Access to MRI in Patients With Cardiac Implantable Electronic Devices is Variable and an Issue in Australia
Crown Copyright © 2024. Published by Elsevier B.V. All rights reserved..
AIMS: This study aimed to characterise the level of access to magnetic resonance imaging (MRI) in Australian hospitals for patients with MR-conditional and non-MR-conditional cardiac implantable electronic devices (CIED), and to identify any barriers impeding this access.
METHODS: All Australian Tertiary Referral Public Hospitals (n=38) were surveyed with a mixed qualitative and quantitative questionnaire. Provision of MRI to patients with MR-conditional and non-MR-conditional CIEDs; patient monitoring strategies during scan and personnel in attendance; barriers impeding MRI access.
RESULTS: Of the 35 (92%) hospitals that completed the survey, a majority (85.7%) scan MR-conditional CIEDs, while a minority (8.6%) scan non-MR-conditional CIEDs. MR-conditional device scanning is often limited to non-pacing dependent patients, excluding implantable cardioverter-defibrillators. In total, 21% of sites exclude thoracic MR scans for CIED patients. Although most centres scan on 1.5 Tesla (T) machines (59%), 10% scan at 3T and 31% scan at both strengths. Sites vary in patient monitoring strategies and personnel in attendance; 80% require staff with Advanced Cardiac Life Support to be present. Barriers to service expansion include an absence of national guidelines, formal training, and logistical device support.
CONCLUSIONS: Most surveyed Australian hospitals offer MRI for patients with MR-conditional CIEDs, however many still have exclusions for particular patient groups or scan requests. Only three surveyed sites offer MRI for patients with non-MR-conditional CIEDs in Australia. A national effort is needed to address the identified barriers including the development of national guidelines, formal training, and logistical support.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
---|---|
Enthalten in: |
Heart, lung & circulation - 33(2024), 3 vom: 04. März, Seite 362-367 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Page, Nicholas [VerfasserIn] |
---|
Links: |
---|
Themen: |
Defibrillator |
---|
Anmerkungen: |
Date Completed 08.04.2024 Date Revised 08.04.2024 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1016/j.hlc.2023.11.020 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM368153703 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | NLM368153703 | ||
003 | DE-627 | ||
005 | 20240408232330.0 | ||
007 | cr uuu---uuuuu | ||
008 | 240208s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1016/j.hlc.2023.11.020 |2 doi | |
028 | 5 | 2 | |a pubmed24n1369.xml |
035 | |a (DE-627)NLM368153703 | ||
035 | |a (NLM)38326134 | ||
035 | |a (PII)S1443-9506(23)04458-X | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Page, Nicholas |e verfasserin |4 aut | |
245 | 1 | 0 | |a Access to MRI in Patients With Cardiac Implantable Electronic Devices is Variable and an Issue in Australia |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 08.04.2024 | ||
500 | |a Date Revised 08.04.2024 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Crown Copyright © 2024. Published by Elsevier B.V. All rights reserved. | ||
520 | |a AIMS: This study aimed to characterise the level of access to magnetic resonance imaging (MRI) in Australian hospitals for patients with MR-conditional and non-MR-conditional cardiac implantable electronic devices (CIED), and to identify any barriers impeding this access | ||
520 | |a METHODS: All Australian Tertiary Referral Public Hospitals (n=38) were surveyed with a mixed qualitative and quantitative questionnaire. Provision of MRI to patients with MR-conditional and non-MR-conditional CIEDs; patient monitoring strategies during scan and personnel in attendance; barriers impeding MRI access | ||
520 | |a RESULTS: Of the 35 (92%) hospitals that completed the survey, a majority (85.7%) scan MR-conditional CIEDs, while a minority (8.6%) scan non-MR-conditional CIEDs. MR-conditional device scanning is often limited to non-pacing dependent patients, excluding implantable cardioverter-defibrillators. In total, 21% of sites exclude thoracic MR scans for CIED patients. Although most centres scan on 1.5 Tesla (T) machines (59%), 10% scan at 3T and 31% scan at both strengths. Sites vary in patient monitoring strategies and personnel in attendance; 80% require staff with Advanced Cardiac Life Support to be present. Barriers to service expansion include an absence of national guidelines, formal training, and logistical device support | ||
520 | |a CONCLUSIONS: Most surveyed Australian hospitals offer MRI for patients with MR-conditional CIEDs, however many still have exclusions for particular patient groups or scan requests. Only three surveyed sites offer MRI for patients with non-MR-conditional CIEDs in Australia. A national effort is needed to address the identified barriers including the development of national guidelines, formal training, and logistical support | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Defibrillator | |
650 | 4 | |a MR-conditional | |
650 | 4 | |a MR-nonconditional | |
650 | 4 | |a Magnetic resonance imaging | |
650 | 4 | |a Pacemaker | |
650 | 4 | |a Safety | |
700 | 1 | |a Chia, Karin |e verfasserin |4 aut | |
700 | 1 | |a Brazier, David |e verfasserin |4 aut | |
700 | 1 | |a Manisty, Charlotte |e verfasserin |4 aut | |
700 | 1 | |a Kozor, Rebecca |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Heart, lung & circulation |d 2000 |g 33(2024), 3 vom: 04. März, Seite 362-367 |w (DE-627)NLM159538165 |x 1444-2892 |7 nnns |
773 | 1 | 8 | |g volume:33 |g year:2024 |g number:3 |g day:04 |g month:03 |g pages:362-367 |
856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.hlc.2023.11.020 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 33 |j 2024 |e 3 |b 04 |c 03 |h 362-367 |