The 2017 HRS Expert Consensus Statement on Magnetic Resonance Imaging and Radiation Exposure in Patients with Cardiovascular Implantable Electronic Devices is intended to help cardiologists, radiologists, radiation oncologists, and other health care professionals involved in the care of adult and pediatric patients with cardiovascular implantable electronic devices (CIEDs) who are to undergo magnetic resonance imaging (MRI), computed tomography (CT), and/or radiation treatment. The document also addresses the safety of employees with CIEDs who might come into an MRI environment. The objective is to delineate practical recommendations in appropriate detail for health care providers of various backgrounds for the management of patients with CIEDs so they can undergo imaging and treatments in a manner that balances benefit and risk, while recognizing that risk cannot be eliminated.
This document features a clinician summary — an educational derivative product of the full document.
The MRI and Radiation Exposure in Patients with CIEDs pocket card, a valuable educational reference tool created in partnership with Guideline Central, is available across multiple platforms, including print, electronic media, and the Guideline Central mobile app. Visit www.guidelinecentral.com to access the pocket card.
Eleven societies collaborated on this Expert Consensus Statement: American College of Cardiology (ACC), American College of Radiology (ACR), American Heart Association (AHA), Asia Pacific Heart Rhythm Society (APHRS), American Society for Radiation Oncology (ASTRO), Council of Affiliated Regional Radiation Oncology Societies (CARROS), European Heart Rhythm Association (EHRA), Japanese Heart Rhythm Society (JHRS), Pediatric and Congenital Electrophysiology Society (PACES), Sociedade Brasileira de Arritmias Cardíacas (SOBRAC), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE).
The statement includes specific recommendations in the following areas:
- Introduction and Methodology
- Definitions of CIED Systems in Relation to MRI
- MRI Technology and Relationship to Risk
- MR Conditional CIED Technology
- Management of Patients with a CIED Referred for MRI
- Management of Patients with a CIED Undergoing CT Imaging
- Management of Patients with a CIED Undergoing Radiation Therapy
- Future Directions