Magnetic Resonancy Imaging Safety in Active Osseointegrated (Osia®) and Cochlear Implants: New Technology Creating Confusion

Laryngoscope. 2024 Jan;134(1):393-396. doi: 10.1002/lary.30808. Epub 2023 Jun 8.

Abstract

Objective: There is increased confusion regarding MRI-compatible CIs and BAHAs. This report describes two cases when patients underwent MRIs with non-MRI compatible devices.

Results: One patient with bilateral Cochlear Osias experienced dislocation of both internal magnets after 1.5 Tesla MRI. Both magnets were outside the silastic sheath, with the left magnet flipped. A second patient with a legacy CI experienced similar internal magnet dislocation and inversion after 3 Tesla MRI.

Conclusions: This study describes internal magnet dislocation/inversion with the Cochlear Osia and a legacy CI after MRI. Our findings suggest the need for improved patient education and simplified radiology guidelines. Laryngoscope, 134:393-396, 2024.

Keywords: MRI safety; adverse events; cochlear implant; osseointegrated implant.

Publication types

  • Case Reports

MeSH terms

  • Cochlear Implantation* / adverse effects
  • Cochlear Implants*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Magnets
  • Technology