Can Lumbosacral Magnetic Resonance Imaging be Performed Safely in Patients with a Sacral Neuromodulation Device? An In Vivo Prospective Study

The Journal of Urology
Juan M Guzman-NegronHoward B Goldman

Abstract

We sought to determine the safety of sacral neuromodulation in patients during lumbosacral 1.5 Tesla magnetic resonance imaging. We prospectively recruited patients with a sacral neuromodulation implant who required lumbosacral 1.5 Tesla magnetic resonance imaging. Before imaging the patients completed validated urinary symptom questionnaires and a survey regarding the usual sacral neuromodulation sensation. The implantable pulse generator was interrogated, and impedances, battery life and stimulus amplitude sensory thresholds were assessed before and after magnetic resonance imaging. Devices were switched off before the patient entered the scanner. Patients were monitored during the study and magnetic resonance imaging related adverse events questionnaires were completed after imaging. Validated questionnaires were repeated 1 month after magnetic resonance imaging to assess for changes in sacral neuromodulation therapeutic efficacy. A total of 11 patients were enrolled in the study. Lower back pain, which was noted by 6 of the 11 patients (55%), was the most common indication for imaging. Immediately after magnetic resonance imaging only 1 patient reported mild discomfort during imaging at the site of the implantable pulse gen...Continue Reading

References

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Citations

Oct 1, 2019·Journal of Magnetic Resonance Imaging : JMRI·Pejman Jabehdar MaralaniJeffrey Weinreb
Sep 5, 2020·Neurourology and Urodynamics·Stefan HeidlerFranz Dietersdorfer
Aug 8, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marcio Augusto AverbeckAlejandro Aparicio
Apr 4, 2019·Archives of Gynecology and Obstetrics·Matthias OelkeChristl Reisenauer
Dec 26, 2019·Advances in Therapy·Stefan De WachterPhilip E V Van Kerrebroeck
Aug 8, 2019·Current Urology Reports·Courtenay K MooreSamir Derisavifard
Feb 24, 2021·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marcelo Mass-LindenbaumJavier Pizarro-Berdichevsky
Jul 1, 2021·Expert Review of Medical Devices·Alice WangRoger Dmochowski
Sep 7, 2021·Neurourology and Urodynamics·Xuechen Huang, Guangqiang Jay Jiang
Jan 22, 2022·Expert Review of Medical Devices·Sam Tilborghs, Stefan De Wachter

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