Magnetic resonance imaging after cochlear implants

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摘要 Introduction:Mostcochlearimplantsarecurrentlycompatiblewithmagneticresonanceimaging(MRI)upto3T.Nevertheless,thisdoesnotcompletelyeliminatetheriskofseriousaccidents.Implantdisplacementsandotheradverseeventswithcompatibleimplantshavebeenreportedintheliterature.Casereports:AmongthesixpatientswhohadMRIafterreceivingimplantsatourcenter,wereportthreecaseswithadverseeventsrelatedtotheexamination.Thefirstcasewascomplicatedbymagnetdisplacementwithpartialdemagnetization.Thesecondcaseshowedtotaldemagnetization,whichnecessitatedremovalandreimplantationoftheimplant.ThethirdcaseinvolvedseverepainsensationwhichdisruptedtheMRIscan.Thesmallestartifactwasfoundwith3DMRIangiography,andlargestartifactwasfoundwithdiffusionandT2FLASH.Discussion:MovingthepatientintotheMRIapparatusmustbesupervisedbyanotorhinolaryngologyspecialistoranexperiencedradiologist.Itisimportanttoconsiderthemagneticfielddirections,sothatanglebetweentheimplantmagneticfieldsandtheMRIB0alwaysremainslessthanorequalto90°.Inaddition,werecommendtheuseofan"arrowdrawing"tofacilitatetheorientationofthemagneticfielddirections.Furthermore,topreventmagnetdisplacement,werecommendsystematicuseofaprotectivesplintinadditiontobandaging.
机构地区 不详
关键词 MRI COCHLEAR IMPLANT RISK
出版日期 2019年01月11日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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