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1000 Titel
  • MRI following scoliosis surgery? An analysis of implant heating, displacement, torque, and susceptibility artifacts
1000 Autor/in
  1. Heinrich, Andreas |
  2. Reinhold, Maximilian |
  3. Güttler, Felix V. |
  4. Matziolis, Georg |
  5. Teichgräber, Ulf K.-M. |
  6. Zippelius, Timo |
  7. Strube, Patrick |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-12-04
1000 Erschienen in
1000 Quellenangabe
  • 31(6):4298-4307
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00330-020-07546-6 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128815/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Objectives!#!The implant constructs used in scoliosis surgery are often long with a high screw density. Therefore, it is generally believed that magnetic resonance imaging (MRI) should not be carried out after scoliosis surgery, with the result that computed tomography is often preferred despite the ionizing radiation involved. The objective of this study was to evaluate the MRI compatibility of long pedicle-screw-rod constructs at 1.5 T and 3 T using standardized methods of the American Society for Testing and Materials (ASTM).!##!Methods!#!Constructs between 130 and 430 mm long were systematically examined according to the ASTM standards F2182 (radio frequency-induced heating), F2119 (susceptibility artifacts), F2213 (magnetically induced torque), and F2052 (magnetically induced displacement force).!##!Results!#!The maximum heating in the magnetic field was 1.3 K. Heating was significantly influenced by magnetic field strength (p < 0.001), implant length (p = 0.048), and presence of cross-links (p = 0.001). The maximum artifact width for different lengths of the anatomically bent titanium rods with CoCr alloy ranged between 14.77 ± 2.93 mm (TSE) and 17.49 ± 1.82 mm (GRE) for 1.5 T and between 23.67 ± 2.39 mm (TSE) and 27.77 ± 2.37 mm (GRE) for 3 T. TiCP and TiAl showed the smallest and CoCr and CoCr Plus the largest artifact widths. The magnetically induced torque and displacement force were negligible.!##!Conclusions!#!MRI following scoliosis surgery with long implant constructs is safe with the patient in supine position. Although susceptibility artifacts can severely limit the diagnostic value, the examination of other regions is possible.!##!Key points!#!• Large spinal implants are not necessarily a contraindication for MRI; MR conditional status can be examined according to the ASTM standards F2182, F2119, F2213, and F2052. • A metallic pedicle-screw-rod system could be reliably and safely examined in all combinations of length (130 to 430 mm), configuration, and material in a B
1000 Sacherschließung
lokal Humans [MeSH]
lokal Titanium
lokal Artifacts [MeSH]
lokal Safety
lokal Scoliosis/diagnostic imaging [MeSH]
lokal Magnetic Resonance Imaging [MeSH]
lokal Cobalt
lokal Spine
lokal Heating [MeSH]
lokal Magnetic resonance imaging
lokal Magnetic Resonance
lokal Scoliosis/surgery [MeSH]
lokal Torque [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-3862-4543|https://frl.publisso.de/adhoc/uri/UmVpbmhvbGQsIE1heGltaWxpYW4=|https://frl.publisso.de/adhoc/uri/R8O8dHRsZXIsIEZlbGl4IFYu|https://frl.publisso.de/adhoc/uri/TWF0emlvbGlzLCBHZW9yZw==|https://frl.publisso.de/adhoc/uri/VGVpY2hncsOkYmVyLCBVbGYgSy4tTS4=|https://frl.publisso.de/adhoc/uri/WmlwcGVsaXVzLCBUaW1v|https://frl.publisso.de/adhoc/uri/U3RydWJlLCBQYXRyaWNr
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1000 Erstellt am 2023-11-17T21:50:30.143+0100
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1000 Zuletzt bearbeitet 2023-12-01T09:36:52.940+0100
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