Susceptibility artifacts in 2DFT spin-echo and gradient-echo imaging: the cylinder model revisited

Usefulness of 3D T1-Turbo Spin Echo Imaging for the Evaluation of Intracranial Stent Placement

Objective

Evaluation of intracranial stent placement by MRI suffers the problems of signal artifacts during time-of-flight MRA (TOF-MRA). Therefore, angiographic examination is required for detailed intravascular assessment of the stent placement site. Recently, 3D T1-turbo spin echo (3D-TSE) has been developed for evaluation of carotid artery stent placement. We investigated the use of the 3D-TSE imaging method for the evaluation of intracranial vascular stent placement.

Methods

The subjects consisted of nine patients who underwent intracranial vascular stent placement between April 2015 and December 2019. Postoperatively, the lumens of the placed stents were measured by TOF-MRA, DSA, and 3D-TSE imaging. Analysis was performed by type of stent and placement site.

Results

The stents used were Neuroform Atlas (3 patients), LVIS (3 patients), LVIS Jr (2 patients), and Integrity (1 patient). TOF-MRA of the stent placement site showed defects in the image or poor visualization in all nine patients, whereas 3D-TSE imaging visualized the lumen at the stent indwelling site in all patients. The blood vessel diameter measured by the DSA and 3D-TSE imaging exhibited positive correlations regardless of the stent type and placement site.

Conclusion

3D-TSE imaging allows visualization of the lumen of the site of an intracranial vascular stent, regardless of the type of stent or the vessel. Thus, this method may be useful for evaluating the vascular lumen of a lesion.

Artifact reduction of coaxial needles in magnetic resonance imaging-guided abdominal interventions at 1.5 T: a phantom study

Needle artifacts pose a major limitation for MRI-guided interventions, as they impact the visually perceived needle size and needle-to-target-distance. The objective of this agar liver phantom study was to establish an experimental basis to understand and reduce needle artifact formation during MRI-guided abdominal interventions. Using a vendor-specific prototype fluoroscopic T1-weighted gradient echo sequence with real-time multiplanar acquisition at 1.5 T, the influence of 6 parameters (flip angle, bandwidth, matrix, slice thickness, read-out direction, intervention angle relative to B₀) on artifact formation of 4 different coaxial MR-compatible coaxial needles (Nitinol, 16G–22G) was investigated. As one parameter was modified, the others remained constant. For each individual parameter variation, 2 independent and blinded readers rated artifact diameters at 2 predefined positions (15 mm distance from the perceived needle tip and at 50% of the needle length). Differences between the experimental subgroups were assessed by Bonferroni-corrected non-parametric tests. Correlations between continuous variables were expressed by the Bravais–Pearson coefficient and interrater reliability was quantified using the intraclass classification coefficient. Needle artifact size increased gradually with increasing flip angles (p = 0.002) as well as increasing intervention angles (p < 0.001). Artifact diameters differed significantly between the chosen matrix sizes (p = 0.002) while modifying bandwidth, readout direction, and slice thickness showed no significant differences. Interrater reliability was high (intraclass correlation coefficient 0.776–0.910). To minimize needle artifacts in MRI-guided abdominal interventions while maintaining optimal visibility of the coaxial needle, we suggest medium-range flip angles and low intervention angles relative to B₀.

Depiction of the Periosteum Using Ultrashort Echo Time Pulse Sequence with Three-Dimensional Cone Trajectory and Histologic Correlation in a Porcine Model

Objective

To evaluate the signal intensity of the periosteum using ultrashort echo time pulse sequence with three-dimensional cone trajectory (3D UTE) with or without fat suppression (FS) to distinguish from artifacts in porcine tibias.

Materials and Methods

The periosteum and overlying soft tissue of three porcine lower legs were partially peeled away from the tibial cortex. Another porcine tibia was prepared as three segments: with an intact periosteum outer and inner layer, with an intact periosteum inner layer, and without periosteum. Axial T1 weighted sequence (T1 WI) and 3D UTE (FS) were performed. Another porcine tibia without periosteum was prepared and subjected to 3D UTE (FS) and T1 WI twice, with positional changes. Two radiologists analyzed images to reach a consensus.

Results

The three periosteal tissues that were partially peeled away from the cortex showed a high signal in 3D UTE (FS) and low signal on T1 WI. 3D UTE (FS) showed a high signal around the cortical surface with an intact outer and inner periosteum, and subtle high signals, mainly around the upper cortical surfaces with the inner layer of the periosteum and without periosteum. T1 WI showed no signal around the cortical surfaces, regardless of the periosteum state. The porcine tibia without periosteum showed changes in the high signal area around the cortical surface as the position changed in 3D UTE (FS). No signal was detected around the cortical surface in T1 WI, regardless of the position change.

Conclusion

The periosteum showed a high signal in 3D UTE and 3D UTE FS that overlapped with artifacts around the cortical bone.

Reduction of magnetic resonance image artifacts of NiTi implant by carbon coating

A paramagnetic NiTi substrate was coated with diamagnetic carbon materials, i.e., graphene, graphene oxide (GO), and carbon nanotubes (CNTs), in order to reduce magnetic resonance (MR) image artifacts of NiTi implants. The present study focused on the effect of magnetic susceptibility variations in NiTi caused by the carbon coating on MR image artifacts. In the case of the graphene and GO coatings, the reduction of the magnetic susceptibility was greater along the perpendicular direction than the parallel direction. In contrast, the CNT coating exhibited a larger reduction along the parallel direction. The reduction of magnetic susceptibility measured in CNT-coated NiTi (CNT/NiTi) was smaller than the theoretical prediction especially when measured along the parallel direction, because CNTs on the NiTi surface were randomly arranged, rather than in a single direction. MR image artifacts were substantially reduced in all carbon-coated NiTi specimens, which is due to the reduction of magnetic susceptibility in NiTi by the carbon coating. This method can also be applied to other paramagnetic bio-metallic materials such as Co-Cr.

Motion compensation using principal component analysis and projection onto dipole fields for abdominal magnetic resonance thermometry

PURPOSE

High intensity focused ultrasound (HIFU) has the potential to locally and non-invasively treat cancer with fewer side effects than alternative therapies. However, motion and tissue heterogeneity in the abdomen can compromise the HIFU focus and confound current thermometry methods.

METHODS

The proposed thermometry method combines principal component analysis (PCA), as a multi-baseline technique, and projection onto dipole fields (PDF), as a near-referenceless method. PCA forgoes tracking tools by projecting incoming images onto a subspace spanning the motion history. PDF is subsequently used to synthesize the naturally feasible components of the residual phase using a magnetic dipole model. This leaves only the phase shifts that are induced by HIFU.

