{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:48:13Z","timestamp":1792180093328,"version":"4.4.0"},"reference-count":31,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>Magnetic resonance imaging is used with increasing frequency to provide accurate clinical information in cases of acute brain injury, and it is important to ensure that intracranial pressure (ICP) monitoring devices are both safe and accurate inside the MRI suite. A rare case of thermal brain injury during MRI associated with an overheated ICP transducer is reported.<\/jats:p>\n<jats:p>This 20-year-old man had sustained a severe contusion of the right temporal and parietal lobes during a motor vehicle accident. An MR-compatible ICP transducer was placed in the left frontal lobe. The patient was treated with therapeutic hypothermia, barbiturate therapy, partial right temporal lobectomy, and decompressive craniectomy. Immediately after MRI examination on hospital Day 6, the ICP monitor was found to have stopped working, and the transducer was subsequently removed. The patient developed meningitis after this event, and repeat MRI revealed additional brain injury deep in the white matter on the left side, at the location of the ICP transducer. It is suspected that this new injury was caused by heating due to the radiofrequency radiation used in MRI because it was ascertained that the tip of the transducer had been melted and scorched. Scanning conditions\u2014including configuration of the transducer, MRI parameters such as the type of radiofrequency coil, and the specific absorption rate limit\u2014deviated from the manufacturer's recommendations. In cooperation with the manufacturer, the authors developed a precautionary tag describing guidelines for safe MR scanning to attach to the display unit of the product.<\/jats:p>\n<jats:p>Strict adherence to the manufacturer's guidelines is very important for preventing serious complications in patients with ICP monitors undergoing MRI examinations.<\/jats:p>","DOI":"10.3171\/2012.9.jns12738","type":"journal-article","created":{"date-parts":[[2012,10,12]],"date-time":"2012-10-12T14:06:18Z","timestamp":1350050778000},"page":"1100-1109","source":"Crossref","is-referenced-by-count":24,"title":["Overheated and melted intracranial pressure transducer as cause of thermal brain injury during magnetic resonance imaging"],"prefix":"10.3171","volume":"117","author":[{"given":"Reiichiro","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Okayama University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Yumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Mito Medical Center, Ibaraki; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Shiba","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Okayama University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohisa","family":"Okawa","sequence":"additional","affiliation":[{"name":"Department of Health Science, College of Life Science, Kurashiki University of Science and The Arts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Yasuhara","sequence":"additional","affiliation":[{"name":"Spinal Cord Treatment Center, Shin Komonji Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomotsugu","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Okayama;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Tokunaga","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Okayama;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isao","family":"Date","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Okayama University Graduate School of Medicine, Okayama;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihito","family":"Ujike","sequence":"additional","affiliation":[{"name":"Department of Critical Care and Emergency Medicine, Okayama University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns12738","series-title":"Am Heart J","first-page":"467","article-title":"Effects of magnetic resonance imaging on cardiac pacemakers and electrodes","volume":"134","author":"Achenbach","year":"1997"},{"key":"b2-jns12738","series-title":"J Magn Reson Imaging","first-page":"315","article-title":"Evaluation of specific absorption rate as a dosimeter of MRI-related implant heating","volume":"20","author":"Baker","year":"2004"},{"key":"b3-jns12738","series-title":"Anesthesiology","first-page":"382","article-title":"Burns associated with pulse oximetry during magnetic resonance imaging","volume":"75","author":"Bashein","year":"1991"},{"key":"b4-jns12738","series-title":"Clin Radiol","first-page":"457","article-title":"Thermal injuries associated with MRI","volume":"56","author":"Dempsey","year":"2001"},{"key":"b5-jns12738","series-title":"J Magn Reson Imaging","first-page":"627","article-title":"Investigation of the factors responsible for burns during MRI","volume":"13","author":"Dempsey","year":"2001"},{"key":"b6-jns12738","series-title":"AJNR Am J Neuroradiol","first-page":"1795","article-title":"MR imaging-related heating of deep brain stimulation electrodes: in vitro study","volume":"23","author":"Finelli","year":"2002"},{"key":"b7-jns12738","series-title":"Acta Neurochir (Wien)","first-page":"435","article-title":"The Camino intracranial pressure device in clinical practice. Assessment in a 1000 cases","volume":"148","author":"Gelabert-Gonz\u00e1lez","year":"2006"},{"key":"b8-jns12738","series-title":"Anesthesiology","first-page":"152","article-title":"Burn associated with temperature monitoring during magnetic resonance