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心血管导管及附件:与磁共振成像相关的铁磁性、加热和伪影的体外测试。

Cardiovascular catheters and accessories: ex vivo testing of ferromagnetism, heating, and artifacts associated with MRI.

作者信息

Shellock F G, Shellock V J

机构信息

University of Southern California, School of Medicine, Los Angeles, USA.

出版信息

J Magn Reson Imaging. 1998 Nov-Dec;8(6):1338-42. doi: 10.1002/jmri.1880080625.

Abstract

The purpose of this study was to evaluate the MR safety of cardiovascular catheters and accessories. Intravascular cardiovascular catheters and accessories were tested for MR safety at 1.5 T using previously described techniques with respect to the evaluation of magnetic field attraction (deflection angle method), heating (temperature measured immediately before and after performing MRI), and artifacts (using a fast spoiled gradient-recalled acquisition in steady state [GRASS] pulse sequence). Two devices were attracted (RV pacing lead and Oximetrix 3 SO2 optical module) by the static magnetic field. Each of the other objects displayed no attraction. Heating was +0.2 degrees C for the sample cardiovascular catheter tested (Opticath). Artifacts varied from moderate to severe, depending on the amount and type of metal present in the device. Despite these ex vivo test results, further safety consideration should be given to the cardiovascular devices that have a conductive wire component (ie, certain types of the cardiovascular catheters) because of the potential for inducing current and excessive heating in these devices during MRI, especially using a high-field-strength MR system. The cardiovascular catheters evaluated in this study or those with a similar design are not recommended for use in patients undergoing MRI procedures.

摘要

本研究的目的是评估心血管导管及附件的磁共振安全性。使用先前描述的技术,在1.5 T磁场下对血管内心血管导管及附件进行磁共振安全性测试,测试内容包括磁场吸引力(偏转角法)、加热情况(在进行磁共振成像前后立即测量温度)以及伪影(使用稳态扰相梯度回波[GRASS]脉冲序列)。有两种装置(右心室起搏导线和血氧饱和度仪3 SO2光学模块)被静磁场吸引。其他每个物体均未显示出吸引力。所测试的样本心血管导管(Opticath)加热温度为+0.2摄氏度。伪影程度从中度到重度不等,这取决于装置中金属的含量和类型。尽管有这些体外测试结果,但对于具有导线部件的心血管装置(即某些类型的心血管导管),仍应进一步考虑其安全性,因为在磁共振成像期间,尤其是使用高场强磁共振系统时,这些装置有可能感应电流并产生过度加热。本研究中评估的心血管导管或具有类似设计的导管不建议用于接受磁共振检查的患者。

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