RESULTS

With in vivo measurements, in porcine and human kidneys, the mean pixel-wise temperature SD was 0.86 ± 0.41°C in selected regions of interest (ROIs) across all data sets, without any user-interaction or supplementary tracking tools. This is an improvement over a benchmark hybrid method, which scored 1.36 ± 1.20°C on the same data. Uncorrected subtraction of the data yielded a score of 3.02 ± 2.87°C.

CONCLUSION

The PCA-PDF hybrid method achieves superior artifact correction by exploiting the motion history and intrinsic magnetic susceptibility of the underlying tissue.

Measuring rat kidney glomerular number and size in vivo with MRI

number is highly variable in humans and is thought to play an important role in renal health. Chronic kidney disease (CKD) is the result of too few nephrons to maintain homeostasis. Currently, nephron number can only be determined invasively or as a terminal assessment. Due to a lack of tools to measure and track nephron number in the living, the early stages of CKD often go unrecognized, preventing early intervention that might halt the progression of CKD. In this work, we present a technique to directly measure glomerular number ( N_glom) and volume in vivo in the rat kidney ( n = 8) using MRI enhanced with the novel contrast agent cationized ferritin (CFE-MRI). Adult male rats were administered intravenous cationized ferritin (CF) and imaged in vivo with MRI. Glomerular number was measured and each glomerulus was spatially mapped in 3D in the image. Mean apparent glomerular volume (a V_glom) and intrarenal distribution of the individual glomerular volume (IGV), were also measured. These metrics were compared between images of the same kidneys scanned in vivo and ex vivo with CFE-MRI. In vivo N_glom and a V_glom correlated to ex vivo metrics within the same kidneys and were within 10% of N_glom and a V_glom previously validated by stereologic methods. This is the first report of direct in vivo measurements of N_glom and a V_glom, introducing an opportunity to investigate mechanisms of renal disease progression and therapeutic response over time.

Advances in MRI around metal

The prevalence of orthopedic metal implants is continuously rising in the aging society. Particularly the number of joint replacements is increasing. Although satisfying long-term results are encountered, patients may suffer from complaints or complications during follow-up, and often undergo magnetic resonance imaging (MRI). Yet metal implants cause severe artifacts on MRI, resulting in signal-loss, signal-pileup, geometric distortion, and failure of fat suppression. In order to allow for adequate treatment decisions, metal artifact reduction sequences (MARS) are essential for proper radiological evaluation of postoperative findings in these patients. During recent years, developments of musculoskeletal imaging have addressed this particular technical challenge of postoperative MRI around metal. Besides implant material composition, configuration and location, selection of appropriate MRI hardware, sequences, and parameters influence artifact genesis and reduction. Application of dedicated metal artifact reduction techniques including high bandwidth optimization, view angle tilting (VAT), and the multispectral imaging techniques multiacquisition variable-resonance image combination (MAVRIC) and slice-encoding for metal artifact correction (SEMAC) may significantly reduce metal-induced artifacts, although at the expense of signal-to-noise ratio and/or acquisition time. Adding advanced image acquisition techniques such as parallel imaging, partial Fourier transformation, and advanced reconstruction techniques such as compressed sensing further improves MARS imaging in a clinically feasible scan time. This review focuses on current clinically applicable MARS techniques. Understanding of the main principles and techniques including their limitations allows a considerate application of these techniques in clinical practice. Essential orthopedic metal implants and postoperative MR findings around metal are presented and highlighted with clinical examples.

LEVEL OF EVIDENCE

4 Technical Efficacy: Stage 3 J. Magn. Reson. Imaging 2017;46:972-991.

In vitro comparison of intracranial stent visibility using various concentrations of gadolinium contrast agent under 1.5 T and 3 T MR angiography

Background and purpose

MR angiography (MRA) is an increasingly used evaluation method following intracranial stenting. However, the various artifacts created by the stent limit this technique. The purpose of this study was to investigate the effects of various concentrations of gadolinium contrast agent on the visibility and signal characteristics of two stents using the a contrast enhanced MRA technique.

Material and method

Two intracranial stents (Enterprise and Helistent) were placed in polyvinyl chloride tubes as vascular phantoms. They were filled with six different doses of gadolinium contrast agent (1.0, 2.0, 4.0, 6.0, 8.0, and 10.0 mmol/L dimeglumine gadopentetate, respectively) and imaged using 3 T and 1.5 T MR systems. Relative in-stent signal (RIS) was calculated and artificial luminal narrowing (ALN) was obtained using pixel by pixel analysis.

Result

The Enterprise stent, performed in both 1.5 T and 3 T MR systems, showed mean RIS values much less than those for the Helistent for all different doses of gadolinium solution. Increased gadolinium concentration resulted in a gradual reduction in RIS values in the Enterprise group. Also, ALN in the Enterprise group showed no or little change with various gadolinium doses.

Conclusions

The Enterprise stent demonstrated good luminal visibility regardless of gadolinium concentration. The relative in-stent signals were more predictable in the Enterprise stent with various doses of gadolinium. Therefore, the Enterprise stent has been shown to provide better in-stent visibility compared with the Helistent using various gadolinium doses.

Magnetic resonance imaging acquisition techniques for radiotherapy planning

Magnetic resonance imaging (MRI) has a number of benefits for the planning of radiotherapy (RT), but its uptake into clinical practice has often been restricted to specialist research sites. There is often a lack of detailed MRI knowledge within the RT community and an apprehension of geometric distortions, both of which prevent its best utilization and merit the introduction of a standardized approach and common guidelines. This review sets out to address some of the issues involved in acquiring MRI scans for RT planning in the context of a number of clinical sites of interest and concludes with recommendations for its best practice in terms of imaging protocol and quality assurance. The article is of particular interest to the growing number of cancer therapy centers that are embarking on MRI simulation on either existing systems or their own dedicated scanners.

Mapping B(1)-induced eddy current effects near metallic structures in MR images: a comparison of simulation and experiment

Magnetic resonance imaging (MRI) in the presence of metallic structures is very common in medical and non-medical fields. Metallic structures cause MRI image distortions by three mechanisms: (1) static field distortion through magnetic susceptibility mismatch, (2) eddy currents induced by switched magnetic field gradients and (3) radio frequency (RF) induced eddy currents. Single point ramped imaging with T1 enhancement (SPRITE) MRI measurements are largely immune to susceptibility and gradient induced eddy current artifacts. As a result, one can isolate the effects of metal objects on the RF field. The RF field affects both the excitation and detection of the magnetic resonance (MR) signal. This is challenging with conventional MRI methods, which cannot readily separate the three effects. RF induced MRI artifacts were investigated experimentally at 2.4 T by analyzing image distortions surrounding two geometrically identical metallic strips of aluminum and lead. The strips were immersed in agar gel doped with contrast agent and imaged employing the conical SPRITE sequence. B1 mapping with pure phase encode SPRITE was employed to measure the B1 field around the strips of metal. The strip geometry was chosen to mimic metal electrodes employed in electrochemistry studies. Simulations are employed to investigate the RF field induced eddy currents in the two metallic strips. The RF simulation results are in good agreement with experimental results. Experimental and simulation results show that the metal has a pronounced effect on the B1 distribution and B1 amplitude in the surrounding space. The electrical conductivity of the metal has a minimal effect.

