Anesthesia Service provision for MRI: Is shifting the technique enough?

Karlsson, Jacob; Bertolizio, Gianluca

doi:10.1111/pan.14245

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Therefore, not all patients are suitable for stereotactic surgery, which is also the reason why the surgical result cannot reach 100% in a lot of research. Many factors in the surgical treatment play a corresponding role in the diagnosis and treatment of the disease, including the patients' condition, degree of cooperation, clinical experience, and general function status; the selection of the target during the surgery depends on clinical experience of the physicians [ 23 ]. Furlanetti et al [ 24 ] experimented with stereotaxic imaging to reduce the duration and cost of image acquisition without compromising accuracy.…”

Section: Discussionmentioning

confidence: 99%

Stereotactic Surgery of Parkinson’s Disease with Magnetic Resonance Imaging under Three‐Dimensional Mark Point Positioning Algorithm

Jia

Wang

Sun

et al. 2022

Contrast Media & Molecular Imaging

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This research aimed to study the application of magnetic resonance imaging (MRI) under three-dimensional mark point positioning algorithm in stereotactic surgery for Parkinson’s disease (PD) and improve clinical treatment effect. Eighty patients with PD in Tianjin Medical University General Hospital were selected as the research objects and randomly divided into two groups. The three-dimensional mark point positioning algorithm was applied to perform feature positioning on the MRI images of PD patients, and the international unified Parkinson’s disease rating scale (UPDRS) was assessed before and after single-target surgery of the two groups. There was a significant difference in the postoperative treatment effect between the two groups compared with the preoperative one ( P < 0.05 ). Among the patients in the observation group, 37 cases were marked as markedly effective, accounting for 92.5% of the total group; 1 case was ineffective and 2 cases were improved, accounting for 2.5% and 5%, respectively. In the control group, 35, 2, and 3 cases were assessed as markedly effective, ineffective, and improved, accounting for 87.5%, 5%, and 7.5%, respectively. The overall curative effect of the observation group was better than that of the control group, and the difference was significant ( P < 0.05 ). The MRI manifestations of PD patients were diversified. MRI under the three-dimensional mark point positioning algorithm had a high value for the stereotactic treatment of PD patients, which was beneficial to the clinical surgery.

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Section: Discussionmentioning

confidence: 99%

Stereotactic Surgery of Parkinson’s Disease with Magnetic Resonance Imaging under Three‐Dimensional Mark Point Positioning Algorithm

Jia

Wang

Sun

et al. 2022

Contrast Media & Molecular Imaging

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“…Thus, several studies investigated the possibility to safely perform MRI with sedation provided by non-anesthesiologists [13,14] or with no sedation at all [9 ▪ ,15,16,17]. Each approach (anesthesiologist and non-anesthesiologist driven sedation or nonsedated MRI) requires specific considerations [18].…”

Section: Introductionmentioning

confidence: 99%

Anesthesia for pediatric magnetic resonance imaging: a review of practices and current pathways

Fonseca

Garbin

Bertolizio

2023

Current Opinion in Anaesthesiology

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Purpose of review Magnetic resonance imaging (MRI) is an ever-expanding investigation modality in children. This review aims to present current strategies to perform MRI in pediatrics efficiently and safely. The latest evidence on approaches, safety and costs of MRI with no sedation or with sedation provided by anesthesiologists and non-anesthesiologists are outlined and discussed. Recent findings MRI under sedation provided by either anesthesiologists or non-anesthesiologists has a low incidence of minor adverse events and rarely severe complications. Propofol infusion with or without dexmedetomidine appears the ideal anesthetic, as it allows spontaneous breathing and fast turnover. Intranasal dexmedetomidine is safe and the most effective medication when a nonintravenous route is employed. New scanning techniques and patient's preparation methods can increase the chances to successfully perform MRI with no sedation by shortening sequences, reducing artifacts, and improving child's cooperation. Summary MRI under sedation can be considered safe. Proper patient selection, clear decision-making and medico-legal pathways are particularly necessary for nurse-only sedated scans. Nonsedated MRIs are feasible and cost-effective but require optimal scanning techniques and patient's preparation to be successful. Further research should be focused on identifying the most effective modalities to perform MRI without sedation and clarify protocols for the nurse-only sedations. Anesthesia service will likely remain pivotal for complex and critically ill patients and to provide assistance in case of adverse events.

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Anesthesia Service provision for MRI: Is shifting the technique enough?

Cited by 2 publications

References 6 publications

Stereotactic Surgery of Parkinson’s Disease with Magnetic Resonance Imaging under Three‐Dimensional Mark Point Positioning Algorithm

Stereotactic Surgery of Parkinson’s Disease with Magnetic Resonance Imaging under Three‐Dimensional Mark Point Positioning Algorithm

Anesthesia for pediatric magnetic resonance imaging: a review of practices and current pathways

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