Quantitative evaluation of the reduction of distortion and metallic artifacts in magnetic resonance images using the multiacquisition variable‑resonance image combination selective sequence

Hirano,Masaki; Muto,Yuki; Kuroda,Masahiro; Fujiwara,Yuta; Sasaki,Tomoaki; Kuroda,Kazuhiro; Kamizaki,Ryo; Imajoh,Satoshi; Tanabe,Yoshinori; Al-Hammad,Wlla E.; Nakamitsu,Yuki; Shimizu,Yudai; Sugimoto,Kohei; Oita,Masataka; Sugianto,Irfan; Bamgbose,Babatunde O.

doi:10.3892/etm.2023.11808

Quantitative evaluation of the reduction of distortion and metallic artifacts in magnetic resonance images using the multiacquisition variable‑resonance image combination selective sequence

Authors:
- Masaki Hirano
- Yuki Muto
- Masahiro Kuroda
- Yuta Fujiwara
- Tomoaki Sasaki
- Kazuhiro Kuroda
- Ryo Kamizaki
- Satoshi Imajoh
- Yoshinori Tanabe
- Wlla E. Al-Hammad
- Yuki Nakamitsu
- Yudai Shimizu
- Kohei Sugimoto
- Masataka Oita
- Irfan Sugianto
- Babatunde O. Bamgbose
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Affiliations: Department of Radiological Technology, Graduate School of Health Sciences, Okayama University, Okayama 700‑8558, Japan, Division of Clinical Radiology Service, Okayama Central Hospital, Okayama 700‑0017, Japan, Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700‑0017, Japan, Graduate School of Interdisciplinary Sciences and Engineering in Health Systems, Okayama University, Okayama, 770‑8558, Japan, Department of Oral Radiology, Faculty of Dentistry, Hasanuddin University, Makassar, Sulawesi 90245, Indonesia, Department of Oral Diagnostic Sciences, Faculty of Dentistry, Bayero University, Kano 00234, Nigeria
Published online on: January 24, 2023 https://doi.org/10.3892/etm.2023.11808
Article Number: 109
Copyright: © Hirano et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Magnetic resonance imaging (MRI) is superior to computed tomography (CT) in determining changes in tissue structure, such as those observed following inflammation and infection. However, when metal implants or other metal objects are present, MRI exhibits more distortion and artifacts compared with CT, which hinders the accurate measurement of the implants. A limited number of reports have examined whether the novel MRI sequence, multiacquisition variable‑resonance image combination selective (MAVRIC SL), can accurately measure metal implants without distortion. Therefore, the present study aimed to demonstrate whether MAVRIC SL could accurately measure metal implants without distortion and whether the area around the metal implants could be well delineated without artifacts. An agar phantom containing a titanium alloy lumbar implant was used for the present study and was imaged using a 3.0 T MRI machine. A total of three imaging sequences, namely MAVRIC SL, CUBE and magnetic image compilation (MAGiC), were applied and the results were compared. Distortion was evaluated by measuring the screw diameter and distance between the screws multiple times in the phase and frequency directions by two different investigators. The artifact region around the implant was examined using a quantitative method following standardization of the phantom signal values. It was revealed that MAVRIC SL was a superior sequence compared with CUBE and MAGiC, as there was significantly less distortion, a lack of bias between the two different investigators and significantly reduced artifact regions. These results suggested the possibility of utilizing MAVRIC SL for follow‑up to observe metal implant insertions.

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