Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance
Both neuromonitoring and early magnetic resonance imaging (MRI) provide crucial information for treatment management and prognosis in patients with severe traumatic brain injury (sTBI). So far, neuromonitoring in situ impedes the routine implementation of MRI due to safety concerns. We aimed to eval...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/11/3169 |
| _version_ | 1797492802249031680 |
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| author | Daniel Pinggera Paul Rhomberg Ronny Beer Claudius Thomé Ondra Petr |
| author_facet | Daniel Pinggera Paul Rhomberg Ronny Beer Claudius Thomé Ondra Petr |
| author_sort | Daniel Pinggera |
| collection | DOAJ |
| description | Both neuromonitoring and early magnetic resonance imaging (MRI) provide crucial information for treatment management and prognosis in patients with severe traumatic brain injury (sTBI). So far, neuromonitoring in situ impedes the routine implementation of MRI due to safety concerns. We aimed to evaluate the brain tissue damage induced by inserted neuromonitoring devices and its clinical relevance. Nineteen patients with sTBI and being exposed to at least one MRI with neuromonitoring in situ and one follow-up MRI after neuromonitoring removal were analyzed. All MRIs were reviewed for specific tissue damage. Three females and sixteen males (aged 20–74 years, mean 42.8 years) with an initial median GCS of 5 (range 3–8) were analyzed. No lesion was observed in six patients (31.6%), whereas another six patients (31.6%) demonstrated a detectable probe trajectory. Probe-related tissue damage was visible in seven patients (36.8%) with the size of the lesion prone to further enlarge with increasing cumulative duration of MRI examinations. Upon interdisciplinary evaluation, the lesions were not considered clinically relevant. Neuromonitoring probes in situ during MRI examinations may cause local brain tissue damage, yet without any clinical implications if placed correctly. Therefore, indications must be strictly based on joint decision from all involved disciplines. |
| first_indexed | 2024-03-10T01:09:55Z |
| format | Article |
| id | doaj.art-05508006fd4a4c6d90318604660586b7 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:09:55Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-05508006fd4a4c6d90318604660586b72023-11-23T14:18:19ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011111316910.3390/jcm11113169Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical RelevanceDaniel Pinggera0Paul Rhomberg1Ronny Beer2Claudius Thomé3Ondra Petr4Department of Neurosurgery, Medical University Innsbruck, 6020 Innsbruck, AustriaDepartment of Neuroradiology, Medical University Innsbruck, 6020 Innsbruck, AustriaDepartment of Neurology, Medical University Innsbruck, 6020 Innsbruck, AustriaDepartment of Neurosurgery, Medical University Innsbruck, 6020 Innsbruck, AustriaDepartment of Neurosurgery, Medical University Innsbruck, 6020 Innsbruck, AustriaBoth neuromonitoring and early magnetic resonance imaging (MRI) provide crucial information for treatment management and prognosis in patients with severe traumatic brain injury (sTBI). So far, neuromonitoring in situ impedes the routine implementation of MRI due to safety concerns. We aimed to evaluate the brain tissue damage induced by inserted neuromonitoring devices and its clinical relevance. Nineteen patients with sTBI and being exposed to at least one MRI with neuromonitoring in situ and one follow-up MRI after neuromonitoring removal were analyzed. All MRIs were reviewed for specific tissue damage. Three females and sixteen males (aged 20–74 years, mean 42.8 years) with an initial median GCS of 5 (range 3–8) were analyzed. No lesion was observed in six patients (31.6%), whereas another six patients (31.6%) demonstrated a detectable probe trajectory. Probe-related tissue damage was visible in seven patients (36.8%) with the size of the lesion prone to further enlarge with increasing cumulative duration of MRI examinations. Upon interdisciplinary evaluation, the lesions were not considered clinically relevant. Neuromonitoring probes in situ during MRI examinations may cause local brain tissue damage, yet without any clinical implications if placed correctly. Therefore, indications must be strictly based on joint decision from all involved disciplines.https://www.mdpi.com/2077-0383/11/11/3169magnetic resonance imagingsevere traumatic brain injuryneuromonitoring |
| spellingShingle | Daniel Pinggera Paul Rhomberg Ronny Beer Claudius Thomé Ondra Petr Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance Journal of Clinical Medicine magnetic resonance imaging severe traumatic brain injury neuromonitoring |
| title | Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance |
| title_full | Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance |
| title_fullStr | Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance |
| title_full_unstemmed | Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance |
| title_short | Brain Tissue Damage Induced by Multimodal Neuromonitoring In Situ during MRI after Severe Traumatic Brain Injury: Incidence and Clinical Relevance |
| title_sort | brain tissue damage induced by multimodal neuromonitoring in situ during mri after severe traumatic brain injury incidence and clinical relevance |
| topic | magnetic resonance imaging severe traumatic brain injury neuromonitoring |
| url | https://www.mdpi.com/2077-0383/11/11/3169 |
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