磁共振与心脏起搏器推荐.ppt

哪些患者需MRI兼容起搏系统 65以上起搏适应证患者 有中风高危的：高血压、糖尿病、房颤、心衰等 有骨关节、脊柱软组织疾病史 已患或怀疑肿瘤 起搏前有MRI检查史 年轻、一般状况好，需 起搏支持一生 MRI兼容起搏器无扫描部位限，是最好选择！ 美敦力MRI兼容SureScan起搏器无扫描部位限制，2011年8月1日登陆中国MRI兼容起搏患者行胸部MRI实例 男、67岁，病窦快慢征，肺癌术后5年。房室结改良后DDD起搏12月。MRI复查2次阴性。 * * * MRI is the gold standard for soft tissue imaging and is used in brain, cancer, and neurologic disorders. MRI volumes are growing dramatically as are Pacemaker/ICD implant rates. This has resulted in an escalating number of patients denied MRI scans because of the presence of an IPG/ICD. For example, after age 65, a person’s chances of needing an MRI scan double This is the same demographic group that’s most likely to need a pacemaker Superior for brain, spinal cord, musculoskeletal system (joints, knee, shoulder), head and neck, complex cardiac malformations and other tissue structures. The picture shows a comparison of computed tomography versus diffusion-weighted MRI images of the brain in a pacemaker-dependent patient who presented with new-onset loss of balance. Although the imaging planes are different due to computed tomography versus MRI technique, both sets of images span similar areas of the cerebellum and occipital cortex. No abnormalities were noted on computed tomography, whereas MRI readily identified infarcts involving the cerebellum and occipital cortex (arrows). Magnetic resonance imaging (MRI), or nuclear magnetic resonance imaging (NMRI), is primarily a medical imaging technique most commonly used in radiology to visualize the structure and function of the body. It provides detailed images of the body in any plane. MRI provides much greater contrast between the different soft tissues of the body than computed tomography (CT) does, making it especially useful in neurological (brain), musculoskeletal, cardiovascular, and oncological (cancer) imaging. Unlike CT, it uses no ionizing radiation, but uses a powerful magnetic field to align the nuclear magnetization of (usually) hydrogen atoms in water in