Ripple artifact reduction using slice overlap in slice encoding for metal artifact correction

PURPOSE

Multispectral imaging (MSI) significantly reduces metal artifacts. Yet, especially in techniques that use gradient selection, such as slice encoding for metal artifact correction (SEMAC), a residual ripple artifact may be prominent. Here, an analysis is presented of the ripple artifact and of slice overlap as an approach to reduce the artifact.

METHODS

The ripple artifact was analyzed theoretically to clarify its cause. Slice overlap, conceptually similar to spectral bin overlap in multi-acquisition with variable resonances image combination (MAVRIC), was achieved by reducing the selection gradient and, thus, increasing the slice profile width. Time domain simulations and phantom experiments were performed to validate the analyses and proposed solution.

RESULTS

Discontinuities between slices are aggravated by signal displacement in the frequency encoding direction in areas with deviating B0. Specifically, it was demonstrated that ripple artifacts appear only where B0 varies both in-plane and through-plane. Simulations and phantom studies of metal implants confirmed the efficacy of slice overlap to reduce the artifact.

CONCLUSION

The ripple artifact is an important limitation of gradient selection based MSI techniques, and can be understood using the presented simulations. At a scan-time penalty, slice overlap effectively addressed the artifact, thereby improving image quality near metal implants.

Off-resonance suppression for multispectral MR imaging near metallic implants

PURPOSE

Metal artifact reduction in MRI within clinically feasible scan-times without through-plane aliasing.

THEORY AND METHODS

Existing metal artifact reduction techniques include view angle tilting (VAT), which resolves in-plane distortions, and multispectral imaging (MSI) techniques, such as slice encoding for metal artifact correction (SEMAC) and multi-acquisition with variable resonances image combination (MAVRIC), that further reduce image distortions, but significantly increase scan-time. Scan-time depends on anatomy size and anticipated total spectral content of the signal. Signals outside the anticipated spatial region may cause through-plane back-folding. Off-resonance suppression (ORS), using different gradient amplitudes for excitation and refocusing, is proposed to provide well-defined spatial-spectral selectivity in MSI to allow scan-time reduction and flexibility of scan-orientation. Comparisons of MSI techniques with and without ORS were made in phantom and volunteer experiments.

RESULTS

Off-resonance suppressed SEMAC (ORS-SEMAC) and outer-region suppressed MAVRIC (ORS-MAVRIC) required limited through-plane phase encoding steps compared with original MSI. Whereas SEMAC (scan time: 5'46") and MAVRIC (4'12") suffered from through-plane aliasing, ORS-SEMAC and ORS-MAVRIC allowed alias-free imaging in the same scan-times.

CONCLUSION

ORS can be used in MSI to limit the selected spatial-spectral region and contribute to metal artifact reduction in clinically feasible scan-times while avoiding slice aliasing.

Magnetic resonance imaging (MRI) artefacts in hip prostheses: a comparison of different prosthetic compositions

PURPOSE

The purpose of the study was to compare the artefacts produced by different hip prostheses on magnetic resonance imaging (MRI).

MATERIALS AND METHODS

An identical MRI protocol was used to perform a quali-quantitative in vitro evaluation of artefacts caused by different hip prosthetic materials at different field strengths: prosthesis number 1, composed of cobalt-chrome-molybdenum (head and stem); prosthesis number 2, composed of ceramic (head) and titanium (stem); prosthesis number 3, composed of cobalt-chrome (head) and titanium (stem). All prostheses were imaged with both a clinical 1 Tesla (T) (Signa Horizon, General Electrics) and 1.5 T (Achieva, Philips) MRI system, using spin echo (SE) and gradient echo (GRE) sequences: sagittal T1 SE, coronal T2 fast SE (FSE), axial T1 SE, axial T2 FSE, sagittal T2 GRE, axial T2* GRE, coronal T1 GRE, axial T1 GRE. The artefacts produced by each prosthesis were assessed in each sequence at the different field strengths, by measuring the two longest diameters of the artefact in each section and sequence and comparing them to the actual diameters so as to obtain a ratio expressing the effective degree of artefact.

RESULTS

Cobalt-chrome produced the largest artefacts both in SE (1.73 at 1 T and 2.37 at 1.5 T) and GRE sequences (2.8 at 1 T and 3.06 at 1.5 T) followed by titanium (SE, 1.6 at 1 T, 2.13 at 1.5 T; GRE, 2 at 1 T, 2.94 at 1.5 T) and cobalt-chrome-molybdenum (SE, 1.51 at 1 T, 1.67 at 1.5 T; GRE, 2.13 at 1 T and 2.48 at 1.5 T); ceramic produced the smallest artefacts in all sequences (SE, 1.0 at 1 T and 1.18 at 1.5 T; GRE, 1.3 at 1 T and 1.22 at 1.5T). Increasing the magnetic field strength, titanium showed the greatest variations in artefact size, and ceramic the smallest ones.

CONCLUSIONS

The composition of prosthetic implants is decisive in determining the quality of MR imaging.

MR measurement of alloy magnetic susceptibility: towards developing tissue-susceptibility matched metals

Magnetic resonance imaging (MRI) can be used to relate structure to function mapped with high-temporal resolution electrophysiological recordings using metal electrodes. Additionally, MRI may be used to guide the placement of electrodes or conductive cannula in the brain. However, the magnetic susceptibility mismatch between implanted metals and surrounding brain tissue can severely distort MR images and spectra, particularly in high magnetic fields. In this study, we present a modified MR method of characterizing the magnetic susceptibility of materials that can be used to develop biocompatible, metal alloys that match the susceptibility of host tissue in order to eliminate MR distortions proximal to the implant. This method was applied at 4.7T and 11.1T to measure the susceptibility of a model solid-solution alloy of Cu and Sn, which is inexpensive but not biocompatible. MR-derived relative susceptibility values of four different compositions of Cu-Sn alloy deviated by less than 3.1% from SQUID magnetometry absolute susceptibility measurements performed up to 7T. These results demonstrate that the magnetic susceptibility varies linearly with atomic percentage in these solid-solution alloys, but are not simply the weighted average of Cu and Sn magnetic susceptibilities. Therefore susceptibility measurements are necessary when developing susceptibility-matched, solid-solution alloys for the elimination of susceptibility artifacts in MR. This MR method does not require any specialized equipment and is free of geometrical constraints, such as sample shape requirements associated with SQUID magnetometry, so the method can be used at all stages of fabrication to guide the development of a susceptibility matched, biocompatible device.

STIR sequence with increased receiver bandwidth of the inversion pulse for reduction of metallic artifacts

OBJECTIVE

The purpose of this study was to evaluate a STIR sequence with an optimized inversion pulse that entails use of increased receiver bandwidth for metal artifact reduction.

