磁性括约肌增强术可能会限制磁共振成像的使用。

Andrés R Latorre-Rodríguez, Emma Aschenbrenner, Sumeet K Mittal
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引用次数: 0

摘要

磁括约肌增强术(MSA)是胃食管反流病的一种替代手术治疗方法;然而,对于使用LINX回流管理系统(Torax Medical,股份有限公司Shoreview,Minnesota,USA)进行MSA的患者,1.5 T以上的磁共振成像(MRI)是禁忌证。这一缺点可能会对MRI的使用造成障碍,并且已经报道了外科手术移除该装置以使患者能够接受MRI的情况。为了评估使用MSA设备的患者获得MRI的机会,我们于2022年对亚利桑那州的所有诊断成像提供商进行了结构化电话采访。2022年,在提供MRI服务的110个地点中,只有54个(49.1%)拥有至少一台1.5 T或更低的MRI扫描仪。更先进的技术快速取代1.5T MRI扫描仪可能会限制医疗保健的选择,并为使用MSA设备的患者创造一个进入障碍。
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Magnetic sphincter augmentation may limit access to magnetic resonance imaging.

Magnetic sphincter augmentation (MSA) is an alternative surgical treatment for gastroesophageal reflux disease; however, >1.5 T magnetic resonance imaging (MRI) is contraindicated for patients who have undergone MSA with the LINX Reflux Management System (Torax Medical, Inc. Shoreview, Minnesota, USA). This drawback can impose a barrier to access of MRI, and cases of surgical removal of the device to enable patients to undergo MRI have been reported. To evaluate access to MRI for patients with an MSA device, we conducted a structured telephone interview with all diagnostic imaging providers in Arizona in 2022. In 2022, only 54 of 110 (49.1%) locations that provide MRI services had at least one 1.5 T or lower MRI scanner. The rapid replacement of 1.5 T MRI scanners by more advanced technology may limit healthcare options and create an access barrier for patients with an MSA device.

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