Evidence map›Paper›PMID 36645551›Full record

ArticleInsights into imaging2023

Complications of cochlear implants with MRI scans in different body regions: type, frequency and impact.

Nilüfer Deniz Alberalar, Jonas Reis, Paula Louise Piechotta, Nick Lasse Beetz, Uli Fehrenbach, Dominik Geisel, Andreas Thomas, Harald Busse, Timm Denecke

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 30% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

9 authors at 2 institutions in 1 country.

Nilüfer Deniz AlberalarDepartment of Diagnostic and Interventional Radiology, Leipzig University Hospital, Leipzig, Germany. niluefer.alberalar@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0002-1734-7145
Jonas ReisDepartment of Radiology, Charité-University Medicine Berlin, Berlin, Germany.
Paula Louise PiechottaDepartment of Diagnostic and Interventional Radiology, Leipzig University Hospital, Leipzig, Germany.
Nick Lasse BeetzDepartment of Radiology, Charité-University Medicine Berlin, Berlin, Germany.
Uli FehrenbachDepartment of Radiology, Charité-University Medicine Berlin, Berlin, Germany.
Dominik GeiselDepartment of Radiology, Charité-University Medicine Berlin, Berlin, Germany.
Andreas ThomasDepartment of Radiology, Charité-University Medicine Berlin, Berlin, Germany.
Harald BusseDepartment of Diagnostic and Interventional Radiology, Leipzig University Hospital, Leipzig, Germany.
Timm DeneckeDepartment of Diagnostic and Interventional Radiology, Leipzig University Hospital, Leipzig, Germany.
Charité - Universitätsmedizin Berlin · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to assess the type, frequency and impact of MRI-related complications in patients with cochlear implants (CI) and MRI indications in different body regions.

methodsFor that purpose, the institutional radiology database of a single tertiary hospital was searched for patients with a CI who underwent MRI between 2001 and 2018. The number of MRI examinations and complications were retrieved from the patient record. Examinations were categorized into five distinct body regions or combinations thereof. Records of CI artifacts in the head also included basic information on diagnostic image quality.

resultsOut of 1017 MRI database entries (examinations) of patients with a CI, 91 records were after implantation (71 patients) and 66 were attempted (no contraindications, 49 patients). In four cases (4/66, 6.1%), the magnet was dislocated and had to be replaced surgically. Three out of four severe complications occurred for examination regions outside the head. Thirteen MRI examinations were aborted due to pain (19.7%) and one because of artifacts-resulting in 48 scans (72.7%) completed successfully (36 patients). All cranial scans featured device artifacts in all sequences, but the majority of them did not affect proper imaging diagnostics in the respective region.

conclusionThis retrospective, single-center analysis of patients with MRI-conditional cochlear implants shows that MRI-related complications were common, at least in models with a fixed magnet, despite appropriate precautions and compliance with the manufacturers' guidelines. MRI examinations of CI patients should therefore be indicated strictly until the exact causes have been clarified.

Indexed as

CochleaImplantMR complicationMRIMR safety

Identifiers

PMID36645551
PMCPMC9842833
OpenAlexW4316494603

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.