY 10029, USA. michele.tagliati@mssm.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Mount Sinai School of Medicine, New York, NY 10029</wicri:regionArea>
</affiliation>
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<author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
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<author><name sortKey="Pagan, Fernando" sort="Pagan, Fernando" uniqKey="Pagan F" first="Fernando" last="Pagan">Fernando Pagan</name>
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<author><name sortKey="Susatia, Frandy" sort="Susatia, Frandy" uniqKey="Susatia F" first="Frandy" last="Susatia">Frandy Susatia</name>
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<author><name sortKey="Isaias, Ioannis U" sort="Isaias, Ioannis U" uniqKey="Isaias I" first="Ioannis" last="Isaias">Ioannis. Isaias</name>
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<author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael" last="Okun">Michael. Okun</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Safety of MRI in patients with implanted deep brain stimulation devices.</title>
<author><name sortKey="Tagliati, Michele" sort="Tagliati, Michele" uniqKey="Tagliati M" first="Michele" last="Tagliati">Michele Tagliati</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Mount Sinai School of Medicine, New York, NY 10029, USA. michele.tagliati@mssm.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Mount Sinai School of Medicine, New York, NY 10029</wicri:regionArea>
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<author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name>
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<author><name sortKey="Pagan, Fernando" sort="Pagan, Fernando" uniqKey="Pagan F" first="Fernando" last="Pagan">Fernando Pagan</name>
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<author><name sortKey="Susatia, Frandy" sort="Susatia, Frandy" uniqKey="Susatia F" first="Frandy" last="Susatia">Frandy Susatia</name>
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<author><name sortKey="Isaias, Ioannis U" sort="Isaias, Ioannis U" uniqKey="Isaias I" first="Ioannis" last="Isaias">Ioannis. Isaias</name>
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<author><name sortKey="Okun, Michael S" sort="Okun, Michael S" uniqKey="Okun M" first="Michael" last="Okun">Michael. Okun</name>
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<series><title level="j">NeuroImage</title>
<idno type="e-ISSN">1095-9572</idno>
<imprint><date when="2009" type="published">2009</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain (anatomy & histology)</term>
<term>Deep Brain Stimulation (instrumentation)</term>
<term>Electrodes, Implanted</term>
<term>Equipment Safety</term>
<term>Humans</term>
<term>Insurance, Health</term>
<term>Liability, Legal</term>
<term>Magnetic Resonance Imaging (adverse effects)</term>
<term>Practice Guidelines as Topic</term>
<term>Risk</term>
<term>Safety (legislation & jurisprudence)</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Magnetic Resonance Imaging</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Brain</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Deep Brain Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="legislation & jurisprudence" xml:lang="en"><term>Safety</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Electrodes, Implanted</term>
<term>Equipment Safety</term>
<term>Humans</term>
<term>Insurance, Health</term>
<term>Liability, Legal</term>
<term>Practice Guidelines as Topic</term>
<term>Risk</term>
<term>Surveys and Questionnaires</term>
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<front><div type="abstract" xml:lang="en">To survey the safety of MRI in PD patients implanted with DBS devices.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">19376247</PMID>
<DateCreated><Year>2009</Year>
<Month>08</Month>
<Day>03</Day>
</DateCreated>
<DateCompleted><Year>2009</Year>
<Month>10</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-9572</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>47 Suppl 2</Volume>
<PubDate><Year>2009</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>NeuroImage</Title>
<ISOAbbreviation>Neuroimage</ISOAbbreviation>
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<ArticleTitle>Safety of MRI in patients with implanted deep brain stimulation devices.</ArticleTitle>
<Pagination><MedlinePgn>T53-7</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.neuroimage.2009.04.044</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To survey the safety of MRI in PD patients implanted with DBS devices.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">MRI in patients with DBS implants is useful to confirm electrode placement, optimize programming and investigating complications. However, several medical centers do not perform MRI studies in DBS patients because of safety concerns. The safety profile of MRI in DBS patients has not been documented in large clinical series.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">42 NPF Centers of Excellence (COEs) were asked to complete a questionnaire on MRI use and DBS.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Investigators from 40 of 42 (95%) NPF COEs completed the survey and 23 (58%) reported that they were currently performing brain MRI in DBS patients, while 3 (7.5%) had done it in the past. The 17 COEs currently not performing post-operative MRI for DBS listed the following reasons: 1) industry guidelines and/or warnings (53%); 2) decision deferred to outside department (29%); 3) liability/risk/safety (18%); 4) no active DBS program (18%); 5) no available MRI (12%); and 6) insurance and reimbursement concerns (6%). A total of 3304 PD patients with one or more DBS leads had a brain MRI scan, and 177 DBS patients had MRI of other body regions. In one case MRI was associated with an IPG failure without neurological sequelae after IPG replacement. No other complications were reported.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">these data provide evidence for a favorable risk/benefit ratio for brain MRI in patients with DBS implants. Further studies will need to address whether a re-assessment of more restrictive recommendations (i.e. very low SAR values) may be warranted.</AbstractText>
</Abstract>
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<Author ValidYN="Y"><LastName>Jankovic</LastName>
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<Author ValidYN="Y"><LastName>Pagan</LastName>
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<Author ValidYN="Y"><CollectiveName>National Parkinson Foundation DBS Working Group</CollectiveName>
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<Language>eng</Language>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004567">Electrodes, Implanted</DescriptorName>
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