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mri safety of Interventional radiology implanted devices

⚠️ Disclaimer: This table provides general guidance based on current literature and only includes devices commonly used in our institution. Users are responsible for ensuring accuracy. of the information. Always consult the device manufacturer's current labeling and institutional MRI safety protocols before imaging patients with implanted devices. MRI safety requirements may vary by specific device model and manufacturer. Please see Terms and Disclaimers. 
MRI Safety Tables - Weebly Format

MRI Safety of Interventional Radiology Implantable Devices

MR Safe: No known hazards
MR Conditional: Safe under specific conditions
MR Unsafe: Unacceptable risks

□ Embolization Coils

Device Material/Type MRI Safety Max Field Wait Time Special Conditions Ref
Ruby Coils (Penumbra) Platinum MR Conditional ≤3T None SAR ≤2.0 W/kg (body), ≤3.2 W/kg (head), 15 min max 11
Nester Coils (Cook Medical) Platinum/Inconel MR Conditional ≤3T None Standard MR conditions 12
Interlock Fibered IDC (Boston Scientific) Platinum/Fibers MR Conditional ≤3T None Coil-within-coil technology 13
Embold Fibered Coils (Boston Scientific) Platinum/Fibers MR Conditional ≤3T None Multi-catheter compatible 14
Cook MReye Coils Inconel MR Conditional ≤3T None Designed for MR compatibility 4,5
Cook Standard Coils (Stainless Steel) Stainless Steel MR Conditional ≤3T None SAR ≤2.0 W/kg, temp rise <1.8°C 15

□ IVC Filters

Device Material MRI Safety Max Field Wait Time Special Conditions Ref
Bird's Nest Filter (Cook) Stainless Steel MR Conditional ≤1.5T 6 weeks Ferromagnetic, requires caution 6,7
Option IVC Filter (Argon Medical) Nitinol MR Conditional ≤3T None Conical design, retrievable 20,21
Günther Tulip Filter (Cook) Conichrome (Co-Cr alloy) MR Conditional ≤3T None Retrievable/optional design 16,17
OptEase Filter (Cordis) Nitinol MR Conditional ≤3T None Double-basket design, femoral retrievable 18,19

□ Vascular Plugs

Device Material MRI Safety Max Field Wait Time Special Conditions Ref
Amplatzer Vascular Plugs Nitinol MR Conditional ≤3T None Various sizes available 8,9
⚠️ Disclaimer: This table provides general guidance based on current literature. Always consult device manufacturer's current labeling and institutional MRI safety protocols before imaging patients with implanted devices. MRI safety requirements may vary by specific device model and manufacturer.

Important Safety Notes

​⏰ Timing Guidelines
  • Most modern devices: MRI can be performed immediately after placement
  • 6-week rule: Traditional waiting period for ferromagnetic devices
  • *Current practice: Recent evidence supports immediate scanning for properly placed devices

🔥 Heating Considerations
  • Maximum temperature rise typically limited to 4°C
  • SAR limits: 2.0-3.2 W/kg depending on body region
  • Heating often the most restrictive MRI parameter

📊 Artifact Considerations
  • Stainless steel: Significant susceptibility artifacts (up to 75mm)
  • Platinum coils: Minimal artifacts (greatly reduced)
  • Titanium/Nitinol: Minimal to moderate artifacts

⚠️ Force and Torque
  • Devices become securely incorporated within 6 weeks
  • Modern IVC filter migration rate: ~1%
  • No increased migration risk demonstrated at 3.0T

References
  1. American Heart Association Scientific Statement on Safety of Magnetic Resonance Imaging in Patients With Cardiovascular Devices. Circulation. 2007.
  2. Shovlin CL, et al. Patients with in-situ metallic coils and Amplatzer vascular plugs used to treat pulmonary arteriovenous malformations since 1984 can safely undergo magnetic resonance imaging. Clin Radiol. 2019.
  3. Noel CV, et al. Safety of Magnetic Resonance Imaging After Implantation of Stainless Steel Embolization Coils. Pediatr Cardiol. 2016.
  4. Safety of Magnetic Resonance Imaging After Implantation of Stainless Steel Embolization Coils. PubMed. 2015.
  5. NHS GGC MRI Physics - Cerebral vascular embolisation/aneurysm coils and embolisation devices policy.
  6. Questions and Answers in MRI - IVC Filters. Available at: https://mriquestions.com/ivc-filters.html
  7. Daye D, Walker TG. Back to the Basics: Inferior Vena Cava Filters. PMC. 2022.
  8. Shovlin CL, et al. Patients with in-situ metallic coils and Amplatzer vascular plugs can safely undergo magnetic resonance imaging. Clin Radiol. 2019.
  9. Shellock FG. MRI Safety Information - Coils, Stents, Filters and Vascular Grafts. Available at: https://www.mrisafety.com/
  10. American College of Radiology Manual on MR Safety: 2024 Update and Revisions. Radiology. 2024.
  11. Penumbra Inc. Ruby Coil MRI Information: MR Conditional. Available at: https://www.penumbrainc.com/wp-content/uploads/2016/12/8027A_RubyCoil_Compatibility.pdf
  12. Cook Medical - Nester Embolization Coil. Available at: https://www.cookmedical.com/products/b092bc19-aecd-40aa-8146-430712000368/
  13. Boston Scientific - Interlock and IDC Detachable Embolization Coils. Available at: https://www.bostonscientific.com/en-US/products/embolization/interlock-and-idc-detachable-embolization-coils.html
  14. Boston Scientific - Embold Detachable Coil System. Available at: https://www.bostonscientific.com/en-US/products/embolization/embold-detachable-coil-system.html
  15. Cook Medical General Product Information - MRI Safety. Available at: https://www.cookmedical.com/support/general-product-information/
  16. Cook Medical - Günther Tulip Vena Cava Filter. Available at: https://www.cookmedical.com/products/ea845922-f1f5-4038-a4bc-f1a14e768a2d/
  17. Looby S, Given MF, Geoghegan T, et al. Gunther Tulip Retrieval Inferior Vena Cava Filters: Indications, efficacy, retrieval, and complications. Cardiovasc Intervent Radiol. 2007;30:59-65.
  18. Applied Radiology - Inferior vena cava filters: A contemporary review. Available at: https://appliedradiology.com/articles/inferior-vena-cava-filters-a-contemporary-review
  19. Winokur RS, Bassik N, Madoff DC, Trost D. Radiologists' field guide to retrievable and convertible inferior vena cava filters. AJR Am J Roentgenol. 2019;213:768-778.

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  • Home
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