The joint consensus paper of the German Roentgen Society and the German Cardiac Society provides physical and electrophysiological background information and specific recommendations for the management of patients with cardiac devices, outlining the responsibilities of radiology and cardiology regarding patient education, indications, monitoring and device reprogramming,” says Dr. Sommer. Schwitter J, Kanal E, Schmitt M, Anselme F, Albert T, Hayes DL, Bello D, Tóth A, Chang Y, van Osch D, Sommer T. Impact of the Advisa MRI™ Pacing System on the diagnostic quality of cardiac MR images and contraction patterns of cardiac muscle during scans: Advisa MRI randomized clinical multicenter study results. For instance, if a patient with a pacemaker comes for an MRI exam, we have a specific routine to check which type of pacemaker it is, to check that a cardiologist is present as an MR Conditional pacemaker usually needs to be switched in an MR-compatible mode, etc. implantable loop recorders are electrically active cardiac devices, which used to be contraindicated for MRI. “At many sites in the USA, the MRI technologist or radiographer is responsible for screening the patient, identifying an implant and then also looking at the information to determine what the MR conditions are for that particular implant or device. “The Philips ScanWise user interface is a great tool.”. They can also provide the same general safety features as a standard infusion pump (as long as they have a DERS), as well as analogous performance. “Understanding of and compliance with the conditions of use for the specific pacemaker system are essential for patient safety,” says Drf. Technologists have the experience and are trained in MRI safety. And it's necessary that all of those are MR Conditional and also that the combination of them is MR Conditional.”, “In radiology we check the exact MR conditions for the implant, because not all MR Conditional devices are cleared for full body MRI. Our pathway helps us avoid waiting time at the machine and makes the technologists feel comfortable. During the two to three years we have now used this procedure, there was not a single complication.”, “If the device is MR Conditional, safe imaging is possible, but only when the implant’s MR conditions are fulfilled. Another condition that is usually specified is a maximum SAR value that may not be exceeded during the MRI scan. Additionally he is the Founder of both the Institute for Magnetic Resonance Safety, Education, and Research (www.IMRSER.org) and the MRI safety website, “It’s long ingrained into the minds of physicians that MRI and implanted cardiac devices don’t mix and they’re contraindicated. 2015;12:759-65. MRI scanning in patients with new and existing CapSureFix Novus 5076 pacemaker leads: randomized trial results. “We need to know if it is a standard pacemaker or one of the specialized MR Conditional cardiac devices, such as an MR Conditional pacemaker [9-10].”, “Most of our patients carry a pacemaker card or implant card, which facilitates the process of finding MR conditions,” says Dr. Sommer. “In Germany information and education on performing MRI of patients with active cardiac devices is available to those who look for it. Recognizing that a significant barrier for scanning MR Conditional device patients is the care pathway, Medtronic offers tools and training to assist hospitals, according to Dr. Kowal. “At many sites in the USA, the MRI technologist is responsible for screening the patient, identifying an implant and looking up the MR conditions”, Special preparations before MRI of patients, First step is finding out which device the patient has, Cardiologists can often directly identify an implant, “It’s important to determine if the patient has a full MR Conditional system”, Switching the MR Conditional device to scan mode, “The MR conditions are basically a list of parameter values that need to be met”, The MRI scan itself: how to meet the conditions, Guided workflow to simplify scanning of patients with implants, “It’s of great help that Philips ScanWise Implant offers a user interface that makes it easy for the user to make the MRI scanner meet the implant’s conditions”. ASTM F2503-13, Standard Practice for Marking Medical Devices and Other Items for Safety in the Magnetic Resonance Environment, ASTM International, West Conshohocken, PA, 2013, www.astm.org*. Associate Professor of Medicine and Radiology and Director of Cardiac Magnetic Resonance and Computed Tomography, at the University of Chicago Medicine, Chicago, USA. Heart Rhythm. We have a process in place that includes electrophysiologists, who are experts in these devices, and imaging physicians, who are the experts in imaging,” says Dr. Patel. 2013;10:685-91. 8. “The patient goes to cardiology to switch the pacemaker to MR scan mode. With the increasing prevalence of implants in an aging population, and increasing demand for MRI in the same group, there will increasingly be called upon imaging centers to be capable of scanning this patient group. Also for imaging the heart itself safety has been established for MRI scans under specific conditions of patients with an MR Conditional pacemaker . 2016;9:pii: e004025. XXX is MR Conditional.