Low-field magnetic resonance imaging offers potential for measuring tibial component migration

Abstract Background Roentgen stereophotogrammetric analysis (RSA) is used to measure early prosthetic migration and to predict future implant failure. RSA has several disadvantages, such as the need for perioperatively inserted tantalum markers. Therefore, this study evaluates low-field MRI as an al...

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Main Authors: F. F. Schröder, N. J. J. Verdonschot, B. ten Haken, A. Peters, A. J. H. Vochteloo, D. F. M. Pakvis, R. Huis in’t Veld
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Experimental Orthopaedics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40634-017-0116-2
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author F. F. Schröder
N. J. J. Verdonschot
B. ten Haken
A. Peters
A. J. H. Vochteloo
D. F. M. Pakvis
R. Huis in’t Veld
author_facet F. F. Schröder
N. J. J. Verdonschot
B. ten Haken
A. Peters
A. J. H. Vochteloo
D. F. M. Pakvis
R. Huis in’t Veld
author_sort F. F. Schröder
collection DOAJ
description Abstract Background Roentgen stereophotogrammetric analysis (RSA) is used to measure early prosthetic migration and to predict future implant failure. RSA has several disadvantages, such as the need for perioperatively inserted tantalum markers. Therefore, this study evaluates low-field MRI as an alternative to RSA. The use of traditional MRI with prostheses induces disturbing metal artifacts which are reduced by low-field MRI. The purpose of this study is to assess the feasibility to use low-field (0.25 Tesla) MRI for measuring the precision of zero motion. This was assessed by calculating the virtual prosthetic motion of a zero-motion prosthetic reconstruction in multiple scanning sessions. Furthermore, the effects of different registration methods on these virtual motions were tested. Results The precision of zero motion for low-field MRI was between 0.584 mm and 1.974 mm for translation and 0.884° and 3.774° for rotation. The manual registration method seemed most accurate, with μ ≤ 0.13 mm (σ ≤ 0.931 mm) for translation and μ ≤ 0.15° (σ ≤ 1.63°) for rotation. Conclusion Low-field MRI is not yet as precise as today’s golden standard (marker based RSA) as reported in the literature. However, low-field MRI is feasible of measuring the relative position of bone and implant with comparable precision as obtained with marker-free RSA techniques. Of the three registration methods tested, manual registration was most accurate. Before starting clinical validation further research is necessary and should focus on improving scan sequences and registration algorithms.
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spelling doaj.art-d93ca06d60884f6d9c14ca2ba8b47aea2024-04-03T09:02:02ZengWileyJournal of Experimental Orthopaedics2197-11532018-01-01511910.1186/s40634-017-0116-2Low-field magnetic resonance imaging offers potential for measuring tibial component migrationF. F. Schröder0N. J. J. Verdonschot1B. ten Haken2A. Peters3A. J. H. Vochteloo4D. F. M. Pakvis5R. Huis in’t Veld6Centre for Orthopaedic Surgery OCONMIRA Institute for Biomedical Technology and Technical Medicine, University of TwenteMIRA Institute for Biomedical Technology and Technical Medicine, University of TwenteCentre for Orthopaedic Surgery OCONCentre for Orthopaedic Surgery OCONCentre for Orthopaedic Surgery OCONCentre for Orthopaedic Surgery OCONAbstract Background Roentgen stereophotogrammetric analysis (RSA) is used to measure early prosthetic migration and to predict future implant failure. RSA has several disadvantages, such as the need for perioperatively inserted tantalum markers. Therefore, this study evaluates low-field MRI as an alternative to RSA. The use of traditional MRI with prostheses induces disturbing metal artifacts which are reduced by low-field MRI. The purpose of this study is to assess the feasibility to use low-field (0.25 Tesla) MRI for measuring the precision of zero motion. This was assessed by calculating the virtual prosthetic motion of a zero-motion prosthetic reconstruction in multiple scanning sessions. Furthermore, the effects of different registration methods on these virtual motions were tested. Results The precision of zero motion for low-field MRI was between 0.584 mm and 1.974 mm for translation and 0.884° and 3.774° for rotation. The manual registration method seemed most accurate, with μ ≤ 0.13 mm (σ ≤ 0.931 mm) for translation and μ ≤ 0.15° (σ ≤ 1.63°) for rotation. Conclusion Low-field MRI is not yet as precise as today’s golden standard (marker based RSA) as reported in the literature. However, low-field MRI is feasible of measuring the relative position of bone and implant with comparable precision as obtained with marker-free RSA techniques. Of the three registration methods tested, manual registration was most accurate. Before starting clinical validation further research is necessary and should focus on improving scan sequences and registration algorithms.http://link.springer.com/article/10.1186/s40634-017-0116-2Prosthetic looseningPrecisionLow-field MRIRoentgen stereophotogrammetric analysis (RSA)Migration
spellingShingle F. F. Schröder
N. J. J. Verdonschot
B. ten Haken
A. Peters
A. J. H. Vochteloo
D. F. M. Pakvis
R. Huis in’t Veld
Low-field magnetic resonance imaging offers potential for measuring tibial component migration
Journal of Experimental Orthopaedics
Prosthetic loosening
Precision
Low-field MRI
Roentgen stereophotogrammetric analysis (RSA)
Migration
title Low-field magnetic resonance imaging offers potential for measuring tibial component migration
title_full Low-field magnetic resonance imaging offers potential for measuring tibial component migration
title_fullStr Low-field magnetic resonance imaging offers potential for measuring tibial component migration
title_full_unstemmed Low-field magnetic resonance imaging offers potential for measuring tibial component migration
title_short Low-field magnetic resonance imaging offers potential for measuring tibial component migration
title_sort low field magnetic resonance imaging offers potential for measuring tibial component migration
topic Prosthetic loosening
Precision
Low-field MRI
Roentgen stereophotogrammetric analysis (RSA)
Migration
url http://link.springer.com/article/10.1186/s40634-017-0116-2
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