CONCLUSION

Image distortion, artifacts, insufficient fat suppression, and detection of relevant findings improved with the STIR optimized inversion pulse, which was associated with significant artifact reduction.

Artificial luminal narrowing on contrast-enhanced magnetic resonance angiograms on an occasion of stent-assisted coiling of intracranial aneurysm: in vitro comparison using two different stents with variable imaging parameters

Objective

Intracranial stenting for stent-assisted coiling of aneurysms requires adequate follow-up imaging. The aim of this in vitro study was to compare in-stent artificial luminal narrowing on contrast-enhanced MR angiograms (CE-MRA) when applying Neuroform® and Enterprise® stents for stent-assisted coiling.

Materials and Methods

Two intracranial nitinol stents (Enterprise® and Neuroform®) were placed in silicon tubes and then imaged at 3 T and 1.5 T by the use of a T1-weighted three-dimensional spoiled gradient-echo sequence with minimal TR and TE. CE-MRAs were obtained by using different imaging planes, voxel sizes, and bandwidths, and with or without parallel imaging. Artificial lumen narrowing (ALN) was calculated and the results were compared.

Results

Lower magnetic field strength, axial plane perpendicular to axis of stent, and wider bandwidth resulted in a lower ALN on CE-MRA for both stents. Larger voxel size resulted in lower ALN for Neuroform® stent. The parallel imaging acceleration factor did not affect ALN. The mean ALN was lower for Neuroform®, but it was not significant by a paired t test.

Conclusion

CE-MRA of the stented lumen of vascular phantom was partially impaired with ALN. Consequently, image plane orientation, magnetic field strength, bandwidth, and voxel size should be adjusted appropriately to reduce ALN.

Spinal fusion-hardware construct: Basic concepts and imaging review

The interpretation of spinal images fixed with metallic hardware forms an increasing bulk of daily practice in a busy imaging department. Radiologists are required to be familiar with the instrumentation and operative options used in spinal fixation and fusion procedures, especially in his or her institute. This is critical in evaluating the position of implants and potential complications associated with the operative approaches and spinal fixation devices used. Thus, the radiologist can play an important role in patient care and outcome. This review outlines the advantages and disadvantages of commonly used imaging methods and reports on the best yield for each modality and how to overcome the problematic issues associated with the presence of metallic hardware during imaging. Baseline radiographs are essential as they are the baseline point for evaluation of future studies should patients develop symptoms suggesting possible complications. They may justify further imaging workup with computed tomography, magnetic resonance and/or nuclear medicine studies as the evaluation of a patient with a spinal implant involves a multi-modality approach. This review describes imaging features of potential complications associated with spinal fusion surgery as well as the instrumentation used. This basic knowledge aims to help radiologists approach everyday practice in clinical imaging.

Magnetic field distribution and signal decay in functional mri in very high fields (up to 9.4 T) using monte carlo diffusion modeling

Extravascular signal decay rate R2 or R2 * as a function of blood oxygenation, geometry, and field strength was calculated using a Monte Carlo (MC) algorithm for a wider parameter range than hitherto by others. The relaxation rates of gradient-recalled-echo (GRE) and Hahn-spin-echo (HSE) imaging in the presence of blood vessels (ranging from capillaries to veins) have been computed for a wide range of field strengths up to 9.4T and 50% blood deoxygenation. The maximum HSE decay was found to be shifted to lower radii in higher compared to lower field strengths. For GRE, however, the relaxation rate was greatest for large vessels at any field strength. In addition, assessments of computational reliability have been carried out by investigating the influence of the time step, the Monte Carlo step procedure, boundary conditions, the number of angles between the vessel and the exterior field B0, the influence of neighboring vessels having the same orientation as the central vessel, and the number of proton spins. The results were compared with those obtained from a field distribution of the vessel computed by an analytic formula describing the field distribution of an ideal object (an infinitely long cylinder). It was found that the time step is not critical for values equal to or lower than 200 microseconds. The choice of the MC step procedure (three-dimensional Gaussian diffusion, constant one- or three-dimensional diffusion step) also failed to influence the results significantly; in contrast, the free boundary conditions, as well as taking too few angles into account, did introduce errors. Next neighbor vessels with the same orientation as the main vessel did not contribute significantly to signal decay. The total number of particles simulated was also found to play a minor role in computing R2/ R2 *.

Nitinol in Magnetic Resonance Imaging

Surgical and interventional instruments as well as implants can cause significant magnetic resonance image (MRI) artifacts. The artifacts can be used to visualize instruments, cannulae, guide wires, catheters during interventional MRI and Nitinol devices have proven to be useful for MRI procedures. Diagnostic imaging is often compromised in the area of an implant. Complete vanishing of signals occurs in close proximity or inside implants. The paper presents a fundamental evaluation of MRI artifact of Nitinol devices such as Stents, Vena Cava Filter, heart defect closure devices, cannulae, guide wire, localizer, anastomosis device, etc. in a 1.0 Tesla magnetic field. The American Society for Testing Materials (ASTM) recommendations for selection of sequences and test setup were used but the results of this paper are not sufficient for FDA approval.

Metal-related artifacts in instrumented spine. Techniques for reducing artifacts in CT and MRI: state of the art

The projectional nature of radiogram limits its amount of information about the instrumented spine. MRI and CT imaging can be more helpful, using cross-sectional view. However, the presence of metal-related artifacts at both conventional CT and MRI imaging can obscure relevant anatomy and disease. We reviewed the literature about overcoming artifacts from metallic orthopaedic implants at high-field strength MRI imaging and multi-detector CT. The evolution of multichannel CT has made available new techniques that can help minimizing the severe beam-hardening artifacts. The presence of artifacts at CT from metal hardware is related to image reconstruction algorithm (filter), tube current (in mA), X-ray kilovolt peak, pitch, hardware composition, geometry (shape), and location. MRI imaging has been used safely in patients with orthopaedic metallic implants because most of these implants do not have ferromagnetic properties and have been fixed into position. However, on MRI imaging metallic implants may produce geometric distortion, the so-called susceptibility artifact. In conclusion, although 140 kV and high milliamperage second exposures are recommended for imaging patients with hardware, caution should always be exercised, particularly in children, young adults, and patients undergoing multiple examinations. MRI artifacts can be minimized by positioning optimally and correctly the examined anatomy part with metallic implants in the magnet and by choosing fast spin-echo sequences, and in some cases also STIR sequences, with an anterior to posterior frequency-encoding direction and the smallest voxel size.

