Levine Glenn N, Gomes Antoinette S, Arai Andrew E, Bluemke David A, Flamm Scott D, Kanal Emanuel, Manning Warren J, Martin Edward T, Smith J Michael, Wilke Norbert, Shellock Frank S
Baylor College of Medicine, USA.
Circulation. 2007 Dec 11;116(24):2878-91. doi: 10.1161/CIRCULATIONAHA.107.187256. Epub 2007 Nov 19.
Advances in magnetic resonance (MR) imaging over the past 2 decades have led to MR becoming an increasingly attractive imaging modality. With the growing number of patients treated with permanent implanted or temporary cardiovascular devices, it is becoming ever more important to clarify safety issues in regard to the performance of MR examinations in patients with these devices. Extensive, although not complete, ex vivo, animal, and clinical data are available from which to generate recommendations regarding the safe performance of MR examination in patients with cardiovascular devices, as well as to ascertain caveats and contraindications regarding MR examination for such patients. Safe MR imaging involves a careful initial patient screening, accurate determination of the permanent implanted or temporary cardiovascular device and its properties, a thoughtful analysis of the risks and benefits of performing the examination at that time, and, when indicated, appropriate physician management and supervision. This scientific statement is intended to summarize and clarify issues regarding the safety of MR imaging in patients with cardiovascular devices.
在过去20年里,磁共振(MR)成像技术的进步使MR成为一种越来越有吸引力的成像方式。随着接受永久性植入或临时性心血管装置治疗的患者数量不断增加,明确这些装置患者进行MR检查时的安全性问题变得越来越重要。目前已有大量(尽管并不完整)的体外、动物和临床数据,可据此生成关于心血管装置患者进行MR检查安全操作的建议,以及确定此类患者MR检查的注意事项和禁忌症。安全的MR成像需要对患者进行仔细的初步筛查,准确确定永久性植入或临时性心血管装置及其特性,对当时进行检查的风险和益处进行深入分析,并在必要时进行适当的医生管理和监督。本科学声明旨在总结和阐明心血管装置患者MR成像安全性的相关问题。