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How MRI compatible is "MRI compatible"? A systematic comparison of artifacts caused by biopsy needles at 3.0 and 1.5
Tobias Penzkofer1,2, Nilufar Peykan3, Katja Schmidt4
1Department of Diagnostic and Interventional Radiology, RWTH Aachen University Hospital, Pauwelsstr. 30, Aachen, 52074, Germany. tpenzkofer@ukaachen.de.
Purpose:
This study was designed to systematically investigate artifacts caused by interventional needles recommended for use in MRI, with focus on field strength, needle/mandrin type, orientation and sequence.
Methods:
Eight different MRI compatible needles were placed in porcine tissue and examined at 1.5 and 3.0 T with balanced-steady-state-free-precession (B-SSFP) and T1-weighted-spoiled-gradient-echo (T1-SPGR) sequences in different orientations to B0. Artifact diameters with regards to the primary, inner, and secondary, outer artifacts were assessed and statistically evaluated.
Results:
The types and degree of artifacts varied considerably, especially between different mandrin types even for the same needles. Orientation of the needle in the magnetic field was another main contributor to the artifact dimensions. Less important factors were the type of pulse sequence and field strength. Artifacts ranged from 0.7 mm (steel, 0°, B-SSFP, 3.0 T, inner) to 71.4 mm (nitinol, 90°, B-SSFP, 1.5 T, outer). Inner artifact diameters in B-SSFP were slightly larger (8.2 ± 5.7 mm) than those in T1-SPGR (7.6 ± 5.4 mm) and comparable between 1.5 and 3.0 T (e.g., 8.0 vs. 8.4 mm, B-SSFP).
Conclusions:
Although all were sold as "MR compatible," the artifacts differed greatly between needle types, and even more so for different mandrins. The results suggest an empirical approach to the needle choice based on lesion type and approach angle.
Insights
MRI-compatible needles create varying artifacts, significantly influenced by needle/mandrin type and orientation, not just field strength or sequence. Careful selection based on procedure is crucial for minimizing imaging interference.
Area of Science:
- Medical Imaging
- Biomedical Engineering
- Interventional Radiology
Background:
- Magnetic Resonance Imaging (MRI) guided interventions require specialized tools.
- Understanding imaging artifacts from interventional needles is critical for diagnostic accuracy and patient safety.
- Existing
- Purpose_of_the_Study: [
- To systematically evaluate imaging artifacts generated by various MRI-compatible interventional needles.
- To investigate the impact of magnetic field strength, needle/mandrin composition, orientation, and pulse sequence on artifact size.
- To provide data for informed needle selection in MRI-guided procedures.
Purpose of the Study:
- To systematically evaluate imaging artifacts generated by various MRI-compatible interventional needles.
- To investigate the impact of magnetic field strength, needle/mandrin composition, orientation, and pulse sequence on artifact size.
- To provide data for informed needle selection in MRI-guided procedures.
Main Methods:
- Eight MRI-compatible needles were tested in porcine tissue.
- Examinations were conducted at 1.5 T and 3.0 T using balanced-steady-state-free-precession (B-SSFP) and T1-weighted-spoiled-gradient-echo (T1-SPGR) sequences.
- Needle orientation relative to the B0 field was varied, and artifact diameters (inner and outer) were measured and analyzed.
Main Results:
- Significant variations in artifact size were observed, primarily driven by needle and mandrin type, and needle orientation.
- Artifact dimensions ranged from 0.7 mm to 71.4 mm.
- Pulse sequence and field strength had a lesser impact; inner artifact sizes were comparable across field strengths and slightly larger in B-SSFP compared to T1-SPGR sequences.
Conclusions:
- Despite being labeled
- MR compatible,
- interventional needles exhibit substantial differences in artifact generation.
- Mandrin type and needle orientation are key factors influencing artifact size.
- An empirical approach to needle selection, considering lesion characteristics and trajectory, is recommended.
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