Tobias Spronk1, Archana Chinnaiyan1, Jakob Kreutner1,2, and Gregor Schaefers1,2
1MR:comp GmbH Testing for MR Satety & Compatibility, Gelsenkirchen, Germany, 2MRI-STaR-(Magnetic Resonance Institute for Safety, Technology and Research GmbH), Gelsenkirchen, Germany
Synopsis
The ASTM standard F2119 provides evaluation methods for the artifacts of
medical implants in a well-defined test environment. In our work we had
validated a numerical simulation of MR susceptibility artifacts according to
this standard. Based on this simulation, the calculation methods of the artifact
size in the ASTM standard were evaluated to show the limitation of the current
methods.
Introduction
The presence of metallic implants prevents an exact
diagnosis in an MR examination. To characterize these implant-specific
artifacts the ASTM standard F2119 [1] provides an evaluation method
for medical implants in a well-defined test environment. However, this test
method has limitations. The focus of our work is the validation of a numerical simulation based on the ASTM standard
and the consequences for the calculation of the artifact size.Method
Simulation:
The simulation was performed using JEMRIS [2]. A voxelized model of a cubic
phantom was defined and the test object (TO) was placed perpendicular to the
static magnetic field in the center of the phantom. The volume of the whole
phantom was simulated and the slice with the biggest artifact was chosen. The
simulation applied gradient echo and spin echo sequences according to the
standard [1].
Validation:
For the validation of the simulation, an MR
measurement and a simulation focusing on the susceptibility artifacts [3], [4] of a titanium rod were
performed. The artifact of the simulated and the measured image was calculated
and superimposed to comparing the two artifacts pixel by pixel. The measure for
the similarity of the images was the fraction of the congruent pixel divided by
all pixels of the artifacts.
Artifact size:
Two different methods for calculation of the artifact
size were applied to the simulated data. The first method is the primary method
of the ASTM standard. This requires precise knowledge of the position of the TO
inside the artifact area which allows a calculation of the distance from the
edge of the TO to every pixel in the artifact. However, often the edge of the
object is not visible which prevents the application of this method in
practice. Therefore, the alternative method of the ASTM standard suggests to assume
the TO in the center of the artifact [1]. Based on this, the artifact
size was calculated as the half difference between the maximum artifact
extension and the size of the TO in the corresponding direction. Artifact size
was determined for the horizontal and vertical direction.
Results
Figure 1A and 1B shows nearly the same shape of the artifact for
the simulated and the measured gradient echo image but the simulated image
shows some white areas within the artifact. Furthermore, figure 2 shows the
same shape and distribution of brightness for the simulated and measured spin
echo images.
The superimposed image (fig. 1C) of the artifacts of the gradient echo images
shows a high congruence (represented by the red area) of the simulated and
measured images with a similarity factor of 0.94. Figure 2C shows a lower
congruence of the two artifacts with a similarity factor of 0.69 for the spin
echo sequences. A comparison of the different artifacts sizes in figure 1C shows
that the meausred artifact area is bigger than the simulated area which is
shown by the green pixels. In contrast to that, the spin echo sequence shows a
bigger artifact for the simulated image (represented by blue pixels).
Figure 3 shows the artifacts of the simulated gradient
and spin echo image. The color coding in the images represents the distance
from TO to the corresponding pixel in the artifact and the maximum artifact
size in two directions are presented in fig. 4. The gradient echo sequence has
a difference of 23.0% and the spin echo sequence has a difference of 39.3%
between the artifact sizes of the two different methods in vertical direction.Discussion
The validation process shows a high similarity
for the shape of the artifact in the gradient echo image. However, the spin
echo sequence shows a lower similarity which could be caused by the lower
artifact area and problems with the superimposition of the TO orientation
between the measured and simulated image. The calculation of the artifact size
shows a different result for the alternative method. This is caused by the
non-symmetric position of the TO in the artifact along the frequency-encoding
direction. This leads to an underestimation of the artifact size compared to
its real size.Conclusion
In our work, we show that the simulation of
susceptibility artifacts provides realistic MR artifacts for the spin and
gradient echo sequences according to the ASTM standard. Based on this
simulation, limitations of the calculation methods of the artifact size are
shown. This demonstrates the necessity for the development of new calculation methods
for the next version of the ASTM standard. The simulations of the MR artifacts
are a powerful tool which allows a detailed validation of the new calculation
methods.Acknowledgements
No acknowledgement found.References
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MR Image Artifacts from Passive Implants’. 2013.
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