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European Heart Journal 2001 22(2):113-124; doi:10.1053/euhj.2000.2149
Copyright © 2001 by the European Society of Cardiology.
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Review

Pacing in magnetic resonance imaging environment: Clinical and technical considerations on compatibility

F Durua,f1, R Luechingerb, M.B Scheideggerb, T.F Lüschera, P Boesigerb and R Candinasa

a Division of Cardiology, Department of Internal Medicine, University Hospital of Zurich, Zurich, Switzerland
b Institute of Biomedical Engineering and Medical Informatics, University of Zurich and Swiss Federal Institute of Technology, Zurich, Switzerland

revised January 24, 2000; accepted January 27, 2000

Key Words: Magnetic resonance imaging, pacing, pacemakers, implantable cardioverter defibrillators, electromagnetic interference

f1 Correspondence: Firat Duru, MD, Cardiac Arrhythmia Unit University Hospital of Zurich, Raemistr. 100, CH-8091 Zurich, Switzerland.

References

  1. Pavlicek W, Geisinger M, Castle L, Borkowski GP, Meaney TF, Bream BL, Gallagher JH. The effects of nuclear magnetic resonance on patients with cardiac pacemakers. Radiology. 1983;147:149–153[Abstract/Free Full Text]
  2. Fetter J, Aram G, Holmes DR, Gray JE, Hayes DL. The effects of nuclear magnetic resonance imagers on external and implantable pulse generators. PACE. 1984;7:720–727
  3. Erlebacher JA, Cahill PT, Pannizzo F, Knowles RJ. Effect of magnetic resonance imaging on DDD pacemakers. Am J Cardiol. 1986;57:437–440[CrossRef][ISI][Medline]
  4. Shellock FG, Kanal E. SMRI Report: Policies, guidelines and recommendations for MR imaging safety and patient management. J Magnetic Resonance Imaging. 1992;2:247–248[ISI][Medline]
  5. Hayes DL, Vlietstra RE. Pacemaker malfunction. Ann Intern Med. 1993;119:828–835[Abstract/Free Full Text]
  6. Avery JE. Loss prevention case of the month. Not my responsibility. J Tenn Med Assoc. 1988;81:523[Medline]
  7. US Food and Drug Administration, Center for Devices and Radiological Health MR product reporting program and medical device report program
  8. Schiebler M, Kaut-Watson C, Williams DL. Both sedated and critically ill require monitoring during MRI. MR. 1994;Winter:41–45
  9. Alagona P, Toole JC, Maniscalco BS, Glover MU, Abernathy GT, Prida XE. Nuclear magnetic resonance imaging in a patient with a DDD pacemaker (letter). PACE. 1989;12:619
  10. Inbar S, Larson J, Burt T, Mafee M, Ezri MD. Case report: nuclear magnetic resonance imaging in a patient with a pacemaker. Am J Med Sci. 1993;305:174–175[ISI][Medline]
  11. Garcia-Bolao I, Albaladejo V, Benito A, Alegria E, Zubieta JL. Magnetic resonance imaging in a patient with a dual-chamber pacemaker. Acta Cardiol. 1998;53:33–35[ISI][Medline]
  12. Gimbel R, Johnson D, Levine P, Wilkoff B. Safe performance of magnetic resonance imaging on five patients with permanent cardiac pacemakers. PACE. 1996;19:913–919
  13. Vahlhaus C, Sommer T, Lewalter T. Magnetic resonance imaging at 0·5 tesla in patients with cardiac pacemakers. Contraindication or justifiable risk? (Abstr). Eur Heart J. 1998;19:208
  14. Sommer T, Lauck G, Schimpf R. MRT bei Patienten mit Herzschrittmachern: In-vitro- und In-vivo-Evaluierung bei 0,5 Tesla. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 1998;168:36–43[ISI][Medline]
  15. Mansfield P, Maudsley AA. Medical imaging by NMR. Br J Radiol. 1977;50:188–194[Abstract]
  16. Hinshaw WS, Bottomley PA, Holland GN. Radiographic thin-section image of the human wrist by nuclear magnetic resonance. Nature. 1977;270:722–723[CrossRef][Medline]
  17. An introduction to magnetic resonance imaging, Basic Principles of MR Imaging
  18. Stark DD. Clinical indications for MRI. Magin RL, Liburdy RP, Persson B. Biological effects and safety aspects of nuclear magnetic resonance imaging and spectroscopy. New York: The New York Academy of Sciences; 1992. p. 332–334
