The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses

Objective:In this study, we aimed to compare the effects of using the iterative reconstruction (IR) method alone and together with metallic artifact reduction (MAR) on the image quality in computed tomography (CT) imaging of the anorectal region in patients with a metallic hip prosthesis, and to eva...

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Main Authors: Serap Baş, Elbrus Zarbaliyev
Format: Article
Language:English
Published: Galenos Yayinevi 2022-06-01
Series:Bagcilar Medical Bulletin
Subjects:
Online Access: http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-effect-of-mar-technique-on-mage-quality-of-the/52127
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author Serap Baş
Elbrus Zarbaliyev
author_facet Serap Baş
Elbrus Zarbaliyev
author_sort Serap Baş
collection DOAJ
description Objective:In this study, we aimed to compare the effects of using the iterative reconstruction (IR) method alone and together with metallic artifact reduction (MAR) on the image quality in computed tomography (CT) imaging of the anorectal region in patients with a metallic hip prosthesis, and to evaluate the contribution of IR+MAR approach to radiological evaluation.Method:In 22 patients carrying hip prosthesis, as subjective criteria, the degree of metal artifact visualization and critical anatomical structures as the anal canal (AC), inferior rectum (InR), mesorectum (MsR), perianal fat tissue (PFT), and levator ani muscle (LAM) were evaluated in the images of pelvic CT with IR and MAR reconstructions, using only IR technique and IR+MAR approach. As objective criteria, most pronounced hypodense artifacts obscuring the pelvic soft tissue and hyperdense artifacts were measured in the images with MAR and without MAR technique.Results:It was found that the use of the MAR technique for common metal artifacts observed after CT imaging significantly increased the diagnostic value on AC, InR, MsR, PFT, and LAM radiologically. It was determined that the method provided a significant increase in the visualization of the pelvic bone and muscle tissues and the quality of diagnosis. The differences between hypodense artifact measurements and hyperdense artifact measurements were statistically significant.Conclusion:Performing IR+MAR reconstruction on pelvic CT in patients with a metallic hip prosthesis improves image quality and the diagnostic value of CT. It can be used in the imaging of anorectal pathologies in patients who cannot undergo magnetic resonance imaging.
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spelling doaj.art-8e185dcebf164ec4a7b11490e60ff9c62023-02-15T16:09:55ZengGalenos YayineviBagcilar Medical Bulletin2547-94312022-06-017213714310.4274/BMB.galenos.2022.2022-01-0913049054The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip ProsthesesSerap Baş0Elbrus Zarbaliyev1 Medipol Bahçelievler Hospital, Clinic of Radiology, İstanbul, Turkey Yeni Yüzyıl University, Gaziosmanpaşa Hospital, Clinic of General Surgery, İstanbul, Turkey Objective:In this study, we aimed to compare the effects of using the iterative reconstruction (IR) method alone and together with metallic artifact reduction (MAR) on the image quality in computed tomography (CT) imaging of the anorectal region in patients with a metallic hip prosthesis, and to evaluate the contribution of IR+MAR approach to radiological evaluation.Method:In 22 patients carrying hip prosthesis, as subjective criteria, the degree of metal artifact visualization and critical anatomical structures as the anal canal (AC), inferior rectum (InR), mesorectum (MsR), perianal fat tissue (PFT), and levator ani muscle (LAM) were evaluated in the images of pelvic CT with IR and MAR reconstructions, using only IR technique and IR+MAR approach. As objective criteria, most pronounced hypodense artifacts obscuring the pelvic soft tissue and hyperdense artifacts were measured in the images with MAR and without MAR technique.Results:It was found that the use of the MAR technique for common metal artifacts observed after CT imaging significantly increased the diagnostic value on AC, InR, MsR, PFT, and LAM radiologically. It was determined that the method provided a significant increase in the visualization of the pelvic bone and muscle tissues and the quality of diagnosis. The differences between hypodense artifact measurements and hyperdense artifact measurements were statistically significant.Conclusion:Performing IR+MAR reconstruction on pelvic CT in patients with a metallic hip prosthesis improves image quality and the diagnostic value of CT. It can be used in the imaging of anorectal pathologies in patients who cannot undergo magnetic resonance imaging. http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-effect-of-mar-technique-on-mage-quality-of-the/52127 anorectal pathologieship prosthesisiterative reconstructionmar technique
spellingShingle Serap Baş
Elbrus Zarbaliyev
The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses
Bagcilar Medical Bulletin
anorectal pathologies
hip prosthesis
iterative reconstruction
mar technique
title The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses
title_full The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses
title_fullStr The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses
title_full_unstemmed The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses
title_short The Effect of MAR Technique on Image Quality of the Anorectal Region in Pelvic CT in Patients with Metallic Hip Prostheses
title_sort effect of mar technique on image quality of the anorectal region in pelvic ct in patients with metallic hip prostheses
topic anorectal pathologies
hip prosthesis
iterative reconstruction
mar technique
url http://behmedicalbulletin.org/archives/archive-detail/article-preview/the-effect-of-mar-technique-on-mage-quality-of-the/52127
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