A framework for developing generic implant safety procedures for scanning patients with medical implants and devices in MRI

Jonathan P Ashmore; Sarah J Prescott; John McLean; Daniel J Wilson; Geoff Charles-Edwards; Peter Wright; David Grainger; Gareth J Barker; Alexandra J Lipton; Rachel Watt; Deepa Gopalan; Mark R Radon

doi:10.1093/bjr/tqae232

A framework for developing generic implant safety procedures for scanning patients with medical implants and devices in MRI

Jonathan P Ashmore, Sarah J Prescott, John McLean, Daniel J Wilson, Geoff Charles-Edwards, Peter Wright, David Grainger, Gareth J Barker, Alexandra J Lipton, Rachel Watt, Deepa Gopalan, Mark R Radon

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Abstract

UK guidelines for MR safety recommend that MRI departments refer to the implant manufacturer for advice regarding the MRI safety of scanning patients with an implantable medical device prior to scanning. This process of assuring safety can be time consuming, leading to delays and potential cancellations of a patient's MRI. Furthermore, at times the implant cannot be identified, or the implant manufacturers cannot provide up to date MRI safety information. The purpose of generic implant safety procedures is to define a process for managing patients with certain types of implants where the risk from scanning is low. This process incorporates scope for an evidence-based risk-benefit decision to scan some groups of patients under locally approved conditions, without seeking to identify the exact make and model of the implant and subsequent assurance of MR safety from the implant manufacturer. This publication provides best practice recommendations from a multi-professional working group for the development of these procedures. It is supported by The Institute of Physics and Engineering in Medicine, The Society of Radiographers, The Royal College of Radiologists, The British Institute of Radiology, The British Association of MR Radiographers, The International Society of Magnetic Resonance in Medicine British and Irish Chapter, and the NHS Scotland MRI Physics Group.

Original language	English
Pages (from-to)	336-344
Number of pages	9
Journal	British Journal of Radiology
Volume	98
Issue number	1167
Early online date	13 Nov 2024
DOIs	https://doi.org/10.1093/bjr/tqae232
Publication status	Published - 1 Mar 2025

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tqae232
© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Accepted manuscripts are PDF versions of the author’s final manuscript, as accepted for publication by the journal but prior to copyediting or typesetting. They can be cited using the author(s), article title, journal title, year of online publication, and DOI. They will be replaced by the final typeset articles, which may therefore contain changes. The DOI will remain the same throughout.
Accepted author manuscript, 2.38 MBLicence: CC BY
tqae232
© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Final published version, 1.05 MBLicence: CC BY

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Ashmore, J. P., Prescott, S. J., McLean, J., Wilson, D. J., Charles-Edwards, G., Wright, P., Grainger, D., Barker, G. J., Lipton, A. J., Watt, R., Gopalan, D., & Radon, M. R. (2025). A framework for developing generic implant safety procedures for scanning patients with medical implants and devices in MRI. British Journal of Radiology, 98(1167), 336-344. https://doi.org/10.1093/bjr/tqae232

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abstract = "UK guidelines for MR safety recommend that MRI departments refer to the implant manufacturer for advice regarding the MRI safety of scanning patients with an implantable medical device prior to scanning. This process of assuring safety can be time consuming, leading to delays and potential cancellations of a patient's MRI. Furthermore, at times the implant cannot be identified, or the implant manufacturers cannot provide up to date MRI safety information. The purpose of generic implant safety procedures is to define a process for managing patients with certain types of implants where the risk from scanning is low. This process incorporates scope for an evidence-based risk-benefit decision to scan some groups of patients under locally approved conditions, without seeking to identify the exact make and model of the implant and subsequent assurance of MR safety from the implant manufacturer. This publication provides best practice recommendations from a multi-professional working group for the development of these procedures. It is supported by The Institute of Physics and Engineering in Medicine, The Society of Radiographers, The Royal College of Radiologists, The British Institute of Radiology, The British Association of MR Radiographers, The International Society of Magnetic Resonance in Medicine British and Irish Chapter, and the NHS Scotland MRI Physics Group.",

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Ashmore, JP, Prescott, SJ, McLean, J, Wilson, DJ, Charles-Edwards, G, Wright, P, Grainger, D, Barker, GJ, Lipton, AJ, Watt, R, Gopalan, D & Radon, MR 2025, 'A framework for developing generic implant safety procedures for scanning patients with medical implants and devices in MRI', British Journal of Radiology, vol. 98, no. 1167, pp. 336-344. https://doi.org/10.1093/bjr/tqae232

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AU - Gopalan, Deepa

AU - Radon, Mark R

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A framework for developing generic implant safety procedures for scanning patients with medical implants and devices in MRI

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