Abstract
Background: Deep sedation or general anesthesia is usually required for Magnetic Resonance Imaging when patients cannot remain motionless in the suite. Various anesthetic devices have been used to maintain the airway and ventilate the lungs during this period. Some of them produce artifacts that pose difficulties in the interpretation of images. The aim of this study was to identify the devices that produced artifacts during Magnetic Resonance Imaging.Methods: Twelve anesthetic devices were considered: oro-pharyngeal airway, nasopharygeal airway, face mask with reservoir bag, nasal cannula, endotracheal tube, disposable Ambu Laryngeal Mask Airway, Laryngeal Mask Airway Unique, Disposable Laryngeal Tube Sonda, i-gel, Ambu bag, Bain Circuit, Jackson Rees Circuit. Magnetic Resonance Imaging was performed with each device placed on the top of a phantom simulator respectively to resemble the position in vivo.Results: The artifacts with Disposable Laryngeal Tube Sonda, Laryngeal Mask Airway Unique and endotracheal tube were related to ferromagnetic material in the pilot valve and were similar. No artifacts were found with oro-pharyngeal airway, nasopharygeal airway, nasal cannula, endo-tracheal tube with pilot valve detached, face masks with reservoir bag (metal removed), Ambu bag (without Adjustable Pressure Limiting valve), i-gel , disposable Ambu Laryngeal Mask Airway, Bain Circuit and Jackson Rees Circuit.Conclusion: Anesthetic devices that produce Magnetic Resonance Imaging artifacts are disposable Laryngeal Tube Sonda, Laryngeal Mask Airway Unique and Endotracheal Tube.Journal of Society of Anesthesiologists of Nepal 2015; 2(1): 13-16
Highlights
Deep sedation or generation anesthesia is usually required for Magnetic Resonance Imaging (MRI) when patients cannot remain motionless in the suite.[1,2,3]
Various artifacts are produced by these equipment during MRI scanning.[4]
The images of the different anesthesia equipment with T-2 GE sequences were obtained as shown in the figures below with the abbreviations of the names on them
Summary
Deep sedation or generation anesthesia is usually required for Magnetic Resonance Imaging (MRI) when patients cannot remain motionless in the suite.[1,2,3] During such conditions, the patient’s airway is often maintained using airway adjuncts like Oropharyngeal Airway (OPA), Nasopharyngeal Airway (NPA), advanced airway devices like Endotracheal Tubes (ETT) and Laryngeal mask airway (LMA) and ventilation is managed using Bain circuit (BC) and Jackson Rees Circuit (JRC). In vitro study of these devices would be useful to identify such artifacts as they pose a lot of difficulties in the interpretation of Magnetic Resonance (MR) images. The aim of this study was to identify the anesthetic devices that produced artifacts during Magnetic Resonance Imaging.
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