Magnetic resonance imaging and gynecological devices

Abstract

Background: Performing magnetic resonance imaging (MRI) on women with gynecological devices is a completely accepted practice. The goal of our review is to assess how safe it is to perform MRI on women using contraceptive implants or devices. Study Design: Literature review, searching in PubMed-Medline/Ovid for the following keywords: magnetic resonance imaging, intrauterine devices, Implanon® and Essure®. Results: Though plastic devices do not represent a contraindication to the use of the technique, those including metallic components have been submitted to several tests, after which they were classified as MR Conditional (devices presenting no risks in MR-specific environments) by the Food and Drug Administration. Thus, the use of MRI can be safely advised to women with this type of device as long as the magnetic resonance equipment is ≤3.0 T. Conclusions: Presently, there is no scientific evidence that contraindicates performing MRI on women with any kind of gynecological device. Therefore, this procedure is safe as long as it is performed under previously tested conditions.

Best Practices in Counseling Young Female Cancer Survivors on Reproductive Health

“…43 Several reports have shown that neither movement nor clinically significant heating was associated with the copper IUD when undergoing magnetic resonance imaging using equipment <3.0T. 44 While the MEC cautions against use of the levonorgestrel IUD (LNG IUD) in women with a history of breast cancer, several studies have assessed its efficacy in preventing endometrial polyps, hyperplasia, and cancer in breast cancer survivors taking tamoxifen. A Cochrane review of LNG IUD use among women with breast cancer on tamoxifen suggested that the method decreased the incidence of benign endometrial polyps, but available trials were too small to study prevention of hyperplasia, endometrial cancer, and breast cancer recurrence.…”

Kyleena™ Paradigmenwechsel in der Verhütung durch das neue Levonorgestrel-freisetzende Intrauterinsystem – Verhaltensunabhängige, sichere Langzeitkontrazeption (Sponsor: Jenapharm GmbH & Co. KG, Jena)

“…Werden Frauen im fertilen Alter wegen Begleiterkrankungen zu bildgebenden Untersuchungen mittels Mag netresonanztomografie (MRT, Kernspin) überwiesen, so ist dies bei liegendem Intrauterinsystem problemlos möglich. Eine sonographische Kontrolluntersuchung ist nicht erforderlich, da es durch die MRT-Untersuchung zu keiner Lageveränderung des IUS im Uterus kommt [75,76].…”