Iman Khodarahmi1, John Kirsch2, Gregory Chang1, and Jan Fritz3
1New York University School of Medicine, New York, NY, United States, 2Massachusetts General Hospital, Boston, MA, United States, 3Johns Hopkins Hospital, Baltimore, MD, United States
Synopsis
Clinical metal artifact reduction techniques address B0
inhomogeneity-induced artifacts; whereas other source of artifacts, such as B1
inhomogeneity remain unaddressed. However, B1 inhomogeneity can be
reduced by implementing an elliptical polarization of the radiofrequency pulse.
In an in-vitro setup of hip arthroplasty implants, we show that MRI with
elliptical pulse polarization results in stronger metal artifact reduction and
overall superior image quality than circular polarization without increase in
SAR values.
INTRODUCTION
Metal artifact reduction sequence (MARS) techniques have advanced
visualization of the periprosthetic tissues by focusing on B0
magnetic field distortion as a source of metal-related artifacts.1-3
However, B1 radiofrequency (RF) pulse inhomogeneities resulting from
induced eddy currents at the surface of metal implants also play major roles in
causing artifacts and degradation of image quality. Therefore, we
investigated the effects of circular and elliptical polarizations of the RF
pulse on metal-related artifacts of total hip arthroplasty implants during MARS
MRI at 3T.METHODS
Experiments were conducted on a clinical 3T MRI system (Magnetom Skyra,
Siemens Healthineers) with a two-channel whole-body transmit system. A cobalt-chromium
total hip arthroplasty implant system with polyethylene liner immersed in a
standard ASTM gel phantom was used in this in-vitro study. The phantom system
simulated a 40-year-old human torso with a height of 180 cm and weight of 80
kg. The position of the implant within the scanner bore was similar to the hip
implant location of patients with similar weight. Clinical MARS MRI sequences
including high-bandwidth turbo spin echo (HBW-TSE), Slice Encoding for Metal
Artifact Correction (SEMAC),4 and compressed sensing (CS) SEMAC 5
were acquired in axial, coronal, and sagittal planes using proton density
weighting. Each image was acquired twice with circular (CP) and elliptical (EP)
RF pulse polarizations while keeping other sequence parameters identical. For EP,
the second RF transmit channel had half the amplitude of the first channel and
a phase offset of 130°. After anonymization and randomization,
the metal artifacts of CP and EP images were quantified using manual
segmentation. Additionally, two observers independently ranked the two
polarities for overall image quality and extent of metal artifact reduction. A p-value of less than 0.05 was considered
significant for all statistical analyses.RESULTS
Sample paired CP and EP
images are shown in figure 1. Scanner estimated whole-body specific absorption
rates (SAR) were lower for all image planes and pulse sequences acquired in EP
mode, by approximately 32%. On quantitative analysis, metal artifacts were
significantly smaller on EP images compared to the corresponding CP images of
the same location and pulse sequence (paired t-test: p < 0.02 for all pulse
sequences). The overall metal artifact volume (including implant itself) on
axial HBW-TSE images was 19% lower for EP (510 cm3) compared to CP
(608 cm3) (Figure 2). Readers chose image quality of EP in 56% (95%
CI: 51%-61%) and CP in 7% (95% CI: 4%-9%) of the cases with significantly superior
image quality of EP (signed test: p-value < 0.001 for all pulse sequences).
The metal artifact reduction ability was more effective about the femoral shaft
as compared to the femoral head-polyethylene liner-acetabular cup ensemble
(Figure 3).DISCUSSION
For hip arthroplasty implants, imaging with elliptical RF
pulse polarization results in stronger metal artifact reduction and overall
superior image quality than circular polarization without increase in SAR
values. The effect is related to the more homogeneous B1 field that
is created with elliptical polarization. The femoral shaft benefits the most
from this effect due to its more off-center location within the magnet bore and
its longer dimension along the B0 field. Switching to elliptical
polarization for 3T MARS MRI of metal containing body parts may eventually hold
promise for improved in-vivo clinical imaging.Acknowledgements
No acknowledgement found.References
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