score evaluation of mri sequence type related artifacts after interbody fusion with metallic implants—a spine specimen study分数评价mri序列类型相关的工件与金属植入一个椎体融合后脊柱标本研究.pdf

Open Journal of Medical Imaging, 2012, 2, 57-63 /10.4236/ojmi.2012.22010 Published Online June 2012 (http://www.SciRP.org/journal/ojmi) Score Evaluation of MRI Sequence Type Related Artifacts after Interbody Fusion with Metallic Implants—A Spine Specimen Study 1* 2 3 Thorsten Ernstberger , Gottfried Buchhorn , Gabert Heidrich 1Clinic for Spinal Surgery, Klinikum Bad Bramstedt, Bad Bramstedt, Germany 2Biomaterial Laboratory, Department of Orthopaedic Surgery, University of Göttingen, Göttingen, Germany 3Center of Radiology Weilheim, Ambulatory Healthcare Center, Weilheim i. Obb, Germany * Email: t.ernstberger@klinkumbb.de Received February 1, 2012; revised March 16, 2012; accepted April 20, 2012 ABSTRACT Introduction: According to anterior spine fusion intervertebral disc spacers made of titanium or cobalt-chromium al- loys are of special interest. With regard to postoperative problems implant related artifacts can lead to a decreased MRI evaluation. The focus of this study was to compare the respective implant artifact range dependend on different MRI sequences. To simplify artifact evaluation we introduced in this study a new developed 0-1-2 score. Material and Methods: We performed an MRI artifact evaluation of 2 different metallic intervertebral disc spacers (cobalt-chromium- and titanium alloy). A carcass porcine spine was employed. Considering 12 defined spinal regions of interest we evalu- ated the respective implant artifact properties independent from the total artifact volume by