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Overcoming metallic artefacts from orthopaedic wrist volar plating on a low-field MRI scanner

  • Alessandro SteccoEmail author
  • Roberto Arioli
  • Francesco Buemi
  • Giuseppe Parziale
  • Alessandra Trisoglio
  • Eleonora Soligo
  • Paolo Cerini
  • Massimiliano Leigheb
  • Marco Brambilla
  • Gerardo Di Nardo
  • Giuseppe Guzzardi
  • Alessandro Carriero
MAGNETIC RESONANCE IMAGING
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Abstract

Purpose

To quantitatively compare the artefact reduction between standard and metallic artefact reduction (MAR) fast spin echo (FSE) T2 sequences in a low-field magnetic resonance imaging (MRI) scanner (0.3 T) in patients with titanium volar wrist plating.

Materials and methods

Sixteen patients with fractures of the distal radius, treated with titanium volar wrist plating and screws, were examined using a dedicated 0.3 T MRI scanner. Coronal standard FSE T2, FSE T2 high bandwidth (HiBW) and FSE T2 view angle tilting (VAT) sequences were performed. Metallic artefact volume, consisting of both “black” and “bright” artefacts, was calculated for each sequence. Quantitative differences were compared using repeated measures ANOVA test (P < 0.05).

Results

FSE T2 HiBW and FSE T2 VAT showed a significant reduction in artefact volume compared to the standard sequence. Differences between the artefact volume of the standard FSE T2, HiBW and VAT sequences were statistically significant for both the “black” and “bright” artefacts (P < 0.0001). Differences between the 1.5 HiBW and VAT sequences were statistically significant (black P < 0.0001, bright P < 0.0302).

Conclusions

MAR sequences significantly reduced metallic artefacts in vivo using a 0.3 T MRI scanner.

Keywords

Plating MRI Wrist Artefacts MAR 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