Metal artifact reduction in musculoskeletal magnetic resonance imaging

Many strategies can be employed to reduce the size and scale of metal susceptibility artifacts in the vicinity of orthopedic hardware; factors include selection of metal hardware material, patient positioning, and MRI sequence adjustments and techniques. The adjustments to sequence parameters include high spatial resolution fast spin echo sequences with minimal interecho spacing and increased receiver bandwidth. Frequency and phase encoding gradients can be orientated so misregistration artifacts arising from the metal are directed away from areas of anticipated clinical diagnostic interest. Complications arising in the vicinity of metallic hardware, including loosening, can be assessed after implication of these metal artifact reduction techniques.

Improvement of the MR imaging behavior of vascular implants

Vascular implants can cause significant MR image artifacts due to the material (susceptibility artifact) or the electromagnetic characteristics (RF artifact). These artifacts are caused by the distortion of the magnetic field and interferences with the radio frequency (RF) waves of the MR imaging process. Void or complete vanishing of signals occurs in close proximity or inside implants. The artifacts can be minimized by using a material with low magnetic susceptibility and a design of the implant which avoids electrical conductive loops. But not all designs can be made loop-free and non conductive. A resonant circuit tuned to the Larmor frequency of the MR tomography overcomes the RF artifact and thus improves the visualization of the implant lumen. The paper reviews the state-of-the-art technology of the MR-signal improvement in implants lumen, with particular regard to the use of resonant circuits such as stents or Vena Cava Filter (VCF), with resonators in 1.0 Tesla and 1.5Tesla MRT.

Numerical simulations of intra-voxel dephasing effects and signal voids in gradient echo MR imaging using different sub-grid sizes

Signal void artifacts in gradient echo imaging are caused by the intra-voxel dephasing of the spins. Intra-voxel dephasing can be estimated by computing the field distribution on a sub-grid inside each picture element, followed by integration of all magnetization components. The strategy of computing the artifacts based on the integration of the sub-voxel signal components is presented here for different sub-grids. The coarseness of the sub-grid is directly related to computational effort. The possibility to save memory space and computing time for the dipole model by computing the field only on a sub-grid is addressed in the presented article. It is investigated as to how far computational time and memory space can be reduced by using an appropriate sub-grid. Numerical results for a model of a partially diamagnetically coated needle shaft are compared to experimental findings. In the case of a pure titanium needle, it is shown as being sufficient to compute the field distribution on a sub-grid that is at least four times coarser in each direction than the grid used to discretize the object in the related MR image. Due to three nested loops over the 3D grid, the need for memory space and time is saved by a factor 64. Deviations between measurements and simulations for the broad side of the artifact (uncompensated) and for the small side of the artifact (compensated) were 15.5%, respectively, 19.1% for orientation parallel to the exterior field, and 22.7%, respectively, 23.1% for orientation perpendicular to the exterior field.

Efficient simulation of magnetic resonance imaging with Bloch-Torrey equations using intra-voxel magnetization gradients

The process of image formation in magnetic resonance imaging (MRI) can be simulated by means of an iterative solution of Bloch-Torrey equations. This is a useful accessory to analyze the influence of sample properties, sequence parameters and hardware specifications on the MRI signal. In this paper, a computer algorithm is presented which is based on calculating partial derivatives of the magnetization vector. This technique allows more efficient simulation than summation of isochromats (the latter being commonly employed for this purpose) and, as a result, the effect of diffusion on the MRI signal can be calculated iteratively. A detailed description of the algorithm is given, and its feasibility for different applications is studied. It is shown that the algorithm is most applicable to simulating the effect of field perturbations, i.e. intra-voxel dephasing, but is also useful for other typical imaging experiments and the simulation of diffusion weighting.

Endovascular interventional MRI

MR guidance has been used recently to navigate endovascular catheters and deliver stents in large (aorta and pulmonary) and small (coronary, renal, and femoral) arteries, place ASD closure devices, deliver pulmonary valve stents, guide cardiac RF ablations, and perform intramyocardial injections. However, MR visualization of a stent lumen is still a problem and requires more attention. Because of technical limitations and safety concerns associated with the prototype devices used, limited numbers of clinical studies have been performed. Considerable development is necessary to overcome the challenges and take advantage of the benefits that MR has to offer for endovascular interventions. In this article we review the current state of the art and address the topic partly by referring to our own experiments and presenting our recent illustrations.

Magnetic resonance imaging of cortical bone with ultrashort TE pulse sequences

PURPOSE

Normal adult cortical bone has a very short T(2) and characteristically produces no signal with pulse sequence echo times (TEs) routinely used in clinical practice. We wished to determine whether it was possible to use ultrashort TE (UTE) pulse sequences to detect signal from cortical bone in human subjects and use this signal to characterise this tissue.

SUBJECTS AND METHODS

Seven volunteers and 10 patients were examined using ultrashort TE pulse sequences (TE=0.07 or 0.08 ms). Short and long inversion as well as fat suppression pulses were used as preparation pulses. Later echo images were also obtained as well as difference images produced by subtracting a later echo image from a first echo image. Saturation pulses were used for T(1) measurement and sequences with progressively increasing TEs for T(2)* measurement. Intravenous gadodiamide was administered to four subjects.

RESULTS

Signal in cortical bone was detected with UTE sequences in children, normal adults and patients. This signal was usually made more obvious by subtracting a later echo image from the first provided that the signal-to-noise ratio was sufficiently high. Normal mean adult T(1)s ranged from 140 to 260 ms, and mean T(2)*s ranged from 0.42 to 0.50 ms. T(1) increased significantly with age (P<.01). Increased signal was observed after contrast enhancement in the normal volunteer and the three patients to whom it was administered. Reduction in signal from short T(2) components was seen in acute fractures, and increase in signal in these components was seen with new bone formation after fracture malunion. In a case of osteoporosis, bone cross-sectional area and signal level appeared reduced.

CONCLUSION

Signal can be detected from normal and abnormal cortical bone with UTE pulse sequences, and this can be used to measure its T(1) and T(2)* as well as observe contrast enhancement. Difference images are of value in increasing the conspicuity of cortical bone and observing abnormalities in disease.

Contrast-Enhanced MR Angiography at 1.5 T After Implantation of Platinum Stents: In Vitro and In Vivo Comparison with Conventional Stent Designs

OBJECTIVE

The objective of our study was to evaluate the in vitro and in vivo 3D contrast-enhanced MR angiography characteristics of a new platinum-based balloon-expandable stent system and compare this system with a variety of competing metallic stents.

MATERIALS AND METHODS

All experiments were performed on 1.5-T scanners. In vitro experiments were performed using 10 stents implanted into a custom-built phantom. Different orientations of the stents along the magnetic field and multiple flip angles were examined. In addition, 19 patients underwent contrast-enhanced MR angiography after the implantation of 36 stents, including four patients with six platinum stents. Angiographic correlation was available for all 19 patients, and luminal patency and stent-induced artifacts were assessed quantitatively.

RESULTS

Of the tested balloon-expandable stents, only the platinum-based stents created artifact causing luminal narrowing of 30% or less. All other balloon-expandable stents induced larger artifacts that resulted in higher degrees of narrowing. Thus, if patent, the platinum-based stents allow significant in-stent stenosis to be ruled out reliably. Selected nitinol- or tantalum-based self-expandable stents also are suitable in this regard.

