3 ms·
For what it's worth, most of the concern seems to be migration (movement of the stent) and temperature increase, and there's also a passive optical artifact int
by MPSimmons 4y ago
For what it's worth, most of the concern seems to be migration (movement of the stent) and temperature increase, and there's also a passive optical artifact introduced by the stent in the image itself. The manufacturer docs are here: https://www.cardiovascular.abbott/int/en/hcp/products/percutaneous-coronary-intervention/xience-family/freqently-asked-questions.html https://www.cardiovascular.abbott/int/en/hcp/products/percut...
Nonclinical testing has shown that the XIENCE Sierra™ Stent, in single and in overlapped configurations up to 71 mm in length, are MR conditional. A patient with this device can be scanned in an MR system under the following conditions:\*
Static magnetic field of 1.5 or 3 Tesla Maximum spatial gradient field of 3000 Gauss/cm or less
Maximum MR system reported whole-body-averaged specific absorption rate (SAR) of 2.0 W/kg (normal operating mode)
Under the scan conditions defined above, XIENCE Sierra™ Stents are expected to produce a maximum temperature rise of of less than 4.5°C after 15 minutes of continuous scanning.
The XIENCE Sierra™ Stent should not migrate in this MRI environment. MRI at 1.5 or 3 Tesla may be performed immediately post-implantation.
In non-clinical testing, the image artifact caused by the device extends approximately 6 mm from the XIENCE Sierra™ Stent when imaged with a gradient echo or spin echo pulse sequence and a 3T MRI system. It may be necessary to optimize the MRI parameters to account for the presence of XIENCE Sierra™ Stents.
- lostlogin 4y agoCardiac stents are fine in MR and most others are too. As the document you have provided says, it won’t move. One did once but it seems it wasn’t related to the MR. You can scan them to immediately after insertion - I used to. Massive amounts of overlapping stents should get people thinking a bit though. The force from a beating heart is more than the MR exerts and the cooling provided by flowing blood are factors. The funny thing is, most scanners aren’t what it says on the label. Scan water, get the centre frequency and work back to get the field. The most recent one I tested was 2.89T. http://www.ismrm.org/smrt/safety_page/2019.Shellock.Coronary.Stent.MRI.Guidelines.pdf http://www.ismrm.org/smrt/safety_page/2019.Shellock.Coronary...