References

  1. 1.
    Chung KC, Spilson SV (2001) The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 26:908–915CrossRefGoogle Scholar
  2. 2.
    Boyd LG, Horne JG (1988) The outcome of fractures of distal radius in young adults. Injury 19:97–100CrossRefGoogle Scholar
  3. 3.
    McQueen MM, Caspers J (1988) Colle’s fracture: does the anatomical result affect the final function? J Bone Joint Surg 70-B:649–651CrossRefGoogle Scholar
  4. 4.
    Knirk JL, Jupiter JB (1986) Intra-articular fractures of the distal end of the radius in young adults. J Bone Joint Surg 68-A:647–659CrossRefGoogle Scholar
  5. 5.
    Rampoldi M, Marsico S (2007) Complications of volar plating of distal radius fractures. Acta Orthop Belg 73:714–719PubMedGoogle Scholar
  6. 6.
    Cho Z, Kim D, Kim Y (1988) Total inhomogeneity correction including chemical shifts and susceptibility by view angle tilting. Med Phys 15:7–11CrossRefGoogle Scholar
  7. 7.
    Butts K, Pauly JM, Gold GE (2005) Reduction of blurring in view angle tilting MRI. Magn Reson Med 53:418–424CrossRefPubMedGoogle Scholar
  8. 8.
    Sofka CM, Potter HG (2002) MR imaging of joint arthroplasty. Semin Musculoskelet Radiol 6:79–85CrossRefPubMedGoogle Scholar
  9. 9.
    Suh JS, Jeong EK, Shin KH, Cho JK, Na JB, Kim DH, Han CD (1998) Minimizing artifacts caused by metallic implants at MR imaging: experimental and clinical studies. AJR Am J Roentgenol 171:1207–1213CrossRefPubMedGoogle Scholar
  10. 10.
    Lee MJ, Kim S, Lee SA, Song HT, Huh YM, Kim DH, Han SH, Suh JS (2007) Overcoming artifacts from metallic orthopedic implants at high-field-strength MR imaging and multi-detector CT. Radiographics 27:791–803CrossRefPubMedGoogle Scholar
  11. 11.
    Harris CA, White LM (2006) Metal artifact reduction in musculoskeletal magnetic resonance imaging. Orthop Clin N Am 37:349–359CrossRefGoogle Scholar
  12. 12.
    American Orthopaedics Classification of wrist fractures. https://www2.aofoundation.org/wps/portal/surgeryshowPage=diagnosis&bone=Radius&segment=Distal. Accessed 23 April 2016
  13. 13.
    Palmer AK (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 14:594–605CrossRefPubMedGoogle Scholar
  14. 14.
    Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420–428CrossRefPubMedGoogle Scholar
  15. 15.
    Altman DG (1991) Practical statistics for medical research. Chapman and Hall, LondonGoogle Scholar
  16. 16.
    Landin LA (1983) Fracture patterns in children. Analysis of 8,682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950–1979. Acta Orthop Scand Suppl 202:1–109PubMedGoogle Scholar
  17. 17.
    Ward WT, Rihn JA (2006) The impact of trauma in an urban pediatric orthopaedic practice. J Bone Joint Surg Am 88:2759–2764CrossRefPubMedGoogle Scholar
  18. 18.
    Hove LM, Nilsen PT, Furnes O, Oulie HE, Solheim E, Molster AO (1997) Open reduction and internal fixation of displaced intra articular fractures of the distal radius. 31 patients followed for 3–7 years. Acta Orthop Scand 68:59–63CrossRefPubMedGoogle Scholar
  19. 19.
    Harness NG, Jupiter JB, Orbay JL, Raskin KB, Fernandez DL (2004) Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius. J Bone Joint Surg 86-A:1900–1908CrossRefPubMedGoogle Scholar
  20. 20.
    Dao KD, Venn-Watson E, Shin AY (2001) Radial artery pseudoaneurism complication from use of AO/ASIF volar distal radius plate: a case report. J Hand Surg 26:448–453CrossRefGoogle Scholar
  21. 21.
    Drobetz H, Kutscha-Lissberg E (2003) Osteosynthesis of the distal radial fractures with a volar locking screw plate system. Int Orthop 27:1–6PubMedGoogle Scholar
  22. 22.
    Constantine KJ, Clawson MC, Stern PJ (2002) Volar neutralization plate fixation of dorsally displaced distal radius fractures. Orthopedics 25:125–128PubMedGoogle Scholar
  23. 23.
    Fitoussi F, Ip WY, Chow SP (1997) Treatment of displaced intra-articular fractures of the distal end of the radius with plates. J Bone Joint Surg 79-A:1303–1312CrossRefGoogle Scholar
  24. 24.
    Ghazinoor S, Crues JV, Crowley C (2007) Low-field musculoskeletal MRI. J Magn Reson Imaging 25:234–244CrossRefPubMedGoogle Scholar

Copyright information

© Italian Society of Medical Radiology 2018

Authors and Affiliations

  • Alessandro Stecco
    • 1
    Email author
  • Roberto Arioli
    • 1
  • Francesco Buemi
    • 1
  • Giuseppe Parziale
    • 1
  • Alessandra Trisoglio
    • 1
  • Eleonora Soligo
    • 1
  • Paolo Cerini
    • 1
  • Massimiliano Leigheb
    • 2
  • Marco Brambilla
    • 3
  • Gerardo Di Nardo
    • 1
  • Giuseppe Guzzardi
    • 1
  • Alessandro Carriero
    • 1
  1. 1.Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità HospitalUniversity of Eastern Piedmont – UPO UniversityNovaraItaly
  2. 2.Orthopaedics and Traumatology Department, Maggiore della Carità HospitalUniversity of Eastern PiedmontNovaraItaly
  3. 3.Medical Physics Department, Maggiore della Carità HospitalUniversity of Eastern PiedmontNovaraItaly

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