  19. Eur Heart J. 1998;19:19–39[Free Full Text]
  20. Rademakers FE, Rogers WJ, Guier WH. Relation of regional cross-fiber shortening to wall thickening in the intact heart: Three-dimensional strain analysis by NMR tagging. Circulation. 1994;89:1174–1182[Abstract/Free Full Text]
  21. Palmon LC, Reichek N, Yeon SB. Intramural myocardial shortening in hypertensive left ventricular hypertrophy with normal pump function. Circulation. 1994;89:122–131[Abstract/Free Full Text]
  22. Fischer SE, McKinnon GC, Scheidegger MB, Prins W, Meier D, Boesiger P. True myocardial motion tracking. Magn Reson Med. 1994;31:401–413[ISI][Medline]
  23. Young AA, Imai H, Chang C, Axel L. Two-dimensional left ventricular deformation during systole using magnetic resonance imaging with spatial modulation of magnetization. Circulation. 1994;89:740–752[Abstract/Free Full Text]
  24. Fischer SE, McKinnon GC, Maier SE, Boesiger P. Improved myocardial tagging contrast. Magn Reson Med. 1993;30:191–200[ISI][Medline]
  25. Maier SE, Fischer SE, McKinnon GC, Hess OM, Krayenbuehl HP, Boesiger P. Acquisition and evaluation of tagged magnetic resonance images of human left ventricle. Computerized Med Imaging. 1992;16:73–80
  26. Tse HF, Lau CP. Long-term effect of right ventricular pacing on myocardial perfusion and function. J Am Coll Cardiol. 1997;29:744–749[Abstract]
  27. Prinzen FW, Augustijn CH, Allessie MA, Arts T, Delhaas T, Reneman RS. The time sequence of electrical and mechanical activation during spontaneous beating and ectopic stimulation. Euro J Cardiol. 1992;13:535–543
  28. Delhaas T, Arts T, Prinzen FW, Reneman RS. Relation between regional electrical activation time and subepicardial fiber strain in the canine left ventricle. Euro J Physiol. 1993;423:78–87
  29. Prinzen FW, Cheriex EC, Delhaas T. Asymmetric thickness of the left ventricular wall resulting from asynchronous electric activation: a study in dogs with ventricular pacing and in patients with left bundle branch block. Am Heart J. 1995;130:1045–1053[CrossRef][ISI][Medline]
  30. Augustijn CH, Arts T, Prinzen FW, Reneman RS. Mapping the sequence of contraction of the canine left ventricle. Euro J Physiol. 1991;419:529–533
  31. van Oosterhout MF, Prinzen FW, Arts T. Asynchronous electrical activation induces asymmetrical hypertrophy of the left ventricular wall. Circulation. 1998;98:588–595[Abstract/Free Full Text]
  32. McVeigh ER, Prinzen FW, Wyman BT, Tsitlik JE, Halperin HR, Hunter WC. Imaging asynchronous mechanical activation of the paced heart with tagged MRI. Magn Reson Med. 1998;39:507–513[ISI][Medline]
  33. Buckingham TA, Candinas R, Schläpfer J. Acute hemodynamic effects of atrioventricular pacing at different sites in the right ventricle individually and simultaneously. PACE. 1996;20:909–915
  34. Buckingham TA, Duru F, Candinas R. Hemodynamic effects of alternate and multisite pacing. Santini M. Progress in Clinical Pacing. Armonk: Futura Media Services, Inc; 1996. p. 77–82
  35. Buckingham TA, Candinas R, Duru F. Acute hemodynamic effects of alternate and combined pacing in patients after cardiac surgery. PACE. 1999;22:887–893
  36. Schaefer S, Peshock RM, Parkey RW, Willerson JT. A new device for exercise MR imaging. Am J Roentgenol. 1986;147:1289–1290[Free Full Text]
  37. Pennell DJ, Underwood SR, Manzara CC. Magnetic resonance imaging during dobutamine stress in coronary artery disease. Am J Cardiol. 1992;70:34–40[CrossRef][ISI][Medline]
  38. Baer FM, Smolarz K, Jungehulsing M. Feasibility of high-dose dipyridamole-magnetic resonance imaging for detection of coronary artery disease and comparison with coronary angiography. Am J Cardiol. 1992;69:51–56[CrossRef][ISI][Medline]
  39. Hofman MB, de Cock CC, van der Linden JC. Transesophageal cardiac pacing during magnetic resonance imaging: feasibility and safety considerations. Magn Reson Med. 1996;35:413–422[ISI][Medline]
