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Skeletal Radiology
Published in: Skeletal Radiology 10/2016

01-10-2016 | Scientific Article

Advanced metal artifact reduction MRI of metal-on-metal hip resurfacing arthroplasty implants: compressed sensing acceleration enables the time-neutral use of SEMAC

Authors: Jan Fritz, Benjamin Fritz, Gaurav K. Thawait, Esther Raithel, Wesley D. Gilson, Mathias Nittka, Michael A. Mont

Published in: Skeletal Radiology | Issue 10/2016

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Abstract

Objective

Compressed sensing (CS) acceleration has been theorized for slice encoding for metal artifact correction (SEMAC), but has not been shown to be feasible. Therefore, we tested the hypothesis that CS-SEMAC is feasible for MRI of metal-on-metal hip resurfacing implants.

Materials and methods

Following prospective institutional review board approval, 22 subjects with metal-on-metal hip resurfacing implants underwent 1.5 T MRI. We compared CS-SEMAC prototype, high-bandwidth TSE, and SEMAC sequences with acquisition times of 4–5, 4–5 and 10–12 min, respectively. Outcome measures included bone-implant interfaces, image quality, periprosthetic structures, artifact size, and signal- and contrast-to-noise ratios (SNR and CNR). Using Friedman, repeated measures analysis of variances, and Cohen’s weighted kappa tests, Bonferroni-corrected p-values of 0.005 and less were considered statistically significant.

Results

There was no statistical difference of outcomes measures of SEMAC and CS-SEMAC images. Visibility of implant-bone interfaces and pseudocapsule as well as fat suppression and metal reduction were “adequate” to “good” on CS-SEMAC and “non-diagnostic” to “adequate” on high-BW TSE (p < 0.001, respectively). SEMAC and CS-SEMAC showed mild blur and ripple artifacts. The metal artifact size was 63 % larger for high-BW TSE as compared to SEMAC and CS-SEMAC (p < 0.0001, respectively). CNRs were sufficiently high and statistically similar, with the exception of CNR of fluid and muscle and CNR of fluid and tendon, which were higher on intermediate-weighted high-BW TSE (p < 0.005, respectively).

Conclusion

Compressed sensing acceleration enables the time-neutral use of SEMAC for MRI of metal-on-metal hip resurfacing implants when compared to high-BW TSE and image quality similar to conventional SEMAC.
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Metadata
Title
Advanced metal artifact reduction MRI of metal-on-metal hip resurfacing arthroplasty implants: compressed sensing acceleration enables the time-neutral use of SEMAC
Authors
Jan Fritz
Benjamin Fritz
Gaurav K. Thawait
Esther Raithel
Wesley D. Gilson
Mathias Nittka
Michael A. Mont
Publication date
01-10-2016
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 10/2016
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-016-2437-0

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