CONCLUSION

Of the tested devices, platinum-based stents are the only type of currently available balloon-expandable stent that creates 30% or less artifact-induced apparent stenosis and thus are suitable for MR angiography.

Compensation of magnetic field distortions from paramagnetic instruments by added diamagnetic material: Measurements and numerical simulations

In minimally invasive procedures guided by magnetic resonance (MR) imaging instruments usually are made of titanium or titanium alloys (e.g., nitinol), because other more MR-compatible materials often cannot provide sufficient mechanical properties. Artifacts depending on susceptibility arise in MR images due to incorrect spatial encoding and intravoxel dephasing and thereby hamper the surgeon's view onto the region of interest. To overcome the artifact problem, compensation of the paramagnetic properties by diamagnetic coating or filling of the instruments has been proposed in the literature. We used a numerical modeling procedure to estimate the effect of compensation. Modeling of the perturbation of the static magnetic field close to the instruments reflects the underlying problem and is much faster and cost efficient than manufacturing prototypes and measuring artifact behavior of these prototypes in the MR scanner. A numerical model based on the decomposition of the susceptibility distribution in elementary dipoles was developed by us. The program code was written object oriented to allow for both maximum computational speed and minimum random access memory. We used System International units throughout the modeling for the magnetic field, allowing absolute quantification of the magnetic field disturbance. The field outside a simulated needlelike instrument, modeled by a paramagnetic cylinder (out of titan, chi =181.1) of length 8.0 mm and of diameter 1.0 mm, coated with a diamagnetic layer (out of bismuth, chi=-165.0) of thickness 0, 0.1, 0.2, 0.3, and 0.4 mm, was found to be best compensated if the cross-sectional area of the cylinder, multiplied by the absolute susceptibility value of the cylinder material, is equal to the cross-sectional area of the coating, multiplied by the absolute susceptibility value of the coating material. At the extremity of the coated cylinder an uncompensated field distortion was found to remain. We studied various tip shapes and geometries using our computational model: Suitable diamagnetic coating or filling of paramagnetic instruments clearly reduced tip artifacts and diminished the dependency of artifact size on orientation of the instrument with respect to B0 in the numerical studies. We verified the results of the simulations by measuring coated and uncoated titanium wires in a 1.5 T MR scanner.

Numerical modeling of needle tip artifacts in MR gradient echo imaging

Exact determination of needle tip position is obsolete for interventional procedures under control of magnetic resonance imaging (MRI). Exact needle tip navigation is complicated by the paramagnetism of microsurgical instruments: Local magnetic field inhomogeneities are induced resulting in position encoding artifacts and in signal voids in the surrounding of instruments and especially near their tips. The artifacts generated by the susceptibility of the material are not only dependent on the material properties themselves and on the applied MRI sequences and parameters, but also on the geometric shape of the instruments and on the orientation to the static magnetic field in the MR unit. A numerical model based on superposition of induced elementary dipole fields was developed for studying the field distortions near paramagnetic needle tips. The model was validated by comparison with experimental data using field mapping MRI techniques. Comparison between experimental data and numerical simulations revealed good correspondence for the induced field inhomogeneities. Further systematic numerical studies of the field distribution were performed for variable types of concentric and asymmetric tip shapes, for different ratios between tip length and needle diameter, and for different orientations of the needle axis in the external static magnetic field. Based on the computed local inhomogeneities of the magnetic field in the surroundings of the needle tips, signal voids in usual gradient echo images were simulated for a prediction of the artifacts. The practically relevant spatial relation between those artifacts and the hidden tip of the needle was calculated for the different tip shapes and orientations in the external field. As needle tip determination is crucial in interventional procedures, e.g., in taking biopsies, the present model can help to instruct the physician prior to surgical interventions in better estimating the needle tip position for different orientations and needle tip shapes as they appear in interventional procedures. As manufacturing prototypes with subsequent measurements of artifacts in MRI are a costly procedure the presented model may also help to optimize shapes of needle tips and of other parts of MR-compatible instruments and implants with low expense prior to production if some shape parameters can be chosen freely.

Numerical determination of the susceptibility caused geometric distortions in magnetic resonance imaging

The goal of this work is the design of highly accurate surgical navigation methods purely based on magnetic resonance imaging. In this context we numerically examine the geometrical distortions which occur in magnetic resonance imaging. We extend an existing method for computing magnitude and direction of distortions for any internal point. In particular, a multi-grid approach for a fast and efficient calculation of the static magnetic field throughout the imaging volume is presented and compared to the analytical solution for simple geometries. We found that shifts in the range of up to 2.5 mm occur in MRI of femur bones with 1.5 Tesla. Our new method was implemented and has been found capable of accurately correcting for geometrical distortions within reasonable computing times. In particular, we show that the registration accuracy for mutual information (MI) based MR-CT fusion can be much improved. Thus the value of the optimization functional in MI registration for MR-CT substantially increases after our distortion correction.

Metallic artefacts in MR imaging: effects of main field orientation and strength

AIM

To determine the effect of metallic implant positioning on magnetic resonance (MR) imaging artefacts, and to determine the optimal imaging parameters for minimization of metallic artefacts.

MATERIALS AND METHODS

In a phantom and in three joints with non-ferromagnetic metallic implants imaged at 1.5 and/or at 0.2 T, we examined the influence of the static magnetic field (B(0)) strength and orientation, frequency-encoding direction, and type of imaging sequence on metallic artefacts.

RESULTS

The impact of artefacts caused by metallic objects depends mainly on the relationship between the anatomy of interest and the orientation of the object relative to the direction of B(0). The main field strength plays a less important role, but its orientation depends on the type of MR imager.

CONCLUSION

MR artefacts can be easily minimized by optimally positioning patients with metallic implants in the magnet. Knowledge of how this influences MR imaging is helpful in patient selection and guiding limb positioning.

Artefakte in der MRT durch Instrumente und Implantate

Metallic instruments and implants can cause severe image artifacts in magnetic resonance imaging (MRI). Besides the properties of the materials and the geometrical arrangement of the devices, the applied MRI sequence type and its parameters (echo time, voxel size, read-out bandwidth, orientations of encoding directions, etc.) play also an important role. These interactions are presented in a systematic survey. A detailed description of the basic physical mechanisms underlying the generation of artifacts is also provided.

Magnetic resonance imaging of periosteum with ultrashort TE pulse sequences

PURPOSE

To assess the values of pulse sequences with ultrashort echo times (0.08 msec) for detecting and characterizing periosteum.

MATERIALS AND METHODS

Two normal volunteers aged 33 and 58 years and 12 patients aged seven to 55 years were studied. A total of 10 of the patients had contrast enhancement with intravenous Gadodiamide. Two ovine tibias were examined before and after the periosteum was stripped from the bone.

