Association between Anesthesia Management and Preoperative Magnetic Resonance Image Quality in Patients Scheduled for Deep Brain Stimulation Surgery

Year 2023, Volume: 5 Issue: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 16 - 21, 19.10.2023

Sezgin Bilgin , Kerim Aslan , Esra Turunç , Burhan Dost , Hakan Aygün , Ersin Köksal

https://doi.org/10.37990/medr.1330987

Abstract

Aim: To investigate magnetic resonance image quality and the number of motion artifact-related repeated sequences based on anesthesia or sedation management during preoperative MR imaging for DBS surgery.
Material and Methods: The medical records of patients who underwent DBS procedures at the hospital of Ondokuz Mayis University, between April 2011 and October 2021 were retrospectively analyzed. Age, gender, and diagnosis information were recorded for each case. Patients were grouped into general anesthesia, sedation, no sedation groups. The evaluation of magnetic resonance images was performed by a specialized in neuroradiology. The radiologist classified the image quality as good, moderate, or poor based on artifacts resulting from unwanted motion.
Results: A total of 127 patients, out of 190 patients, were included in the study. There were no significant differences in image quality based on anesthesia/sedation method and airway management (p>0.05). No significant differences were observed in the number of repeated sequences when compared based on anesthesia/sedation method and airway management (p>0.05).
Conclusion: General anesthesia, sedation, or no sedation during preoperative magnetic resonance imaging in patients with movement disorders did not result in significant differences in image quality and the number of sequences requiring repetition.

Keywords

Deep brain stimulation, Magnetic resonance imaging, Movement Disorders, Parkinson’s disease, Anesthesia, Sedation

References

• Chakrabarti R, Ghazanwy M, Tewari A. Anesthetic challenges for deep brain stimulation: a systematic approach. N Am J Med Sci. 2014;6:359-69.
• Hartmann C, Fliegen S, Groiss S, et al. An update on best practice of deep brain stimulation in Parkinson’s disease. Ther Adv Neurol Disord. 2019;12:1756286419838096.
• Cravero JP, Blike GT, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006;118:1087-96.
• Roberts DP, Lewis SJ. Considerations for general anaesthesia in Parkinson’s disease. J Clin Neurosci. 2018;48:34-41.
• Ronde EM, Silvasti-Lundell M, Pekkola J, et al. Preoperative magnetic resonance image quality in motion disorder patients scheduled for deep brain stimulation surgery. Stereotact Funct Neurosurg. 2020;98:363-70.
• Bluemke DA, Breiter SN. Sedation procedures in MR imaging: safety, effectiveness, and nursing effect on examinations. Radiology. 2000;216:645-52.
• Loh P-S, Ariffin MA, Rai V, et. al. Comparing the efficacy and safety between propofol and dexmedetomidine for sedation in claustrophobic adults undergoing magnetic resonance imaging (PADAM trial). J Clin Anesth. 2016;34:216-22.
• Nguyen XV, Tahir S, Bresnahan BW, et al. Prevalence and financial impact of claustrophobia, anxiety, patient motion, and other patient events in magnetic resonance imaging. Top Magn Reson Imaging. 2020;29:125-30.
• Uffman JC, Tumin D, Raman V, et al. MRI utilization and the associated use of sedation and anesthesia in a pediatric ACO. J Am Coll Radiol. 2017;14:924-30.
• Hinkelbein J, Schmitz J, Lamperti M, Fuchs-Buder T. Procedural sedation outside the operating room. Curr Opin Anaesthesiol. 2020;33:533-8.
• Artunduaga M, Liu CA, Morin CE, Serai SD, et al. Safety challenges related to the use of sedation and general anesthesia in pediatric patients undergoing magnetic resonance imaging examinations. Pediatr Radiol. 2021;51:724-35.
• Schreiber-Zinaman J, Rosenkrantz AB. Frequency and reasons for extra sequences in clinical abdominal MRI examinations. Abdom Radiol. 2017;42:306-11.
• Deogaonkar A, Deogaonkar M, Lee JY, et al. Propofol-induced dyskinesias controlled with dexmedetomidine during deep brain stimulation surgery. Anesthesiology. 2006;104:1337-9.
• Yim R, Leung K, Poon C, Irwin M. Peri-operative management of patients with Parkinson’s disease. Anaesthesia. 2022;77:123-33.
• Tang Y, Meng J, Zhang X, et al. Comparison of dexmedetomidine with propofol as sedatives for pediatric patients undergoing magnetic resonance imaging: a meta‑analysis of randomized controlled trials with trial sequential analysis. Exp Ther Med. 2019;18:1775-85.
• Prommer EE. Midazolam-induced extrapyramidal side effects. Journal of Pain and Symptom Management. 2008;36:e5-6.
• Sokhal S, Goyal K, Sokhal N, et al. Intraoperative management of a patient for deep brain stimulation with severe dyskinesia and tremors: Ketamine to the rescue! Asian J Neurosurg. 2019;14:1275-6.
• Mason A, Rioux J, Clarke SE, et al. Comparison of objective image quality metrics to expert radiologists’ scoring of diagnostic quality of MR images. IEEE Trans Med Imaging. 2019;39:1064-72.