1. HEAPHY 1 & 2 PLENARY Murray ARMSTRONG Sat 31 st Aug 2013 Session 2 / Talk 5 11:40 – 12:00 Next MRI USER GROUP (MRUG) will be in March 2014 in Auckland Theme ‘CHEST’ This will include a workshop on MR Compatible Pacemakers

2. MRI ‘Safe’ Pacemakers WORKSHOP These are a reality now

3. Medtronic EnRhythm MRI SureScan pacing system “A Waikato woman has become the first person in New Zealand to be fitted with a pacemaker developed for use in magnetic resonance imaging (MRI) machines.” Akuhata, K

4. Medtronic EnRhythm MRI SureScan pacing system 20-May-2009 4.3 years ago

5. SINCE THEN BIOTRONIC BOSTON SCIENTIFIC MEDTRONIC ST JUDES PRO MRI INGENIO & ADVANTIO ADVISA, REVO & SURESCAN ACCENT

6. ALSO Implantable Cardiac Defibrillators ICDBiotronic

7. IN HAMILTON Stephen BUTLER – Midland MRI Anne BAYLEY – Medimaging

8. LOTS OF PAPERS Including the usual weigh-in by Kanal and Shellock

9. EXCLUSION ZONE DIAGRAMS All slightly different

10. INFORMATION REQUIRED Pre and Post scan checklists by the supplying companies Covering the Cardiology and Radiology Departments

11. SCANNER INFORMATION Maximum of 1.5T Parameters – ‘Normal’ SAR rate, Slew rates, Spatial gradients, etc Protocols – Bandwidths, NEX, TR, etc

12. SAFETY APPROVED CE CE FDA x FDA x

13. UPSHOT Each department ‘doing it’s own thing’ There is standardization within Hamilton as we are dealing with the same cardiology staff However their MRI knowledge is ‘zero’

14. PROPOSE MRI Compatible Pacemaker and ICD Workshop at the next MRUG Involving Pacemaker ICD suppliers and MRI manufacturers – if possible Gaenor Bell at Biotronic has been very helpful

15. THANK YOU

16. AN IDEA FOR YOUR SCANNER Seen in the Daily Mail 26-Aug-2013

17. AN IDEA FOR YOUR SCANNER GE provided the CT scanner to New York-Presbyterian Morgan Stanley Children's Hospital

18. Daily Mail Reporter

19. FINALLY Ideal patients? 10-Jan-2013

20. “NZ's Got Talent” contestant TV quest draws the gifted and colourful

21. “NZ's Got Talent” contestant TV quest draws the gifted and colourful "Wow, look at your long nails, your bracelets" says executive producer Bettina Hollings

22. “NZ's Got Talent” contestant TV quest draws the gifted and colourful "Wow, look at your long nails, your bracelets" says executive producer Bettina Hollings "I never take them off“ replies the singer Thompson, W

23. Lynnette Karam-Whalley of Te Awamutu Bowker, G

24. Akuhata, Karla. (May 20, 2009). First for NZ as pacemaker enables safe scans. Waikato Times p. A8. Hamilton, NZ Bowker, G (10-Jun-2013). TV quest draws the gifted and colourful. The New Zealand Herald, p. A4. Retrieved 14-Jun-13 from http://www.nzherald.co.nz/world/news/image.cfm?c_id=2&gal_cid=1501140&gallery_id=133394#11430784 Daily Mail Reporter (25-Aug-2013). Scan up me hearties, yo ho! Children's hospital installs pirate-themed CT-scanner to make medical test a little less scary. Retrieved 14-Jun-13 from http://www.dailymail.co.uk/news/article-2401817/Scan- hearties-yo-ho-Childrens-hospital-installs-pirate-themed-CT-scanner-make-medical-test-little-scary.html Thompson, W (10-Jun-2013). TV quest draws the gifted and colourful. The New Zealand Herald, p. A4. Retrieved 14-Jun-13 from http://www.nzherald.co.nz/entertainment/news/article.cfm?c_id=1501119&objectid=10889487 References