Brain Stimulation: Chapter 7. Magnetic resonance imaging safety of deep brain stimulator devices

Brain Stimulation: Chapter 7. Magnetic resonance imaging safety of deep brain stimulator devices
ISBN-10
0128080132
ISBN-13
9780128080139
Series
Brain Stimulation
Category
Medical
Pages
784
Language
English
Published
2013-11-11
Publisher
Elsevier Inc. Chapters
Authors
Chima O. Oluigbo, Ali R. Rezai

Description

Magnetic resonance imaging (MRI) has become the standard of care for the evaluation of different neurological disorders of the brain and spinal cord due to its multiplanar capabilities and excellent soft tissue resolution. With the large and increasing population of patients with implanted deep brain stimulation (DBS) devices, a significant proportion of these patients with chronic neurological diseases require evaluation of their primary neurological disease processes by MRI. The presence of an implanted DBS device in a magnetic resonance environment presents potential hazards. These include the potential for induction of electrical currents or heating in DBS devices, which can result in neurological tissue injury, magnetic field-induced device migration, or disruption of the operational aspects of the devices. In this chapter, we review the basic physics of potential interactions of the MRI environment with implanted DBS devices, summarize results from phantom studies and clinical series, and discuss present recommendations for safe MRI in patients with implanted DBS devices.

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