{"id":5773,"date":"2020-09-14T16:17:32","date_gmt":"2020-09-14T16:17:32","guid":{"rendered":"https:\/\/becausesoundmatters.ca\/?p=5773"},"modified":"2020-11-27T19:54:59","modified_gmt":"2020-11-27T19:54:59","slug":"getting-an-mri-with-your-ci","status":"publish","type":"post","link":"https:\/\/becausesoundmatters.ca\/fr\/getting-an-mri-with-your-ci","title":{"rendered":"Passer un examen IRM avec un implant cochl\u00e9aire"},"content":{"rendered":"

Qu\u2019est-ce qu\u2019une IRM?<\/strong><\/p>\n

L\u2019acronyme IRM veut dire Imagerie par R\u00e9sonance Magn\u00e9tique. Il s\u2019agit d\u2019un examen m\u00e9dical qui permet de prendre des photos de tissus mous comme les muscles et les organes. La machine IRM utilise un champ magn\u00e9tique et des radiofr\u00e9quences pour g\u00e9n\u00e9rer ces images. L\u2019avantage de l\u2019IRM c\u2019est qu\u2019elle permet de prendre des images tr\u00e8s pr\u00e9cises sans utiliser de radiation ou de mat\u00e9riel radioactif comme les rayons X par exemple. Il existe diff\u00e9rente force d\u2019IRM. Elles sont quantifi\u00e9es en Tesla (T), une unit\u00e9 de mesure. La force de l'aimant utilis\u00e9 dans la machine indique la clart\u00e9 de l'image prise, une image provenant d'un appareil IRM 3T \u00e9tant plus claire que celle d'un appareil 1,5 T.<\/p>\n

L\u2019implant cochl\u00e9aire et l\u2019IRM<\/strong><\/p>\n

L\u2019implant cochl\u00e9aire contient un aimant. Cet aimant permet de faire tenir l\u2019antenne externe vis-\u00e0-vis le r\u00e9cepteur interne. Consultez l\u2019article Implant cochl\u00e9aire 101<\/a> pour plus de d\u00e9tails. C\u2019est la pr\u00e9sence de cet aimant dans l\u2019implant qui explique la n\u00e9cessit\u00e9 de prendre certaines pr\u00e9cautions lorsqu\u2019on a un implant cochl\u00e9aire. En effet, le champ magn\u00e9tique produit par la machine IRM aura pour effet d\u2019attirer l\u2019aimant dans l\u2019implant ce qui peut engendrer de l\u2019inconfort, ou d\u2019autres probl\u00e8mes, pour le patient. \u00c0 travers les diff\u00e9rents manufacturiers d\u2019implant cochl\u00e9aires et les diff\u00e9rents mod\u00e8les, certains sont compatibles pour passer des IRM, d\u2019autres non, et certains sont compatibles, mais avec certaines restrictions et pr\u00e9cautions \u00e0 prendre. C\u2019est pourquoi il est important de se renseigner aupr\u00e8s de son audiologiste ou de son manufacturier d\u2019implant cochl\u00e9aire avant tout examen IRM. Consultez notre article La s\u00e9curit\u00e9 avant tout!<\/a> pour plus de d\u00e9tails.<\/p>\n

Certains mod\u00e8les d\u2019implant cochl\u00e9aire contiennent un aimant rotatoire. Cela veut dire que l\u2019aimant peut tourner sur lui-m\u00eame (axe horizontal) afin de se positionner dans le sens d\u2019un champ magn\u00e9tique. Ce syst\u00e8me a comme avantage de pouvoir passer des IRM 1.5 et 3T sans avoir \u00e0 retirer l\u2019aimant. Un des d\u00e9savantages de laisser l\u2019aimant en place est que celui g\u00e9n\u00e8re ce qu\u2019on appelle un art\u00e9fact. Il s\u2019agit d\u2019une ombre qui a un impact n\u00e9gatif sur la capacit\u00e9 du m\u00e9decin \u00e0 voir les structures du cerveau. Parfois, il est donc n\u00e9cessaire de retirer l\u2019aimant qui se situe dans l\u2019implant. Cela n\u00e9cessite une intervention chirurgicale minime. Certains mod\u00e8les d\u2019implant cochl\u00e9aire, tel que celui d\u2019Oticon Medical, permettent de retirer l\u2019aimant facilement, et surtout, autant de fois que n\u00e9cessaire.<\/p>\n

Est-ce que je devrais avoir peur de passer une IRM si j\u2019ai un implant cochl\u00e9aire?<\/strong><\/p>\n

Il ne faut pas avoir peur, mais il faut prendre les pr\u00e9cautions n\u00e9cessaires. La premi\u00e8re chose \u00e0 faire est de pr\u00e9venir votre \u00e9quipe d\u2019implant cochl\u00e9aire \u00e0 l\u2019h\u00f4pital ou votre manufacturier avant de passer l\u2019examen. Ils pourront vous dire qu\u2019elles sont les pr\u00e9cautions \u00e0 prendre et pourront aussi contacter votre radiologiste pour s\u2019assurer qu\u2019il connaisse les recommandations. Deuxi\u00e8mement, le jour de l\u2019examen, amenez avec vous votre carte du porteur. Cette carte vous sera remise \u00e0 l\u2019h\u00f4pital apr\u00e8s votre chirurgie. Elle permettra de rappeler que vous avez un implant cochl\u00e9aire et que des mesures pr\u00e9ventives sont probablement \u00e0 prendre. Finalement, posez toutes vos questions \u00e0 l\u2019\u00e9quipe de radiologie avant de vous installer dans la machine puis enlever votre processeur de son.<\/p>\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

