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Abstract #1854

MRI of individuals with cochlear implants: surgical planning, current practice, success rates, and stakeholder opinions

Rebecca Susan Dewey1,2,3, Robert Dineen1,4,5, Matthew Clemence6, Olivier Dick7, Richard Bowtell1, and Pádraig Kitterick8
1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Hearing Sciences, Division of Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, United Kingdom, 3Hearing Theme, NIHR Nottingham Biomedical Research Centre, Nottingham, United Kingdom, 4Imaging Theme, NIHR Nottingham Biomedical Research Centre, Nottingham, United Kingdom, 5Radiological Sciences, Division of Mental Health and Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, United Kingdom, 6Philips Healthcare, Best, Netherlands, 7Radiology Department, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom, 8National Acoustic Laboratories, Sydney, Australia

Synopsis

A cochlear implant (CI) contains a magnet implanted under the scalp. MRI of CI users is associated with safety concerns, significant discomfort, and image distortion. A CI placed under a swimming cap is a feasible tool for observing the effect of CI location on image usability within a single subject and potentially informing surgical planning. 35-70% of radiological features in the head were deemed unaffected by the implant. Online survey results highlight the need for consistent publication of clear, succinct, and standardised information for healthcare professionals and CI users. CI user consultation is scarce, meaning their views are often neglected.

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