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常见外科植入物和异物的磁共振成像金属伪影

Magnetic resonance imaging metallic artifact of commonly encountered surgical implants and foreign material.

作者信息

Sutherland-Smith James, Tilley Brenda

机构信息

Department of Clinical Sciences, Tufts University, North Grafton, MA 01536, USA.

出版信息

Vet Radiol Ultrasound. 2012 May-Jun;53(3):312-7. doi: 10.1111/j.1740-8261.2011.01916.x. Epub 2012 Jan 26.

Abstract

Magnetic resonance imaging (MRI) artifacts secondary to metallic implants and foreign bodies are well described. Herein, we provide quantitative data from veterinary implants including total hip arthroplasty implants, cranial cruciate repair implants, surgical screws, a skin staple, ligation clips, an identification microchip, ameroid constrictor, and potential foreign bodies including air gun and BB projectiles and a sewing needle. The objects were scanned in a gelatin phantom with plastic grid using standardized T2-weighted turbo-spin echo (TSE), T1-weighted spin echo, and T2*-weighted gradient recalled echo (GRE) image acquisitions at 1.5 T. Maximum linear dimensions and areas of signal voiding and grid distortion were calculated using a DICOM workstation for each sequence and object. Artifact severity was similar between the T2-weighted TSE and T1-weighted images, while the T2*-weighted images were most susceptible to artifact. Metal type influenced artifact size with the largest artifacts arising from steel objects followed by surgical stainless steel, titanium, and lead. For animals with metallic surgical implants or foreign bodies, the quantification of the artifact size will help guide clinicians on the viability of MRI.

摘要

继发于金属植入物和异物的磁共振成像(MRI)伪影已有详尽描述。在此,我们提供来自兽医植入物的定量数据,包括全髋关节置换植入物、颅交叉韧带修复植入物、手术螺钉、皮肤钉、结扎夹、识别微芯片、阿梅罗德缩窄器,以及潜在异物,包括气枪和BB弹丸以及一根缝纫针。这些物体在含有塑料网格的明胶模型中进行扫描,使用1.5T的标准化T2加权快速自旋回波(TSE)、T1加权自旋回波和T2加权梯度回波(GRE)图像采集序列。使用DICOM工作站针对每个序列和物体计算最大线性尺寸以及信号缺失和网格畸变的面积。T2加权TSE图像和T1加权图像之间的伪影严重程度相似,而T2加权图像对伪影最敏感。金属类型影响伪影大小,钢制物体产生的伪影最大,其次是外科不锈钢制品、钛制品和铅制品。对于有金属外科植入物或异物的动物,伪影大小的量化将有助于指导临床医生判断MRI检查的可行性。

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