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MRI‐guided stereotactic neurosurgical procedures in a diagnostic MRI suite: Background and safe practice recommendations
Author(s) -
Larson Paul S.,
Willie Jon T.,
Vadivelu Sudhakar,
AzmiGhadimi Hooman,
Nichols Amy,
Fauerbach Loretta Litz,
Johnson Helen Boehm,
Graham Denise
Publication year - 2017
Publication title -
journal of healthcare risk management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.221
H-Index - 16
eISSN - 2040-0861
pISSN - 1074-4797
DOI - 10.1002/jhrm.21275
Subject(s) - workflow , suite , medicine , medical physics , intraoperative mri , patient safety , interventional magnetic resonance imaging , neurosurgery , clinical practice , deep brain stimulation , health care , magnetic resonance imaging , computer science , radiology , pathology , archaeology , database , economics , history , economic growth , disease , family medicine , parkinson's disease
The development of navigation technology facilitating MRI‐guided stereotactic neurosurgery has enabled neurosurgeons to perform a variety of procedures ranging from deep brain stimulation to laser ablation entirely within an intraoperative or diagnostic MRI suite while having real‐time visualization of brain anatomy. Prior to this technology, some of these procedures required multisite workflow patterns that presented significant risk to the patient during transport. For those facilities with access to this technology, safe practice guidelines exist only for procedures performed within an intraoperative MRI. There are currently no safe practice guidelines or parameters available for facilities looking to integrate this technology into practice in conventional MRI suites. Performing neurosurgical procedures in a diagnostic MRI suite does require precautionary measures. The relative novelty of technology and workflows for direct MRI‐guided procedures requires consideration of safe practice recommendations, including those pertaining to infection control and magnet safety issues. This article proposes a framework of safe practice recommendations designed for assessing readiness and optimization of MRI‐guided neurosurgical interventions in the diagnostic MRI suite in an effort to mitigate patient risk. The framework is based on existing clinical evidence, recommendations, and guidelines related to infection control and prevention, health care–associated infections, and magnet safety, as well as the clinical and practical experience of neurosurgeons utilizing this technology.