AI Article Synopsis
- Implantable loop recorders (ILRs) are devices that monitor heart activity continuously for several years and help diagnose various heart conditions, but their effect on cardiac MRI image quality hasn't been studied before.
- This study involved two patients with ILRs who underwent cardiac MRI to assess heart damage and ischemia, with follow-ups checking the ILR's functionality before and after the MRI.
- Results showed no functional changes in the ILRs after MRI, but significant artifacts emerged in the images due to the devices, highlighting a need for further research on potentially improved MRI techniques.*
Article Abstract
Background: Implantable loop recorders (ILRs) allow continuous cardiac monitoring for 3-6 years and are a valuable tool for the investigation of syncopal episodes, palpitations, and atrial fibrillations as well as risk stratification after myocardial infarction. Although magnetic resonance imaging (MRI) in patients with ILRs has been shown to be safe, the impact of ILRs on cardiac MRI image quality has not been investigated yet. Thus, we tested the diagnostic value of cardiac MRI in patients with various types of ILRs.
Methods: Two patients with an ILR and a clinical indication to assess myocardial burden of scarring and fibrosis or stress-induced myocardial ischemia underwent cardiac MRI. Device interrogation was performed prior to, immediately after, and 3 months after cardiac MRI.
Results: The post-MRI follow-ups revealed no change in programmed ILR parameters, sensing fidelity, and battery parameters. However, ILRs caused significant, uninterpretable hyperintensity artifacts in cardiac MRI.
Conclusions: Further clinical studies are warranted to investigate whether modified MRI techniques are helpful to eliminate imaging artifacts.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931615 | PMC |
| http://dx.doi.org/10.1111/anec.12333 | DOI Listing |
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