Cardiac MRI in the Setting of Implanted Pacemaker or ICD
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Common conditions:
- Cardiac viability evaluation
- Cardiac function evaluation
- Pre-ablation planning
- Sample Image
What are some key elements of this study?
- Pre-imaging evaluation by electrophysiology clinic
- Pre-imaging device programming by an electrophysiology NP
- Monitoring throughout the examination by electrophysiology NP
- Post-exam device reprogramming
Why this modality?
Ability to evaluate function and tissue viability/scarring
Who reads these studies?
Cardiac radiologist
What to do if there is a finding?
Followup with cardiologist
Why get this done at UCLA Radiology?
- One of few sites with a comprehensive implanted pacemaker/ICD scanning program including pre-imaging screening and monitoring throughout the image acquisition. We performed nearly 700 MR exams with implanted cardiac devices in 2019
- UCLA physicist Peng Hu developed the broad band protocol for acquiring cardiac images in the setting of pacemakers/ICD while minimizing artifact (now adopted at sites worldwide)
- Experienced MR technologists
- Onsite physician feedback and collaboration with MR technologists