Completing The Mri Eligibility Report - Medtronic 37601 Handbuch

3. Confirm that the neurostimulator is located either in the pectoral region or the
abdomen. If so, check the box.
4. If all three boxes in step 2 are checked, continue to step 3 on the worksheet.
If any of the boxes are not checked, the DBS system is MR Conditional Head Scan
eligible.
5. Choose the appropriate therapy setting, based on the implanted neurostimulator
model.
The MRI Eligibility worksheet is complete for determining Head-only eligibility.
6. If Head-only eligibility is determined, transcribe the eligibility and therapy settings to
the Eligibility determination section and complete the MRI Eligibility Report.
Step 3: Confirm full-body scan eligibility
This step confirms that the factors permitting a patient to have an MRI scan using the full-
body eligible settings and conditions have been met.
1. Confirm that steps 1 and 2 were completed correctly and all boxes are checked.
2. If the implanted neurostimulator model is listed, choose the desired therapy settings
and list the group name or letter.
The decision to turn off a patient's implanted neurostimulator for an MRI scan should
be carefully considered based on the patient's underlying medical condition.
Warning: Abruptly ending stimulation for any reason will probably cause a
return of disease symptoms. In some cases, symptoms may return with an
intensity greater than those experienced prior to system implant (rebound
effect). This can, in rare cases, become a medical emergency.
Note: Full-body scan eligibility includes the head, torso, and extremity scan
locations.
The MRI Eligibility worksheet is complete for confirming full-body scan eligibility for
this implanted neurostimulator.
3. Transcribe the scan eligibility and therapy settings to the Eligibility determination
section and complete the MRI Eligibility Report.

Completing the MRI Eligibility Report

It is critical that the MRI facility receives the MRI scan eligibility information to schedule
the MRI scan appointment. The MRI Eligibility Report, provided in the device package or
available at www.medtronic.com/mri, can be used to record and send this information.
Notes:
▪
The MRI Eligibility Report can be generated using the MRI workflow (eg, on
Model A610 clinician and A620 patient software applications) and may replace
the paper MRI Eligibility Report. However, communication between the DBS
physician and the MRI facility is always recommended prior to an MRI scan.
▪
Complete a separate MRI Eligibility Report for each DBS system.
18 English MRI guidelines for Medtronic deep brain stimulation systems 37601 37602 37603 37612
B35200 2020-01-01