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LETTERS read with interest the excellent article by Korutz et al regarding tionally safe labeling for several brands of leadless intracardiac Itheir approach to MR imaging of pacemakers. The authors are pacing devices is also noteworthy because such leadless devices to be praised for their logical and stepwise approach to device negate most of the MR safety concerns raised in the article. safety in the MR imaging environment. I assume that the timing Induced Lenz forces from rapid motion of CIEDs through of the publication of this article likely explains the omission of a static magnetic spatial gradients (even for nonferrous electrically reference to the sentinel publication on this topic. That compre- conductive materials) suggest that it might be appropriate to rec- hensive publication also provides almost unprecedented strength ommend that all patients and health care workers with implants of recommendations and quality of evidence quantifications. move slowly within zone IV, especially when near or in the MR I would like to suggest other approaches to several opinions imaging scanner itself. promulgated by Korutz et al. The authors note significant hesitation “for patients who are The 6-week waiting period of the MR imaging safety labeling not awake and alert
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: May 1, 2018
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