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DBS MRI Resources for Clinicians

MRI as Standard of Care

You can provide eligible DBS patients with access to the diagnostic imaging they may need by choosing a Medtronic DBS system that is full-body MR Conditional. You can also order MRIs anywhere on the body for patients currently implanted with a full-body MRI Medtronic DBS system, under certain conditions.


Access to Diagnostic Imaging Options

MRI has become a standard of care: In 2013, there were 33.8 million scans in the US.1

MRI scans allow clinicians to detect a wide range of health conditions by viewing highly detailed images of tumors, internal organs, blood vessels, muscles, joints, and other areas of the body. MRI may be used to diagnose and/or monitor a range of conditions such as stroke and early TIA,2 dementia and movement disorders,3 brain tumors and focal neurological deficit,4 seizures,5 diseases of the spine,6-8 cancer,4,9,10 musculoskeletal issues,11,12 and cardiac issues.13,14

MRI scanners use strong magnetic fields and radiofrequency pulses to create images of structures inside the body. Unlike conventional X-ray and computed tomography (CT), MRI does not expose patients to ionizing radiation.


Likelihood of MRI for DBS-Eligible Patients

Approximately 7 out of 10 DBS-eligible patients with movement disorders may need an MRI within 10 years of receiving their device.15

And of these MRI examinations, 62% of all scans are in regions of the body other than the head.15


Advantages of Full-Body MR Conditional Systems

Medtronic DBS systems approved as full-body MR Conditional give you options for the diagnostic imaging tests you can order anywhere on the body for falls or comorbidities in your deep brain stimulation patients. With the right diagnosis, your patients can receive the appropriate treatment.

Applicable systems also offer continued therapy delivery for DBS patients while undergoing MRI. 

  • Some Medtronic DBS devices may remain on—when programmed to certain settings (bipolar mode)—throughout the MRI so the DBS therapy is not interrupted.
  • Your patient may be more comfortable during the scan because the device can remain on with certain settings (bipolar mode) which may control symptoms.
  • MRI image quality may be enhanced because of reduced patient movement.
  • Only Medtronic offers DBS systems that may remain on during the scanning procedure.


References
  1. IMV. Benchmark Report: MR2013. Des Plaines, IL; IMV Medical Information Division, Inc.; 2013:7.
  2. De La Paz RL, Wippold II FJ, Cornelius RS, et al. ACR Appropriateness Criteria® Cerebrovascular Disease. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  3. Wippold II FJ, Brown DC, Broderick DF, et al. ACR Appropriateness Criteria® Dementia and Movement Disorders. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  4. Wippold II FJ, Cornelius RS, Aiken AH, et al. ACR Appropriateness Criteria® Focal Neurologic Deficit. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  5. Luttrull MD, Cornelius RS, Angtuaco EJ, et al. ACR Appropriateness Criteria® Seizures and Epilepsy. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  6. Newman JS, Weissman BN, Angevine PD, et al. ACR Appropriateness Criteria® Chronic Neck Pain. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  7. Davis PC, Wippold II FJ, Cornelius RS, et al. ACR Appropriateness Criteria® Low Back Pain. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  8. Seidenwurm DJ, Wippold II FJ, Cornelius RS, et al. ACR Appropriateness Criteria® Myelopathy. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  9. Zoga AC, Weissman BN, Krandsdorf MJ, et al. ACR Appropriateness Criteria® Soft-Tissue Masses. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  10. Nelson RC, Kamel IR, Baker ME, et al. ACR Appropriateness Criteria® Liver Lesion – Initial Characterization. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  11. Taljanovic MS, Daffner RH, Weissman BN, et al. ACR Appropriateness Criteria® Chronic Hip Pain. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  12. Wise JN, Daffner RH, Weissman BN, et al. ACR Appropriateness Criteria® Acute Shoulder Pain. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  13. Ho VB, Biko DM, White RD, et al. ACR Appropriateness Criteria® Acute Known or Suspected Congenital Heart Disease in the Adult. Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  14. Mammen L, Woodard PK, Abbara S, et al. ACR Appropriateness Criteria® Nonischemic Myocardial Disease with Clinical Manifestations (Ischemic Cardiomyopathy Already Excluded) . Available at https://acsearch.acr.org/list/. American College of Radiology. Accessed 10/27/2015.
  15. Falowski S, Safriel Y, Ryan M, Hargens L. The need for magnetic resonance (MR) imaging in the United States (US) deep brain stimulation (DBS) population. Presented at: 18th Annual North American Neuromodulation Society Conference; December 11-14, 2014; Las Vegas, NV. Erratum: FDA first approved MR Conditional instructions for use (head scans only) for Medtronic DBS Therapy 14 years ago (approved January 14, 2002).
*Medtronic DBS systems are MR Conditional and are safe for MRI scans under certain conditions. Refer to MRI Important Safety Information for a complete list of conditions and instructions for use.

United States