Abstract
Purpose:
The purpose of this study was to measure artifacts and visibility of lumen for modern and most commonly used stents in vascular interventions according to a standardized test method of the American Society for Testing and Materials (ASTM).
Materials and methods:
Twenty-four peripheral self-expanding nitinol stents and three stainless steel stents with diameters between 5 and 8 mm and lengths between 30 and 250 mm from seven different manufacturers were compared on a 1.5T and a 3T magnetic resonance (MR) scanner. The visualization of lumen and artifacts was measured according to ASTM F2119 for a turbo spin echo (TSE) [repetition time(TR)/echo time (TE) 500/26 ms] and a gradient echo (GRE) (TR/TE 100/15 ms) sequence. The stents were placed parallel and perpendicular to the radio frequency field (B1).
Results:
There were large differences in visibility of the lumen for the stent models. The visualization of the lumen varies between 0% and 93% (perpendicular to B1), and 0% and 78% (parallel to B1), respectively. The maximum signal loss beyond the actual diameter was 6 mm (TSE) and 10 mm (GRE) for stents made of stainless steel, and lower than 1 mm (TSE) and 4 mm (GRE) for nitinol stents.
Conclusion:
Reliable stent lumen visualization is possible for Misago, Supera, Tigris, and Viabahn stents, if their axis is perpendicular to B1, and independent of the orientation with respect to B1 for short Tigris stents at 1.5T.
References
[1] ASTM International. ASTM Standard F2119-07. In: Standard Test Method for Evaluation of MR Image Artifacts from Passive Implants. West Conshohocken, PA: ASTM International, 2013.Search in Google Scholar
[2] Bartels LW, Bakker CJ, Viergever MA. Improved lumen visualization in metallic vascular implants by reducing RF artifacts. Magn. Reson Med 2002;47:171–180.10.1002/mrm.10004Search in Google Scholar PubMed
[3] Burg MC, Bunck AC, Seifarth H, et al. MR Angiography of Peripheral Arterial Stents: In Vitro Evaluation of 22 Different Stent Types. Radiol Res Pract 2011;2011:478175.10.1155/2011/478175Search in Google Scholar PubMed
[4] Edwards MB, Taylor KM, Shellock FG. Prosthetic heart valves: evaluation of magnetic field interactions, heating, and artifacts at 1.5 T. J Magn Reson Imaging 2000;12:363–369.10.1002/1522-2586(200008)12:2<363::AID-JMRI21>3.0.CO;2-3Search in Google Scholar
[5] Ganapathi M, Joseph G, Savage R, Jones A, Timms B, Lyons K. MRI susceptibility artefacts related to scaphoid screws: the effect of screw type, screw orientation and imaging parameters. J Hand Surg Br 2002;27:165–170.10.1054/JHSB.2001.0717Search in Google Scholar PubMed
[6] Graf H, Klemm T, Lauer U, Duda S, Claussen C, Schick F. Systematics of imaging artifacts in MRT caused by metallic vascular implants (stents). Fortschr Röntgenstr 2003;175:1711–1719.Search in Google Scholar
[7] Heinrich A, Teichgräber UK, Güttler FV. Measurement of susceptibility artifacts with histogram-based reference value on magnetic resonance images according to standard ASTM F2119. Biomed Tech (Berl) 2015;60:541–549.10.1515/bmt-2014-0184Search in Google Scholar PubMed
[8] Klemm T, Duda S, Machann J, et al. MR imaging in the presence of vascular stents: a systematic assessment of artifacts for various stent orientations, sequence types, and field strengths. J Magn Reson Imaging 2000;12:606–615.10.1002/1522-2586(200010)12:4<606::AID-JMRI14>3.0.CO;2-JSearch in Google Scholar PubMed
[9] Kolind SH, MacKay AL, Munk PL, Xiang Q-S. Quantitative evaluation of metal artifact reduction techniques. J Magn Reson Imaging 2004;20:487–495.10.1002/jmri.20144Search in Google Scholar PubMed
[10] Krämer SC, Wall A, Maintz D, Bachmann R, Kugel H, Heindel W. 3.0 Tesla magnetic resonance angiography of endovascular aortic stent grafts: phantom measurements in comparison with 1.5 Tesla. Invest Radiol 2004;39: 413–417.10.1097/01.rli.0000129470.63758.c1Search in Google Scholar PubMed
[11] Lettau M, Sauer A, Heiland S, et al. In vitro comparison of different carotid artery stents: a pixel-by-pixel analysis using CT angiography and contrast-enhanced MR angiography at 1.5 and 3T. Neuroradiology 2010;52:823–830.10.1007/s00234-009-0625-5Search in Google Scholar
[12] Ohno S, Harimoto T, Hirose M, et al. Visualization of stent lumen in MR imaging: relationship with stent design and RF direction. Acta Med Okayama 2012;66:203–211.Search in Google Scholar PubMed
[13] Olsrud J, Lätt J, Brockstedt S, Romner B, Björkman-Burtscher IM. Magnetic resonance imaging artifacts caused by aneurysm clips and shunt valves: dependence on field strength (1.5 and 3 T) and imaging parameters. J Magn Reson Imaging 2005;22:433–437.10.1002/jmri.20391Search in Google Scholar
[14] Syha R, Ketelsen D, Kaempf M, et al. In vitro stent lumen visualisation of various common and newly developed femoral artery stents using MR angiography at 1.5 and 3 tesla. Eur Radiol 2013;23:588–595.10.1007/s00330-012-2625-9Search in Google Scholar PubMed
[15] Wall A, Kugel H, Bachman R, et al. 3.0 T vs. 1.5 T MR angiography: In vitro comparison of intravascular stent artifacts. J Magn Reson Imaging 2005;22:772–779.10.1002/jmri.20445Search in Google Scholar PubMed
[16] Wang Y, Truong TN, Yen C, et al. Quantitative evaluation of susceptibility and shielding effects of nitinol, platinum, cobalt-alloy, and stainless steel stents. Magn Reson Med 2003;49:972–976.10.1002/mrm.10450Search in Google Scholar PubMed
©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
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- Tailored interactive sequences for continuous MR-image-guided freehand biopsies of different organs in an open system at 1.0 tesla (T) – Initial experience
- In vitro stent assessment by MRI: visibility of lumen and artifacts for 27 modern stents
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Articles in the same Issue
- Frontmatter
- Review
- Breast sentinel lymph node biopsy with imaging towards minimally invasive surgery
- Research articles
- Tailored interactive sequences for continuous MR-image-guided freehand biopsies of different organs in an open system at 1.0 tesla (T) – Initial experience
- In vitro stent assessment by MRI: visibility of lumen and artifacts for 27 modern stents
- Computer-assisted system on mandibular canal detection
- DCS-SVM: a novel semi-automated method for human brain MR image segmentation
- An image-processing strategy to extract important information suitable for a low-size stimulus pattern in a retinal prosthesis
- Framework for 2D-3D image fusion of infrared thermography with preoperative MRI
- Rapid, automated mosaicking of the human corneal subbasal nerve plexus
- Regular research articles
- Examination of the reliability of an inertial sensor-based gait analysis system
- Response of a physiological controller for ventricular assist devices during acute patho-physiological events: an in vitro study
- Effects of the nasal passage on forced oscillation lung function measurements
- Design of a mechanism for converting the energy of knee motions by using electroactive polymers