Gupte Akshay A, Shrivastava Devashish, Spaniol Maggie A, Abosch Aviva
Department of Neurosurgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Stereotact Funct Neurosurg. 2011;89(3):131-40. doi: 10.1159/000324906. Epub 2011 Apr 13.
Magnetic resonance imaging (MRI) of patients with implanted deep brain stimulation (DBS) devices poses a challenge for healthcare providers. As a consequence of safety concerns about magnetic field interactions with the device, induced electrical currents and thermal damage due to radiofrequency heating, a number of stringent guidelines have been proposed by the device manufacturer. Very few detailed investigations of these safety issues have been published to date, and the stringent manufacturer guidelines have gone unchallenged, leading some hospitals and imaging centers around the world to ban or restrict the use of MRI in DBS patients. The purpose of this review is to stimulate research towards defining appropriate guidelines for the use of MRI in patients with DBS. Additionally, this review is intended to help healthcare providers and researchers make sound clinical judgments about the use of MRI in the setting of implanted DBS devices.
对于植入了深部脑刺激（DBS）设备的患者，磁共振成像（MRI）给医疗服务提供者带来了挑战。出于对磁场与设备相互作用、射频加热引起的感应电流和热损伤的安全担忧，设备制造商提出了一些严格的指导方针。迄今为止，关于这些安全问题的详细研究很少发表，而且制造商的严格指导方针也未受到质疑，导致世界各地的一些医院和影像中心禁止或限制对DBS患者使用MRI。本综述的目的是推动有关为DBS患者使用MRI制定适当指导方针的研究。此外，本综述旨在帮助医疗服务提供者和研究人员对在植入DBS设备的情况下使用MRI做出合理的临床判断。
