Fujiwara Yasuhiro, Fujioka Hitoshi, Watanabe Tomoko, Sekiguchi Maiko, Murakami Ryuji
Department of Medical Imaging, Faculty of Life Sciences, Kumamoto University, 4-24-1 Kuhonji, Chuo-ku, Kumamoto, 862-0976, Japan.
Medie Corporation Ltd, Tokyo, Japan.
Radiol Phys Technol. 2017 Sep;10(3):340-348. doi: 10.1007/s12194-017-0409-2. Epub 2017 Jul 31.
Confirmation of the magnetic resonance (MR) compatibility of implanted medical devices (IMDs) is mandatory before conducting magnetic resonance imaging (MRI) examinations. In Japan, few such confirmation methods are in use, and they are time-consuming. This study aimed to develop a Web-based searchable MR safety information system to confirm IMD compatibility and to evaluate the usefulness of the system. First, MR safety information for intravascular stents and stent grafts sold in Japan was gathered by interviewing 20 manufacturers. These IMDs were categorized based on the descriptions available on medical package inserts as: "MR Safe," "MR Conditional," "MR Unsafe," "Unknown," and "No Medical Package Insert Available". An MR safety information database for implants was created based on previously proposed item lists. Finally, a Web-based searchable system was developed using this database. A questionnaire was given to health-care personnel in Japan to evaluate the usefulness of this system. Seventy-nine datasets were collected using information provided by 12 manufacturers and by investigating the medical packaging of the IMDs. Although the datasets must be updated by collecting data from other manufacturers, this system facilitates the easy and rapid acquisition of MR safety information for IMDs, thereby improving the safety of MRI examinations.
在进行磁共振成像(MRI)检查之前,必须确认植入式医疗设备(IMD)的磁共振(MR)兼容性。在日本,很少有这样的确认方法在使用,而且它们耗时较长。本研究旨在开发一个基于网络的可搜索MR安全信息系统,以确认IMD的兼容性,并评估该系统的实用性。首先,通过采访20家制造商,收集了在日本销售的血管内支架和覆膜支架的MR安全信息。这些IMD根据医疗包装说明书上的描述被分类为:“MR安全”、“MR条件性安全”、“MR不安全”、“未知”和“无医疗包装说明书”。基于先前提出的项目清单创建了一个植入物MR安全信息数据库。最后,使用该数据库开发了一个基于网络的可搜索系统。向日本的医护人员发放了一份问卷,以评估该系统的实用性。通过12家制造商提供的信息以及调查IMD的医疗包装,收集了79个数据集。尽管必须通过收集其他制造商的数据来更新数据集,但该系统有助于轻松快速地获取IMD的MR安全信息,从而提高MRI检查的安全性。