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一名患有新型磁共振成像兼容听觉脑干植入物的2型神经纤维瘤病患者的磁共振成像

Magnetic Resonance Imaging in a Neurofibromatosis Type 2 Patient with a Novel MRI-Compatible Auditory Brainstem Implant.

作者信息

Shew Matthew, Bertsch Judson, Camarata Paul, Staecker Hinrich

机构信息

Department of Otolaryngology Head and Neck Surgery, University of Kansas School Medical Center, Kansas City, Kansas, United States.

Department of Diagnostic Radiology, University of Kansas School Medical Center, Kansas City, Kansas, United States.

出版信息

J Neurol Surg Rep. 2017 Jan;78(1):e12-e14. doi: 10.1055/s-0036-1597588.

Abstract

Auditory brainstem implantation has become a key technique for the rehabilitation of hearing in patients with neurofibromatosis type 2. The nature of this devastating genetic disease requires ongoing MRI for the patient's lifespan. Today, most auditory brainstem implants require removal of the magnet that connects the internal device to the external speech processor to undergo imaging as their disease progresses. Patients have the option of having a short procedure to have the magnet taken out and replaced each time, or alternately using a headband to secure the processor over the receiver coil of the internal device. Novel magnet technology has led to the development of a freely rotating magnet that can be used inside the magnetic field of an MRI scanner without losing magnet strength and without being displaced from the body of the device. We report one of the first patients implanted with a Med-El Synchrony ABI in the United States who subsequently underwent successful imaging with MRI 1.5 tesla to follow for other existing schwannomas.

摘要

听觉脑干植入已成为2型神经纤维瘤病患者听力康复的一项关键技术。这种毁灭性遗传疾病的特性要求患者在其一生中持续进行MRI检查。如今,随着疾病进展,大多数听觉脑干植入物在患者进行成像时需要移除将内部装置与外部言语处理器连接的磁体。患者可以选择每次进行一个简短的手术来取出并更换磁体,或者交替使用头带来将处理器固定在内部装置的接收线圈上方。新型磁体技术已促成一种可自由旋转的磁体的开发,这种磁体能够在MRI扫描仪的磁场内使用,而不会丧失磁体强度,也不会从装置主体移位。我们报告了美国首例植入美敦力Synchrony听觉脑干植入物的患者,该患者随后成功接受了1.5特斯拉的MRI检查,以监测其他现有的神经鞘瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6767/5309127/2f72e11335e3/10-1055-s-0036-1597588-i160037-1.jpg

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