ReviewEuropean radiology2020
Making MRI available for patients with cardiac implantable electronic devices: growing need and barriers to change.
Review in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Pacemaker with automatic activation of a magnetic resonance imaging mode: A single-center experience.American heart journal plus : cardiology research and practice · 2026Article
- A call to action: improving access to cardiac MRI for diagnosis of immune checkpoint inhibitor related myocarditis in low and middle income countries.Cardio-oncology (London, England) · 2025Review
- Clinical implementation of MRI for evaluation of titanium press-fit osseointegration implants.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Magnetic resonance imaging in patients with cardiac implantable electronic devices: the RESONANCE Spanish registry.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024Article
- Awareness and barriers of sacral neuromodulation in women with overactive bladder.Archives of gynecology and obstetrics · 2024Article
- Prediction of MRI-Induced Power Absorption in Patients with DBS Leads.Proceedings. IEEE International Symposium on Computer-Based Medical Systems · 2024Article
- How we do it: Cardiac implantable devices are not a contraindication to MRI: time for a paradigm shift.Pediatric radiology · 2024Article
- Cardiac Magnetic Resonance and Cardiac Implantable Electronic Devices: Are They Truly Still "Enemies"?Medicina (Kaunas, Lithuania) · 2024Review
- Safety and performance of MR-conditional pacing systems with automated MRI mode at 1.5 and 3 Tesla.European radiology · 2023Article
- Application of Machine learning to predict RF heating of cardiac leads during magnetic resonance imaging at 1.5 T and 3 T: A simulation study.Journal of magnetic resonance (San Diego, Calif. : 1997) · 2023Article
- 3 Tesla magnetic resonance imaging in patients with cardiac implantable electronic devices: a single centre experience.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023Article
- Role of Cardiac MRI Imaging of Focal and Diffuse Inflammation and Fibrosis in Cardiomyopathy Patients Who Have Pacemakers/ICD Devices.Current cardiology reports · 2022Review
- Evidence to support magnetic resonance conditional labelling of all pacemaker and defibrillator leads in patients with cardiac implantable electronic devices.European heart journal · 2022Article
- Magnetic resonance imaging safety in patients with abandoned or functioning epicardial pacing leads.European radiology · 2022Article
- 3.0 T magnetic resonance imaging scanning on different body regions in patients with pacemakers.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021Article
- Access to MRI for patients with cardiac pacemakers and implantable cardioverter defibrillators.Open heart · 2021Article
- Impairment of right ventricular strain evaluated by cardiovascular magnetic resonance feature tracking in patients with interstitial lung disease.The international journal of cardiovascular imaging · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
More than half of us will need a magnetic resonance imaging (MRI) scan in our lifetimes. MRI is an unmatched diagnostic test for an expanding range of indications including neurological and musculoskeletal disorders, cancer diagnosis, and treatment planning. Unfortunately, patients with cardiac pacemakers or defibrillators have historically been prevented from having MRI because of safety concerns. This results in delayed diagnoses, more invasive investigations, and increased cost. Major developments have addressed this-newer devices are designed to be safe in MRI machines under specific conditions, and older legacy devices can be scanned provided strict protocols are followed. This service however remains difficult to deliver sustainably worldwide: MRI provision remains grossly inadequate because patients are less likely to be referred, and face difficulties accessing services even when referred. Barriers still exist but are no longer technical. These include logistical hurdles (poor cardiology and radiology interaction at physician and technician levels), financial incentives (re-imbursement is either absent or fails to acknowledge the complexity), and education (physicians self-censor MRI requests). This article therefore highlights the recent changes in the clinical, logistical, and regulatory landscape. The aim of the article is to enable and encourage healthcare providers and local champions to build MRI services urgently for cardiac device patients, so that they may benefit from the same access to MRI as everyone else. KEY POINTS: • There is now considerable evidence that MRI can be provided safely to patients with cardiac implantable electronic devices (CIEDs). However, the volume of MRI scans delivered to patients with CIEDs is fifty times lower than that of the estimated need, and patients are approximately fifty times less likely to be referred. • Because scans for this patient group are frequently for cancer diagnosis and treatment planning, MRI services need to develop rapidly, but the barriers are no longer technical. • New services face logistical, educational, and financial hurdles which can be addressed effectively to establish a sustainable service at scale.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.