MRI in patients with a cerebral aneurysm clip; review of the literature and incident databases and recommendations for the Netherlands.

Autor: Hofman MBM; Department of Radiology and Nuclear Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1118, 1081 HV Amsterdam, the Netherlands. Electronic address: MBM.Hofman@AmsterdamUMC.nl., Lavini C; Department of Radiology and Nuclear Medicine, Amsterdam UMC location AMC, de Boelelaan 1118, 1081 HV Amsterdam, the Netherlands., van der Zwan A; Department of Neurology and Neurosurgery, UMC Utrecht Brain Center, Heidelberglaan 100, Utrecht, the Netherlands., van Pul C; Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, the Netherlands., Muller SH; Maxima Medical Centre, Ds. Th. Fliednerstraat 1, 5631 BM Eindhoven, the Netherlands., Stam MK; Department of Radiology, LUMC, Albinusdreef 2, 2333 ZA Leiden, the Netherlands., van der Graaf M; Department of Medical Imaging, Radboud UMC, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, the Netherlands., Kloeze C; Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, the Netherlands., van Nierop BJ; Department of Radiology and Nuclear Medicine, University Medical Centre Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands., Kappert P; Department of Radiology, UMCG, Hanzeplein 1, 9713 GZ Groningen, the Netherlands., Kuijer JPA; Department of Radiology and Nuclear Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1118, 1081 HV Amsterdam, the Netherlands.
Jazyk: angličtina
Zdroj: Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) [Phys Med] 2024 Jan; Vol. 117, pp. 103187. Date of Electronic Publication: 2023 Nov 27.
DOI: 10.1016/j.ejmp.2023.103187
Abstrakt: Background: In the past ferromagnetic cerebral aneurysm clips that are contraindicated for Magnetic Resonance Imaging (MRI) have been implanted. However, the specific clip model is often unknown for older clips, which poses a problem for individual patient management in clinical care.
Methods: Literature and incident databases were searched, and a survey was performed in the Netherlands that identified time periods at which ferromagnetic and non-ferromagnetic clip models were implanted. Considering this information in combination with a national expert opinion, we describe an approach for risk assessment prior to MRI examinations in patients with aneurysm clips. The manuscript is limited to MRI at 1.5 T or 3 T whole body MRI systems with a horizontal closed bore superconducting magnet, covering the majority of clinical Magnetic Resonance (MR) systems.
Results: From the literature a list of ferromagnetic clip models was obtained. The risk of movement or rotation of the clip due to the main magnetic field in case of a ferromagnetic clip is the main concern. In the incident databases records of four serious incidents due to aneurysm clips in MRI were found. The survey in the Netherlands showed that from 2000 onwards, no ferromagnetic clips were implanted in Dutch hospitals.
Discussion: Recommendations are provided to help the MR safety expert assessing the risks when a patient with a cerebral aneurysm clip is referred for MRI, both for known and unknown clip models. This work was part of the development of a guideline by the Dutch Association of Medical Specialists.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Associazione Italiana di Fisica Medica e Sanitaria. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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