7-Tesla MRI of the brain in a research subject with bilateral, total knee replacement implants: Case report and proposed safety guidelines

Magn Reson Imaging. 2019 Apr:57:313-316. doi: 10.1016/j.mri.2018.11.016. Epub 2018 Nov 27.

Abstract

Recently, the first 7-T MR system was approved for clinical use in the United States. Unfortunately, relatively few metallic implants have undergone testing to determine if they are acceptable or pose hazards to research subjects and patients at this ultra-high-field strength. Therefore, in lieu of not performing a research or clinical MRI exam at 7-T, the supervising physician may make a decision to scan the individual with an untested metallic implant based on an analysis of the risks vs. the benefits. We present a case report of a research subject with bilateral, total knee replacement implants that safely underwent MRI of the brain at 7-T and provide guidelines for healthcare professionals to follow in order to ensure safety in research subjects or patients with metallic implants referred for 7-T scans.

Keywords: 7-Tesla; Brain; MRI implants; MRI safety; Magnetic resonance imaging (MRI).

Publication types

  • Case Reports

MeSH terms

  • Arthroplasty, Replacement, Knee*
  • Artifacts
  • Brain / diagnostic imaging*
  • Female
  • Humans
  • Knee Prosthesis / adverse effects*
  • Magnetic Fields
  • Magnetic Resonance Imaging*
  • Metals*
  • Middle Aged
  • Patient Safety
  • Prostheses and Implants
  • Research Subjects

Substances

  • Metals