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Open Access 01-12-2021 | Computed Tomography | Original Article

Quantitative analysis of metal artifact reduction in total hip arthroplasty using virtual monochromatic imaging and orthopedic metal artifact reduction, a phantom study

Authors: Mark Selles, Vera H. Stuivenberg, Ruud H. H. Wellenberg, Loes van de Riet, Ingrid M. Nijholt, Jochen A. C. van Osch, Robbert W. van Hamersvelt, Tim Leiner, Martijn F. Boomsma

Published in: Insights into Imaging | Issue 1/2021

Abstract

Objective

To quantify metal artifact reduction using 130 keV virtual monochromatic imaging (VMI) with and without orthopedic metal artifact reduction (O-MAR) in total hip arthroplasty.

Methods

Conventional polychromatic images and 130 keV VMI of a phantom with pellets representing bone with unilateral or bilateral prostheses were reconstructed with and without O-MAR on a dual-layer CT. Pellets were categorized as unaffected, mildly affected and severely affected.

Results

When 130 keV VMI with O-MAR was compared to conventional imaging with O-MAR, a relative metal artifact reduction in CT values, contrast-to-noise (CNR), signal-to-noise (SNR) and noise in mildly affected pellets (67%, 74%, 48%, 68%, respectively; p < 0.05) was observed but no significant relative metal artifact reduction in severely affected pellets. Comparison between 130 keV VMI without O-MAR and conventional imaging with O-MAR showed relative metal artifact reduction in CT values, CNR, SNR and noise in mildly affected pellets (92%, 72%, 38%, 51%, respectively; p < 0.05) but negative relative metal artifact reduction in CT values and noise in severely affected pellets (− 331% and -223%, respectively; p < 0.05), indicating aggravation of metal artifacts.

Conclusion

Overall, VMI of 130 keV with O-MAR provided the strongest metal artifact reduction.

Available only for authorised users

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Title: Quantitative analysis of metal artifact reduction in total hip arthroplasty using virtual monochromatic imaging and orthopedic metal artifact reduction, a phantom study
Authors: Mark Selles
Vera H. Stuivenberg
Ruud H. H. Wellenberg
Loes van de Riet
Ingrid M. Nijholt
Jochen A. C. van Osch
Robbert W. van Hamersvelt
Tim Leiner
Martijn F. Boomsma
Publication date: 01-12-2021
Publisher: Springer International Publishing
Keywords: Computed Tomography
Computed Tomography
Hip-TEP
Hip-TEP
Published in: Insights into Imaging / Issue 1/2021
Electronic ISSN: 1869-4101
DOI: https://doi.org/10.1186/s13244-021-01111-5

At a glance: The STEP trials

Springer Medicine

Quantitative analysis of metal artifact reduction in total hip arthroplasty using virtual monochromatic imaging and orthopedic metal artifact reduction, a phantom study

Abstract

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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