  40. Lenz GW, Haacke EM, White RD. Retrospective cardiac gating: a review of technical aspects and future directions. Magn Reson Imaging. 1989;7:445–455[CrossRef][ISI][Medline]
  41. Spraggins TA. Wireless retrospective gating: application to cine cardiac imaging. Magn Reson Imaging. 1990;8:675–681[CrossRef][ISI][Medline]
  42. Prato FS, Drost DJ, King M. Cardiac T1 calculations from MR spin-echo images. Magn Reson Med. 1987;4:227–243[ISI][Medline]
  43. Holmes DR, Hayes DL, Gray JE, Merideth J. The effects of magnetic resonance imaging on implantable pulse generators. PACE. 1986;9:360–370
  44. Lauck G, von Smekal A, Wolke S. Effects of nuclear magnetic resonance imaging on cardiac pacemakers. PACE. 1995;18:1549–1555
  45. Hayes DL, Holmes DR, Gray JE. Effect of 1·5 T nuclear magnetic resonance imaging scanner on implanted permanent pacemakers. PACE. 1987;10:782–786
  46. Achenbach S, Moshage W, Diem B, Bieberle T, Schibgilla V, Bachmann K. Effects of magnetic resonance imaging on cardiac pacemakers and electrodes. Am Heart J. 1997;134:467–473[CrossRef][ISI][Medline]
  47. Pohost GM, Blackwell GG, Shellock FG. Safety of patients with medical devices during application of magnetic resonance methods. Ann N Y Acad Sci. 1992;649:302–312[ISI][Medline]
  48. Gimbel, JR, Lorig, RJ, Wilkoff, BL, Survey of magnetic resonance imaging in pacemaker patients, http:/www.heartweb.org/
  49. Fontaine JM, Mohamed FB, Gottlieb C, Callans DJ, Marchlinski FE. Rapid ventricular pacing in a pacemaker patient undergoing magnetic resonance imaging. PACE. 1998;21:1336–1339
  50. De Cock CC, Hofman MBM, van Rossum AC, Visser FC, Visser CA. Safety and feasibility of transesophageal pacing during magnetic resonance imaging (abstract). Eur Heart J. 1995;16:401
  51. Shellock FG, Kanal E. Safety considerations of cardiovascular magnetic resonance studies. Pohost GM. Cardiovascular applications of magnetic resonance. Mount Kisco: Futura; 1993. p. 427–446
  52. Peden CJ, Collins AG, Butson PC, Whitwam JG, Young IR. Induction of microcurrents in critically ill patients in magnetic resonance systems. Crit Care Med. 1993;21:1923–1928[ISI][Medline]
  53. Hartnell GG, Spence L, Hughes LA, Cohen MC, Saouaf R, Buff B. Safety of MR imaging in patients who have retained metallic materials after cardiac surgery. Am J Roentgenol. 1997;168:1157–1159[Abstract/Free Full Text]
  54. Kanal E. Safety of MR imaging in patients with retained epicardial pacer wires (letter). Am J Roentgenol. 1998;170:213[Free Full Text]
  55. Murphy KJ, Cohan RH, Ellis JH. MR imaging in patients with epicardial pacemaker wires. Am J Roentgenol. 1999;172:727–728[Free Full Text]
  56. Kanal E. An overview of electromagnetic safety considerations associated with magnetic resonance imaging. Magin RL, Liburdy RP, Persson B. Biological effects and safety aspects of nuclear magnetic resonance imaging and spectroscopy. 1992. p. 204–224
  57. von Smekal A, Wolke S, Seelos KC. Cardiac pacemakers in magnetic resonance studies: Influence of the static magnetic field on hardware components and software (Abstr). Eur Heart J. 1993;14:335
  58. Luechinger R, Duru F, Scheidegger M, Lüscher TF, Boesiger P, Candinas R. Evaluation of the magnetic force and torque in a magnetic resonance imaging unit on pacemakers and implantable cardioverter-defibrillators (Abstr). PACE. 1999;22:708
  59. Shellock FG, Morisoli SM. Ex vivo evaluation of ferromagnetism and artifacts of cardiac occluders exposed to a 1·5-T MR system. J Magn Reson Imaging. 1994;4:213–215[ISI][Medline]
  60. Beischer DE, Knepton JC Jr. Influence of strong magnetic fields on the electrocardiogram of squirrel monkeys (Saimiri sciureus). Aerospace Med. 1964;35:939–944[Medline]
  61. Togawa T, Okai O, Oshima M. Observation of blood flow EMF in externally applied strong magnetic field by surface electrodes. Med Biol Eng. 1967;5:169–170[CrossRef][ISI][Medline]
