Evidence map›Paper›PMID 34958685›Full record

ArticleMagnetic resonance in medicine2022

Safety of MRI in patients with retained cardiac leads.

Bach T Nguyen, Bhumi Bhusal, Amir Ali Rahsepar, Kate Fawcett, Stella Lin, Daniel S Marks, Rod Passman, Donny Nieto, Richard Niemzcura, Laleh Golestanirad

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  3. Article
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  5. Article
  6. Implants talk to each-other: RF heating changes when two DBS leads are present simultaneously during MRI.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023
    Article
  7. RF-induced heating of capped and uncapped abandoned epicardial leads during MRI at 1.5 T and 3 T.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023
    Article
  8. Rapid prediction of MRI-induced RF heating of active implantable medical devices using machine learning.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023
    Article
  9. Article
  10. Article
  11. The Position and Orientation of the Pulse Generator Affects MRI RF Heating of Epicardial Leads in Children.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2022
    Article
  12. Safety of MRI in patients with retained cardiac leads.Magnetic resonance in medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bach T NguyenDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID 0000-0001-6533-3795
Bhumi BhusalDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID 0000-0002-4404-9784
Amir Ali RahseparDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Kate FawcettDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Stella LinDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Daniel S MarksDepartment of Electrophysiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Rod PassmanDepartment of Electrophysiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Donny NietoDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Richard NiemzcuraDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Laleh GolestaniradDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Funding

Safety assessment of magnetic resonance imaging in patients with retained cardiac leadsR03EB025344 · NIBIB · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GOLESTANI RAD, LALEH · 2018 to 2019
$156k
NIBIB NIH HHS R03 EB025344NIH HHS R03EB025344
6 · The paper itself

Abstract

purposeTo evaluate the safety of MRI in patients with fragmented retained leads (FRLs) through numerical simulation and phantom experiments.

methodsElectromagnetic and thermal simulations were performed to determine the worst-case RF heating of 10 patient-derived FRL models during MRI at 1.5 T and 3 T and at imaging landmarks corresponding to head, chest, and abdomen. RF heating measurements were performed in phantoms implanted with reconstructed FRL models that produced highest heating in numerical simulations. The potential for unintended tissue stimulation was assessed through a conservative estimation of the electric field induced in the tissue due to gradient-induced voltages developed along the length of FRLs.

resultsIn simulations under conservative approach, RF exposure at B

conclusionsSimulation and experimental results indicate that patients with FRLs can be scanned safely at both 1.5 T and 3 T with most clinical pulse sequences.

Indexed as

Magnetic Resonance ImagingRadio WavesHeartHeatingHot TemperatureHumansPhantoms, Imagingcardiovascular implantable electronic devicesfinite element methodsfragmented retained leadsRF heatingsafetySAR

Identifiers

PMID34958685
PMCPMC8919805

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.