RESULTS

High signal regions were observed adjacent to cortical bone in all parts of the skeleton imaged. They were generally more conspicuous after fat suppression and contrast administration. In the ovine tibia there was a reduction in the high signal normally seen at the surface of the bone after periosteal stripping. The detached periosteum produced a high signal. Mean T(2)* values for adult human periosteum ranged from 5.3 to 11.4 msec. After enhancement the signal intensity increased. In two patients with tibial fractures, increased periosteal signal was seen and this showed marked enhancement. Signals from periosteum could be simulated by fat, contrast-enhanced blood and artifacts.

CONCLUSION

The periosteum can be visualized with ultrashort echo time pulse sequences in health and disease.

[Safety aspects in interventional MRI]

Because of its high soft-tissue contrast, Magnetic Resonance Imaging (MRI) is used increasingly for guidance and control of minimal invasive and neurological surgical procedures. Besides common precautions during an MRI investigation, special attention has to be paid to the consequences of MR compatibility, accuracy of localisation of interventional tools and geometrical distortions. As a new application of interventional MR intravascular procedures are developing that involve the introduction of guidewires, catheters and miniaturized coils with their leads into the blood vessels. Resonant currents and high electric fields can develop at the conductor ends, possibly causing burning lesions.

Improved lumen visualization in metallic vascular implants by reducing RF artifacts

In this study, a method is proposed for MRI of the lumen of metallic vascular implants, like stents or vena cava filters. The method is based on the reduction of artifacts caused by flow, susceptibility, and RF eddy currents. Whereas both flow artifacts and susceptibility artifacts are well understood and documented, RF artifacts are not. Therefore, the present study comprises an in-depth theoretical explanation of the factors governing the severity of these RF artifacts. It is explained that the RF caging inside cage-like implants is caused by disturbances of the send and receive sensitivities due to coupling between the loops in the implant and the MR scanner's send and receive coils. A scaled excitation angle model describing the behavior of the signal intensity inside the implants as a function of the applied nominal excitation angle is introduced. This theoretical model was validated in phantom experiments. Reduced signal from within implants due to the caging problem could be restored by increasing the applied RF power in the excitation pulse, without exceeding the generally accepted SAR safety limits. The method was tested in vitro and in vivo in a pig model and allowed adequate depiction of the interior of a nitinol stent and that of a vena cava filter in contrast-enhanced MR angiograms. Magn Reson Med 47:171-180, 2002.

Texture detection of simulated microcalcification susceptibility effects in magnetic resonance imaging of breasts

The presence, size, structure and clustering characteristics of microcalcifications can indicate breast cancer. The magnetic susceptibility of microcalcifications differs from soft biological tissues, leading to directional blurring effects that can be detected by statistical image processing methods. A study of the ability of statistical texture analysis to detect simulated localized blurring in magnetic resonance imaging (MRI) of dense breast is presented. This method can detect localized blurring with sensitivity of 88.89% to 94.44%, specificity of 99.72% to 100%, positive predictive value of 73.91% to 100% and negative predictive value of 99.91% to 99.95%. J. Magn. Reson. Imaging 2001;13:876-881.

Mathematical Modeling and Numerical Simulation of Magnetic Susceptibility Artifacts in Magnetic Resonance Imaging

The technique used to recognise information in Magnetic Resonance Imaging (MRI) is based on electromagnetic fields. A linearly varying field (around 10(-2) Tesla per meter) is added to a strong homogeneous magnetic field (order of magnitude of approximately one Tesla). When these fields are disturbed by the presence of a paramagnetic material, in the sample for instance, the resulting image is usually distorted, these distortions being termed artifacts. Our goal is to present a method, assuming the field disturbances are known, to construct the resulting images. A mathematical model of the MRI process is developed. The way the images are distorted in intensity and shape is explained and an algorithm to simulate magnetic susceptibility artifacts is deduced.

MR imaging of vascular stents: effects of susceptibility, flow, and radiofrequency eddy currents

PURPOSE

The purpose of this in vitro study was to examine the various sources of artifacts in magnetic resonance (MR) imaging and angiography of vascular stents.

MATERIALS AND METHODS

Five low-artifact stents-Wallstent (cobalt alloy), Memotherm (nitinol), Perflex (stainless steel), Passager (tantalum), and Smart (nitinol)-were imaged in a vascular flow phantom, consisting of a thin-walled cellulose vessel model connected to a pump system. The echo time and the angulation of the stents with respect to the direction of the main magnetic field were varied. Spin echo and gradient echo images as well as three-dimensional MR angiograms were obtained to study the effects of flow, magnetic susceptibility, and radiofrequency-induced eddy currents.

RESULTS

Susceptibility artifacts were restricted to the stents' direct environment and were mildest at short echo times and with the stents aligned with the main magnetic field. Nitinol stents showed less artifacts than steel stents did. Radiofrequency artifacts obscuring the stent lumen and flow-related lumen displacement were seen in all stents. The extent to which these occurred depended on strut geometry and orientation.

CONCLUSIONS

For low-artifact stents, the material the stent is made of is not the only important factor in the process of artifact formation. Susceptibility artifacts, radiofrequency eddy currents and flow-related artifacts all contribute to the image distortion, and are dependent on the geometry and orientation of the struts and on the orientation of the stent in the main magnetic field.

A perspective on needle artifacts in MRI: an electromagnetic model for experimentally separating susceptibility effects

A thorough understanding of artifacts caused by metallic instruments is essential for the guidance of interventional procedures by magnetic resonance imaging (MRI), because the accurate localization of each instrument is mandatory for this. In the past, this problem has been addressed by several groups, using theoretical, as well as experimental approaches. The artifacts associated with MRI are caused by geometry distortion and intravoxel dephasing. Usually, both effects mingle in the image, and depending on the pulse sequences and its parameters used for data acquisition, these effects are reflected in the image with different magnitude. In this paper we shortly present the well-known mathematical background of the two underlying effects. Mathematically, both can be treated separately. Here, we propose a new electromagnetic model which also allows to experimentally separate the effects better than by comparing spin-echo and gradient-echo images of the same object. With this new model, both effects-geometry distortion and intravoxel dephasing-are demonstrated separately using the same gradient-echo pulse sequence for all scans and adjusting the fields of the model properly. Furthermore, as this model allows to adjust both effects independently, it is used to study different weightings of both effects when they appear simultaneously in the image.

Detection of susceptibility effects using simultaneous T(2)* and magnetic field mapping

Tracking susceptibility effects is a convenient way to detect small inclusions in a bulk tissue matrix by MRI. We propose a quantitative assessment of these susceptibility effects by simultaneously mapping T(2)* and magnetic field from the time course of magnitude and phase using a multiple GE sequence at 4.7 T. A high-pass scheme is also introduced to highlight the mesoscopic magnetic field variations due to local susceptibility differences specifically in the magnetic field map. Applying this method to muscle tissue, we demonstrate that connective tissue generates detectable susceptibility effects through concomitant local magnetic field variation and T(2)* shortening.