  62. Gaffey CT, Tenforde TS, Dean EE. Alterations in the electrocardiograms of baboons exposed to DC magnetic fields (Abstr). Bioelectromagnetics. 1980;1:209
  63. Tenforde TS, Gaffey CT, Moyer BR, Budinger TF. Cardiovascular alterations in Macaca monkeys exposed to stationary magnetic fields: experimental observations and theoretical analysis. Bioelectromagnetics. 1983;4:1–9[ISI][Medline]
  64. Kanal E, Shellock FG, Talagala L. Safety considerations in MR imaging. Radiology. 1990;176:593–606[Abstract/Free Full Text]
  65. Budinger TF. Emerging nuclear magnetic resonance technologies: Health and safety. Magin RL, Liburdy RP, Persson B. Biological effects and safety aspects of nuclear magnetic resonance imaging and spectroscopy. 1992. p. 1–18
  66. Budinger TF. Nuclear magnetic resonance (NMR) in vivo studies: known thresholds for health effects. J Comput Assist Tomogr. 1981;5:800–811[ISI][Medline]
  67. Shuman WP, Haynor DR, Guy AW, Wesbey GE, Schaefer DJ, Moss AA. Superficial- and deep-tissue temperature increases in anesthetized dogs during exposure to high specific absorption rates in a 1·5-T MR imager. Radiology. 1988;167:551–554[Abstract/Free Full Text]
  68. Adair ER, Berglund LG. On the thermoregulatory consequences of NMR imaging. Magn Reson Imaging. 1986;4:321–333[CrossRef][Medline]
  69. Adair ER, Berglund LG. Thermoregulatory consequences of cardiovascular impairment during NMR imaging in warm/humid environments. Magn Reson Imaging. 1989;7:25–37[CrossRef][ISI][Medline]
  70. Adair ER, Berglund LG. Predicted thermophysiological responses of humans to MRI fields. Ann NY Acad Sci. 1992;649:188–200[Abstract]
  71. Shellock FG, Crues JV. Temperature, heart rate, and blood pressure changes associated with clinical MR imaging at 1·5 T. Radiology. 1987;163:259–262[Abstract/Free Full Text]
  72. Shellock FG, Schaefer DJ, Grundfest W, Crues JV. Thermal effects of high-field (1·5 tesla) magnetic resonance imaging of the spine. Clinical experience above a specific absorption rate of 0.4W/kg. Acta Radiol Suppl Stockh. 1986;369:514–516
  73. Shellock FG, Gordon CJ, Schaefer DJ. Thermoregulatory responses to clinical magnetic resonance imaging of the head at 1·5 tesla. Lack of evidence for direct effects on the hypothalamus. Acta Radiol Suppl Stockh. 1986;369:512–513
  74. Shellock FG, Schaefer DJ, Gordon CJ. Effect of a 1·5 T static magnetic field on body temperature of man. Magn Reson Med. 1986;3:644–647[ISI][Medline]
  75. Buchli R, Boesiger P, Meier D. Heating effects of metallic implants by MRI examinations. Magn Reson Med. 1988;7:255–261[ISI][Medline]
  76. Luechinger R, Duru F, Scheidegger M, Lüscher TF, Boesiger P, Candinas R. Heating effects of magnetic resonance imaging on pacemaker leads: Effect of lead types, lead positioning and reproducibility of findings (Abstr). PACE. 1999;22:717
  77. Jackson, JD, Classical Electrodynamics, New York, Wiley & Sons, 1998
  78. Röschmann P. Comments on 'Human magnetic resonance imaging at 8 T'. NMR in Biomed. 1999;12:315–317[CrossRef]
  79. Irnich W. Interference in pacemaker. PACE. 1984;7:1021–1048
  80. Shellock, FG, Safety considerations for the extremity MR system, Pocket guide to MR procedures and metallic objects, 1998, Philadelphia, Lippincott-Raven, 60, 3
  81. Shellock FG, O'Neil M, Ivans V. Cardiac pacemakers and implantable cardioverter defibrillators are unaffected by operation of an extremity MR imaging system. Am J Roentgenol. 1999;172:165–170[Abstract/Free Full Text]
  82. Jerzewski A, Pattynama P, Steendijk P, Doornbos J, Roos A, Baan J. Development of an MRI-compatible catheter for pacing the heart: initial in vitro and in vivo results. J Magn Reson Imag. 1996;6:948–949[ISI][Medline]
  83. Halperin H, Jumrussirikul P, Laredo A, McVeigh E, Atalar E, Lima J, Calkins H, Berger R. Magnetic resonance guided catheter ablation (Abst). PACE. 1998;21:945

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