What is an MRI? The acronym MRI stands for Magnetic Resonance Imaging. This is a medical exam that takes special pictures of soft tissue such as muscles and organs. The MRI machine uses a magnetic field and radio frequencies to generate these images. The advantage of MRI is that it allows very precise images to be taken without using radiation or radioactive material like x-rays. There are different strengths of MRI and they are quantified in Tesla (T), a unit of measurement. The strength of the magnet used in the machine indicates the clarity of the image taken, with an image from a 3T MRI machine being brighter than that from a 1.5 T machine. Cochlear implant and MRI The cochlear implant system contains an internal magnet. This magnet is used to hold the external antenna against the head to communicate with the internal receiver. See the article Cochlear Implant 101 for more details. It is the presence of this magnet in the implant that explains the need to take certain precautions when you have a cochlear implant. This is because the magnetic field produced by the MRI machine will pull the magnet into the implant which can cause discomfort or other problems for the patient. Across the different cochlear implant manufacturers and models, some are MRI-compatible, while others are not. Even with MRI-compatible devices there may be certain restrictions and precautions that need to be taken. This is why it is important to check with your audiologist or cochlear implant manufacturer before any MRI exam. Read our article Safety first! for more details. Some models of cochlear implants contain a rotary magnet. This means that the magnet can rotate on itself (horizontal axis) in order to position itself in the direction of a magnetic field. This system has the advantage of being able to undergo 1.5 and 3T MRIs without having to remove the magnet. One of the disadvantages of leaving the magnet in place is that it generates what is called an artefact (a shadow). This shadow can negatively impact the doctor’s ability to see structures in the head\/brain. Therefore, in some cases it is necessary to completely remove the internal magnet which will require a minor surgery. Some models of cochlear implants, like the Neuro Zti from Oticon Medical, allow the magnet to be removed easily, and most importantly, as many times as needed. Should I be afraid of having an MRI if I have a cochlear implant? Absolutely not! You should not be afraid to have an MRI but you do need to be aware of and take the necessary precautions beforehand. The first thing to do is to tell your cochlear implant team at the hospital or your audiologist before having the exam. They can tell you what precautions to take and can also contact your radiologist to make sure they know the recommendations. On the day of the MRI exam, make sure to bring your CI patient card with you. This card will be provided to you at the hospital after your surgery. It will remind the radiologist that you have a cochlear implant and that preventive measures are likely to be taken. Finally, ask all your questions to the radiology team before getting into the machine and then, remove your sound processor.<\/p>","protected":false},"author":2,"featured_media":5775,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[76],"tags":[98,153,164,190,118,119,123,165],"class_list":["post-5773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cochlear-implants","tag-cochlear-implant","tag-magnetic-field","tag-magnetic-resonance-imaging","tag-maintenance","tag-medical-exam","tag-mri","tag-precautions","tag-tesla"],"yoast_head":"\nGetting an MRI With Your CI - because sound matters<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/becausesoundmatters.ca\/fr\/getting-an-mri-with-your-ci\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Getting an MRI With Your CI - because sound matters\" \/>\n<meta property=\"og:description\" content=\"What is an MRI? The acronym MRI stands for Magnetic Resonance Imaging. This is a medical exam that takes special pictures of soft tissue such as muscles and organs. The MRI machine uses a magnetic field and radio frequencies to generate these images. The advantage of MRI is that it allows very precise images to be taken without using radiation or radioactive material like x-rays. There are different strengths of MRI and they are quantified in Tesla (T), a unit of measurement. The strength of the magnet used in the machine indicates the clarity of the image taken, with an image from a 3T MRI machine being brighter than that from a 1.5 T machine. Cochlear implant and MRI The cochlear implant system contains an internal magnet. This magnet is used to hold the external antenna against the head to communicate with the internal receiver. See the article Cochlear Implant 101 for more details. It is the presence of this magnet in the implant that explains the need to take certain precautions when you have a cochlear implant. This is because the magnetic field produced by the MRI machine will pull the magnet into the implant which can cause discomfort or other problems for the patient. Across the different cochlear implant manufacturers and models, some are MRI-compatible, while others are not. Even with MRI-compatible devices there may be certain restrictions and precautions that need to be taken. This is why it is important to check with your audiologist or cochlear implant manufacturer before any MRI exam. Read our article Safety first! for more details. Some models of cochlear implants contain a rotary magnet. This means that the magnet can rotate on itself (horizontal axis) in order to position itself in the direction of a magnetic field. This system has the advantage of being able to undergo 1.5 and 3T MRIs without having to remove the magnet. One of the disadvantages of leaving the magnet in place is that it generates what is called an artefact (a shadow). This shadow can negatively impact the doctor’s ability to see structures in the head\/brain. Therefore, in some cases it is necessary to completely remove the internal magnet which will require a minor surgery. Some models of cochlear implants, like the Neuro Zti from Oticon Medical, allow the magnet to be removed easily, and most importantly, as many times as needed. Should I be afraid of having an MRI if I have a cochlear implant? Absolutely not! You should not be afraid to have an MRI but you do need to be aware of and take the necessary precautions beforehand. The first thing to do is to tell your cochlear implant team at the hospital or your audiologist before having the exam. They can tell you what precautions to take and can also contact your radiologist to make sure they know the recommendations. On the day of the MRI exam, make sure to bring your CI patient card with you. This card will be provided to you at the hospital after your surgery. It will remind the radiologist that you have a cochlear implant and that preventive measures are likely to be taken. 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