imaging","volume":"76","author":"Hall","year":"1992"},{"key":"b9-jns12738","series-title":"Neurosurgery","first-page":"E1063","article-title":"Permanent neurological deficit related to magnetic resonance imaging in a patient with implanted deep brain stimulation electrodes for Parkinson's disease: case report","volume":"57","author":"Henderson","year":"2005"},{"key":"b10-jns12738","series-title":"Radiology","first-page":"585","article-title":"Burns associated with clinical MR examinations","volume":"175","author":"Kanal","year":"1990"},{"key":"b11-jns12738","series-title":"Radiology","first-page":"572","article-title":"Unusual burns of the lower extremities caused by a closed conducting loop in a patient at MR imaging","volume":"200","author":"Knopp","year":"1996"},{"key":"b12-jns12738","series-title":"J Magn Reson Imaging","first-page":"79","article-title":"Heating around intravascular guidewires by resonating RF waves","volume":"12","author":"Konings","year":"2000"},{"key":"b13-jns12738","series-title":"Eur Heart J","first-page":"376","article-title":"In vivo heating of pacemaker leads during magnetic resonance imaging","volume":"26","author":"Luechinger","year":"2005"},{"key":"b14-jns12738","series-title":"Neurosurgery","first-page":"188","article-title":"Accuracy of a miniature intracranial pressure monitor, its function during magnetic resonance scanning, and assessment of image artifact generation","volume":"45","author":"Macmillan","year":"1999"},{"key":"b15-jns12738","series-title":"Front Med Biol Eng","first-page":"117","article-title":"Mechanism of burn injury during magnetic resonance imaging (MRI)\u2014simple loops can induce heat injury","volume":"11","author":"Nakamura","year":"2001"},{"key":"b16-jns12738","series-title":"J Neurosurg","first-page":"159","article-title":"Potential heating caused by intraparenchymal intracranial pressure transducers in a 3-tesla magnetic resonance imaging system using a body radiofrequency resonator: assessment of the Codman MicroSensor Transducer. Technical note","volume":"109","author":"Newcombe","year":"2008"},{"key":"b17-jns12738","series-title":"Invest Radiol","first-page":"773","article-title":"Specific absorption rate as a poor indicator of magnetic resonance-related implant heating","volume":"40","author":"Nitz","year":"2005"},{"key":"b18-jns12738","series-title":"J Magn Reson Imaging","first-page":"105","article-title":"On the heating of linear conductive structures as guide wires and catheters in interventional MRI","volume":"13","author":"Nitz","year":"2001"},{"key":"b19-jns12738","series-title":"Neurosurgery","first-page":"1158","article-title":"The Camino intracranial pressure sensor: is it optimal technology? An internal audit with a review of current intracranial pressure monitoring technologies","volume":"49","author":"Piper","year":"2001"},{"key":"b20-jns12738","series-title":"Neurosurgery","first-page":"1056","article-title":"Is magnetic resonance imaging safe for patients with neurostimulation systems used for deep brain stimulation?","volume":"57","author":"Rezai","year":"2005"},{"key":"b21-jns12738","series-title":"J Magn Reson Imaging","first-page":"241","article-title":"Neurostimulation systems for deep brain stimulation: in vitro evaluation of magnetic resonance imaging-related heating at 1.5 tesla","volume":"15","author":"Rezai","year":"2002"},{"key":"b22-jns12738","series-title":"Invest Radiol","first-page":"300","article-title":"Neurostimulation system used for deep brain stimulation (DBS): MR safety issues and implications of failing to follow safety recommendations","volume":"39","author":"Rezai","year":"2004"},{"key":"b23-jns12738","series-title":"J Magn Reson Imaging","first-page":"30","article-title":"Radiofrequency energy-induced heating during MR procedures: a review","volume":"12","author":"Shellock","year":"2000"},{"key":"b24-jns12738","series-title":"Invest Radiol","first-page":"591","article-title":"Implantable microstimulator: magnetic resonance safety at 1.5 Tesla","volume":"39","author":"Shellock","year":"2004"},{"key":"b25-jns12738","series-title":"J Magn Reson Imaging","first-page":"271","article-title":"Burns associated with the use of monitoring equipment during MR procedures","volume":"6","author":"Shellock","year":"1996"},{"key":"b26-jns12738","series-title":"AJR Am J Roentgenol","first-page":"1105","article-title":"Severe burn of the finger caused by using a pulse oximeter during MR imaging","volume":"153","author":"Shellock","year":"1989"},{"key":"b27-jns12738","series-title":"J Neurosurg","first-page":"772","article-title":"Transient dystonia following magnetic resonance imaging in a patient with deep brain stimulation electrodes for the treatment of Parkinson disease. Case report","volume":"99","author":"Spiegel","year":"2003"},{"key":"b28-jns12738","series-title":"Acta Neurochir (Wien)","first-page":"185","article-title":"Clinical evaluation of a new intracranial pressure monitoring device","volume":"145","author":"Stendel","year":"2003"},{"key":"b29-jns12738","series-title":"Guidance for Industry and FDA Staff. Criteria for Significant Risk Investigations of Magnetic Resonance Diagnostic Devices","author":"US Department of Health and Human Services, Food and Drug Administration, Center for Devices and Radiological Health"},{"key":"b30-jns12738","series-title":"J Neurosurg","first-page":"706","article-title":"Magnetic resonance imaging compatibility testing of intracranial pressure probes. 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