Fully Implanted Lead-Only System; Externalized Lead-Only System - Boston Scientific ImageReady MRI Mode D'emploi

C. DBS Implant Configuration and System Integrity (Check all that apply for Lead‑Only System or Full System)

Fully Implanted Lead-Only System

MRI Eligible
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Stimulator NOT implanted.
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Lead Extensions NOT implanted.
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Leads capped with Lead Boot.
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Lead(s) fully implanted under the scalp on the skull.
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Patient has up to two Leads implanted.
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NO evidence of fractured Leads.

Externalized Lead-Only System

MRI Eligible
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Stimulator NOT implanted.
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Lead Extensions NOT implanted.
Partially implanted Lead(s) extending out of the patient are
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straight with no loops.
The external portion of the partially implanted Lead(s) is
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NOT in contact with either the patient or any part of the
scanner.
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Patient has up to two Leads implanted.
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NO evidence of fractured Leads.
Not MRI Eligible
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Stimulator implanted.
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Lead Extensions implanted.
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Leads NOT capped with Lead Boot.
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Lead(s) NOT fully implanted under the scalp on the skull.
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Patient has more than two Leads implanted.
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Evidence of fractured Leads.
Not MRI Eligible
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Stimulator implanted.
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Lead Extensions implanted.
Partially implanted Lead(s) extending out of the patient are
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NOT straight or HAVE loops.
The external portion of the partially implanted Lead(s) is in
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contact with either the patient or any part of the scanner.
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Patient has more than two Leads implanted.
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Evidence of fractured Leads.
ImageReady™ MRI Guidelines for Boston Scientific Deep Brain Stimulation Systems
Appendix A: MRI Patient Eligibility Form
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