Improving MR Image Quality in Patients with Metallic Implants.
Elizabeth M Lee1, El-Sayed H Ibrahim1, Nancy Dudek1
1From the Department of Radiology, Division of Cardiothoracic Imaging (E.M.L., J.S., P.P.A.), Department of Radiology (N.D.), Department of Pediatrics, Division of Cardiology, CS Mott Children's Hospital (J.C.L.), Department of Radiology, Division of Musculoskeletal Radiology (V.K.), University of Michigan Medical School (M.R.), and Department of Radiology, Division of Neuroradiology (A.S.), University of Michigan, University Hospital Floor B1 Reception C, 1500 E Medical Center Dr, SPC 5030, Ann Arbor, MI 48109; and Center for Imaging Research, Medical College of Wisconsin, Milwaukee, Wis (E.H.I.).
Magnetic Resonance Imaging (MRI) can be challenging for patients with implanted devices. Radiologists can minimize artifacts using specific MRI techniques and system selections for improved diagnostic accuracy.
Area of Science:
- Radiology
- Medical Imaging
- Biomedical Engineering
Background:
- Increasing prevalence of implanted devices (orthopedic, cardiac) in aging populations.
- Patients with implants often require Magnetic Resonance Imaging (MRI) for diagnosis.
- Implanted ferromagnetic or paramagnetic materials cause significant MRI artifacts, hindering diagnostic capabilities.
Purpose of the Study:
- To outline strategies for minimizing MRI artifacts caused by implanted devices.
- To enhance diagnostic image quality and radiologist confidence in patients with implants.
Main Methods:
- Prioritizing patient safety by confirming implant presence before MRI.
- Selecting appropriate MRI systems considering field strength and sequence availability.
- Optimizing MRI parameters (bandwidth, voxel size, echo) and employing advanced metal artifact reduction sequences.
Main Results:
- Knowledge of implant presence is critical for safe MRI examination.
- Careful selection of MRI systems and sequences can significantly reduce metal artifacts.
- Appropriate patient positioning and parameter adjustments improve image quality.
Conclusions:
- Successful MRI of patients with implants is achievable through meticulous planning and artifact reduction techniques.
- Optimized MRI protocols enhance diagnostic confidence and image quality.
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