MR imaging in the presence of vascular stents: A systematic assessment of artifacts for various stent orientations, sequence types, and field strengths

A systematic evaluation of the potential quality of magnetic resonance images recorded in the presence of metallic stents was performed on a low-field open imager operating at 0.2 T and on a high-field closed unit operating at 1.0 T. Eight different stent types were examined by two-dimensional gradient-echo sequences with echo times of 4 and 10 msec and by a fast spin-echo technique. In addition, a three-dimensional gradient-echo sequence was applied with an echo time of 2.4 msec. A set of sequence and slice parameters was used on both scanners. Thus, artifacts due to susceptibility effects depending on the magnetic field strength could be distinguished from radiofrequency shielding effects in the lumen of the stents (independent of the field strength). Nine different orthogonal orientations of the stent axis and the image (in terms of slice, read, and phase-encoding direction) were tested, and the artifacts (extension of signal void and visibility of the lumen) were compared. The optimal strategy for visualization of vascular and perivascular regions outside the stents was fast spin-echo imaging with the stent axis and read direction parallel to the static field. Susceptibility-induced signal void in gradient-echo images was minimal using the three-dimensional approach. Increased transmitter amplitudes above usual values provided clearly improved insight in the lumen using gradient-echo sequences.

Interventional MRA and intravascular imaging

Several attributes make magnetic resonance imaging (MRI) attractive for guidance of intravascular therapeutic procedures, including high soft tissue contrast, imaging in arbitrary oblique planes, lack of ionizing radiation, and the ability to provide functional information, such as flow velocity or flow volume per unit time, in conjunction with morphologic information. For MR guidance of vascular interventions to be safe, the interventionalist must be able to visualize catheters and guidewires relative to the vascular system and surrounding tissues. A number of approaches for rendering instruments visible in an MR environment have been developed, including both passive and active techniques. Passive techniques depend on contrast agents or susceptibility artifacts that enhance the appearance of the catheter in the image itself, whereas active techniques rely on supplemental hardware built into the catheter, such as a radiofrequency (RF) coil. Additionally, the ability to introduce an RF coil mounted on a catheter presents the opportunity to obtain high-resolution images of the vessel wall. These images can provide the capability to distinguish and identify various plaque components. The additional capabilities of MRI could potentially open up new applications within the purview of vascular interventions beyond those currently performed under X-ray fluoroscopic guidance.

Complications of total hip arthroplasty: MR imaging-initial experience

PURPOSE

To investigate the use of standard magnetic resonance (MR) imaging sequences with simple parameter modifications for the detection and characterization of total hip arthroplasty (THA) complications.

MATERIALS AND METHODS

An initial phantom study was performed with cobalt-chrome and titanium prostheses to establish the imaging parameters for a subsequent clinical study. In the clinical study, coronal and transverse MR imaging of 14 THA prostheses was performed before and after intravenous contrast material administration in 12 patients who were being considered for revision arthroplasty. The images were reviewed for evidence of juxtaarticular or periprosthetic abnormalities, patterns of contrast enhancement, and quality of periprosthetic tissue depiction.

RESULTS

Phantom study results showed improved periprosthetic tissue depiction with use of thin sections, increased frequency-encoding gradient strength, and fast spin-echo sequences. The clinical study results demonstrated periprosthetic abnormalities in 11 cases: mechanical loosening in two cases (including one case with an associated periprosthetic fracture); granulomatosis, eight; and infection, one. In 100% of cases, tissue depiction around the femoral component was judged to be of "diagnostic quality." Tissue depiction around the acetabular component was of diagnostic quality in five (36%) cases. In all seven surgically confirmed cases, a correct diagnosis was made preoperatively with MR imaging.

CONCLUSION

By using simple modifications to standard MR imaging sequences, diagnostic-quality MR imaging of THA complications can be performed, particularly around the femoral prosthetic stem.

Effect of gradient and section orientation on quantitative analysis of knee joint cartilage

The object of this study was to determine the influence of the gradient and section orientation on cartilage thickness and volume measurements in the knee joint. Eight specimens were imaged with a fat-suppressed gradient-echo sequence, applying sagittal, transverse, and coronal section orientations. Images were additionally acquired with exchanged gradient directions, and with computed tomography (CT) arthrography. After segmentation and three-dimensional (3D) reconstruction, the volume, the mean, and the maximal 3D cartilage thickness were computed. No effect of changes in the gradient orientation was found, suggesting that susceptibility-induced geometric distortion is not a relevant problem in quantitative cartilage imaging. Sagittal images produced similar data to that obtained with transverse (patella) or coronal (tibia) sections, demonstrating that all knee joint cartilages can be accurately quantified from a single sagittal data set. Whereas no significant systematic deviation between magnetic resonance imaging (MRI) and CT arthrography was recorded in the patella, there was a 10%-15% underestimation of tibial cartilage thickness in MRI.

Comparison of artifacts produced from carbon fiber and titanium alloy needles at 1.5 T MR imaging

A novel coaxial carbon fiber-based biopsy needle set was investigated in phantom experiments and compared with a commercially available, magnetic resonance (MR)-compatible titanium alloy set using MR imaging at 1.5 T. Image artifacts observed with different MR sequences were assessed. It was found that the carbon fibers produced distinctly smaller image artifacts compared with the titanium needle. Depending on the type of MR sequence, the relative range of artifact size ratios between the carbon and titanium needles was between 0.7 (spin-echo sequence) and 0.4 (gradient-echo sequence) with the needles oriented perpendicular to the main magnetic field. Carbon fiber composites are promising materials for the design and construction of MR-compatible instruments.

Microimaging at 14 tesla using GESEPI for removal of magnetic susceptibility artifacts in T(2)(*)-weighted image contrast

In magnetic resonance imaging (MRI), T(2)(*)-weighted contrast is significantly enhanced by extremely high magnetic field strength, offering broad potential applications. However, the T(2)(*)-weighted image contrast distortion and signal loss artifact arising from discontinuities of magnetic susceptibility within and around the sample are also increased, limiting utilization of high field systems for T(2)(*)-weighted contrast applications. Due to the B(0) dependence of the contrast distortions and signal losses, and the heterogeneity of magnetic susceptibility in biological samples, magnetic susceptibility artifacts worsen dramatically for in vivo microimaging at higher fields. Practical applications of T(2)(*)-sensitive techniques enhanced by higher magnetic fields are therefore challenged. This report shows that magnetic susceptibility artifacts dominate T(2)(*)-weighted image contrast at 14 T, and demonstrates that the GESEPI (gradient echo slice excitation profile imaging) technique effectively reduces or eliminates these artifacts at long TE in the highest field (14 T) currently available for (1)H imaging.