{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:48:55Z","timestamp":1786978135413,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T00:00:00Z","timestamp":1541721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our objective is to evaluate the safety in patients with cochlear implants (CIs) and auditory brainstem implants (ABI) undergoing 1.5 Tesla (T) magnetic resonance imaging (MRI). Secondly, we want to raise awareness on CI and MRI safety, and advocate for continued improvement and advancement to minimize morbidity for our CI patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective case series from 2006 to 2018 at a single tertiary academic center. Data was collected on patients with CI or auditory brainstem implants undergoing MRI. Outcomes collected include demographic data, age at time of MRI, MRI characteristics, complications, CI manufacturer, and image quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighteen patients with CI or ABI collectively underwent a total of 62 MRI scans. Five of 15 (33%) CI patients with magnet had complications: five total of 24 MRI scans (21%). Two patients had magnet removal prior to 29 MRI scans without complications. Four of five MRI\u2010related complications were equipped with a U.S. Food and Drug Administration\u2010approved head wrap. Three of five required a trip to the operating room to explore and reposition the CI magnet; two could not complete MRI secondary to pain. Of the complications, two were Cochlear (Sydney, Australia), two Advanced Bionics (Valencia, CA), and one MED\u2010EL (Innsbruck, Austria). Synchrony model (MED\u2010EL) had 0 of seven complications, with a total of 19 MRI scans, which features a freely rotating and self\u2010aligning magnet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our series offers a diverse number of CI manufacturers and is in accordance with other literature that CI MRI\u2010related adverse events are occurring at an unacceptable frequency. We can promote CI MRI safety through our institutions' MRI CI patient protocols, raise awareness that diagnostic MRI benefits must outweigh CI\u2010related complications, and advocate for continued industry technological innovation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 129:482\u2013489, 2019\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.27516","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T08:52:20Z","timestamp":1541753540000},"page":"482-489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["Magnetic resonance imaging with cochlear implants and auditory brainstem implants: Are we truly practicing MRI safety?"],"prefix":"10.1002","volume":"129","author":[{"given":"Matthew","family":"Shew","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine  Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Wichova","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine  Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine  Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke N.","family":"Ledbetter","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Kansas School of Medicine  Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hinrich","family":"Staecker","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine  Kansas City Kansas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,9]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"National Institutes of Health; National Institute on Deafness and Other Communication Disorders (NIDCD).Cochlear implants. Available at:https:\/\/www.nidcd.nih.gov\/health\/cochlear-implants. Accessed May 9 2018."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31815dc5ae"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182a5d2c5"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000666"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1088\/1741-2552\/aab4e4"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000216807.03225.CE"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181ec1d61"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-2586(199901)9:1<26::AID-JMRI4>3.0.CO;2-H"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813518306"},{"key":"e_1_2_6_11_1","unstructured":"MED\u2010EL Announces FDA Approval of PULSAR SONATA and MED\u2010EL CONCERT Cochlear Implants for 1.5T MRI. Available at:http:\/\/s3.medel.com\/pdf\/US\/Final_MRI_FDA_Approval_Press_Release_06_14_13.pdf. Accessed May 9 2018."},{"key":"e_1_2_6_12_1","unstructured":"Cochlear\u2122 Nucleus\u00ae Implants FDA Approved for MRIs up to 3.0 Tesla (T)*. Available at:http:\/\/pronews.cochlearamericas.com\/cochlear\u2010nucleus\u2010implants\u2010are\u2010approved\u2010for\u2010mris\u2010up\u2010to\u20103\u20100\u2010tesla\u2010tutm_sourceblogutm_mediumpronewsutm_contentmri\/. Accessed May 9 2018."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000330"},{"key":"e_1_2_6_14_1","first-page":"133","article-title":"Focused tight dressing does not prevent cochlear implant magnet migration under 1.5 Tesla MRI","volume":"33","author":"Cuda D","year":"2013","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181825695"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23668"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2011.04.018"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2013.11.007"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.07.026"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000147937.44508.5a"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.2926"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.2932"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1179\/1754762811Y.0000000027"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/cii.42"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200210000-00002"},{"key":"e_1_2_6_26_1","first-page":"584","article-title":"Magnetic resonance imaging compatibility testing of the Clarion 1.2 cochlear implant","volume":"19","author":"Weber BP","year":"1998","journal-title":"Am J Otol"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200111000-00018"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-199805000-00002"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132483"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.27516","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T12:28:56Z","timestamp":1694694536000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.27516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,9]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1002\/lary.27516"],"URL":"https:\/\/doi.org\/10.1002\/lary.27516","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,9]]},"assertion":[{"value":"2018-07-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}