Full System Eligibility - Boston Scientific ImageReady MRI Mode D'emploi

Full System Eligibility

Table 13. Full System Conditions and Methods to Determine Eligibility
Condition for Scanning
The patient is implanted with the full DBS System comprised
of Leads, Extensions, Stimulator, and Burr Hole Cover listed in
Table 4 for Vercise Genus and Table 5 for Vercise Gevia.
Note: This step does not need to be completed if the MRI
Patient Eligibility Form (Appendix A) is already
complete.
The patient's DBS System meets the Full System configuration
requirements listed in Table 6.
Note: This step does not need to be completed if the MRI
Patient Eligibility Form (Appendix A) is already
complete.
Rechargeable Stimulator is fully charged prior to the MRI scan.
Note: The patient should bring the Charger and Remote
Control to the MRI Center. The Charger and Remote
Control are MR Unsafe and must not be brought into the
MRI Scanner Room.
MRI Mode is enabled on the Stimulator.
Note: Stimulation is automatically turned OFF when MRI
Mode is enabled. See the "MRI Mode for Full Systems"
section of this manual for more information on MRI
Mode including instructions for enabling MRI Mode.
MRI systems that meet the following criteria:
• MRI magnet strength of 1.5 Tesla (T) only, in a horizontal
closed bore system (no open‑sided, vertical‑field,
standing). The risks of using these MRI systems have not
been determined and could be significant.
• Gradient systems with a maximum gradient slew rate per
axis less than or equal to 200 T/m/s.
• Maximum spatial field gradient less than or equal to
40 T/m (4000 gauss/cm).
MRI coil setup:
• Transmit coil: 1.5T full body
transmit/receive (RF quadrature only), or head
transmit/receive (RF quadrature only), or 1.5T lower
extremity transmit/receive (RF quadrature only).
• Receive‑only coil: Any type.
• Hydrogen/proton imaging only.
Suggested Methods to Determine Eligibility
□
Check Patient ID Card or patient records and ensure that the model
numbers of the implanted components match the model numbers listed
in Table 4 for Vercise Genus and Table 5 for Vercise Gevia.
OR
□
Confirm with the physician responsible for implanting the patient's
DBS System and ensure that the model numbers of the implanted
components match the model numbers listed in Table 4 for Vercise
Genus and Table 5 for Vercise Gevia.
□
Check Patient ID Card or patient records and ensure that the system
configuration meets the requirements listed in Table 6 of this manual.
OR
□
Confirm with the physician responsible for implanting the patient's DBS
System and ensure the system configuration meets the requirements
listed in Table 6 of this manual.
□
Ensure that three bars
status on the Home screen of the patient's Remote Control.
□
Ensure that the Home screen of the Patient Remote Control displays the
MR Conditional symbol
□
Check the technical specifications of the MRI Scanner.
□
Check the technical specifications of the MRI head coil and/or
full body coil.
ImageReady™ MRI Guidelines for Boston Scientific Deep Brain Stimulation Systems
Appendix B: Pre‑MRI Scan Condition Checklist
are displayed for the Stimulator battery
with the Stimulation turned OFF.
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