To help reduce uncertainty at the center and the possibility of patients being denied an MRI, instruct patients to bring the following materials to the radiology center:
Confirm the patient knows how to use the patient programmer to activate MRI Mode and turn the neurostimulator on or off. Instructions are provided in the Real-time MRI Eligibility Form that you complete and give to your patient to take to the radiology center.
If your pain stimulation patient is eligible only for a head MRI scan, confirm the radiology center has the necessary transmit/receive head coil equipment.
Complete this form to alert radiology staff about MRI eligibility for your implanted patient.
There are two forms: one for the Restore™ family systems and one for the Intellis™ SureScan™ MRI system. Each form includes instructions for activating MRI Mode and turning stimulation back on after the MRI scan.