Skip to main content
SpringerLink
Log in

Clinical utility of accelerated MAVRIC-SL with robust-PCA compared to conventional MAVRIC-SL in evaluation of total hip arthroplasties

  • Scientific Article
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Objective

To compare the diagnostic performance of a conventional metal artifact suppression sequence MAVRIC-SL (multi-acquisition variable-resonance image combination selective) and a novel 2.6-fold faster sequence employing robust principal component analysis (RPCA), in the MR evaluation of hip implants at 3 T.

Materials and methods

Thirty-six total hip implants in 25 patients were scanned at 3 T using a conventional MAVRIC-SL proton density-weighted sequence and an RPCA MAVRIC-SL proton density-weighted sequence. Comparison was made of image quality, geometric distortion, visualization around acetabular and femoral components, and conspicuity of abnormal imaging findings using the Wilcoxon signed-rank test and a non-inferiority test. Abnormal findings were correlated with subsequent clinical management and intraoperative findings if the patient underwent subsequent surgery.

Results

Mean scores for conventional MAVRIC-SL were better than RPCA MAVRIC-SL for all qualitative parameters (p < 0.05), although the probability of RPCA MAVRIC-SL being clinically useful was non-inferior to conventional MAVRIC-SL (within our accepted 10% difference, p < 0.05), except for visualization around the acetabular component. Abnormal imaging findings were seen in 25 hips, and either equally visible or visible but less conspicuous on RPCA MAVRIC-SL in 21 out of 25 cases. In 4 cases, a small joint effusion was queried on MAVRIC-SL but not RPCA MAVRIC-SL, but the presence or absence of a small effusion did not affect subsequent clinical management and patient outcome.

Conclusion

While the overall image quality is reduced, RPCA MAVRIC-SL allows for significantly reduced scan time and maintains almost equal diagnostic performance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Hargunani R, Madani H, Khoo M, et al. Imaging of the painful hip arthroplasty. Can Assoc Radiol J. 2016;67(4):345–55.

    Article  Google Scholar 

  2. Fritz J, Lurie B, Miller TT, Potter HG. MR imaging of hip arthroplasty implants. Radiographics. 2014;34(4):E106-132.

    Article  Google Scholar 

  3. Potter HG, Nestor BJ, Sofka CM, Ho ST, Peters LA, Salvati EA. Magnetic resonance imaging after total hip arthroplasty: evaluation of periprosthetic soft tissue. J Bone Joint Surg Am. 2004;86(9):947–54.

    Article  Google Scholar 

  4. Walde TA, Weiland DE, Leung SB, et al. Comparison of CT, MRI, and radiographs in assessing pelvic osteolysis: a cadaveric study. Clin Orthop Relat Res. 2005;437:138–44.

    Article  Google Scholar 

  5. Talbot BS, Weinberg EP. MR imaging with metal-suppression sequences for evaluation of total joint arthroplasty. Radiographics. 2016;36(1):209–25.

    Article  Google Scholar 

  6. Chang KJ, Kamel IR. Body MR imaging at 3T: basic considerations about artifacts and safety. In: Kamel IR, Merkle, EM, eds. Body MR Imaging at 3 Tesla. Cambridge: Cambridge University Press. 2011:1–11. https://doi.org/10.1017/CBO9780511978968.

  7. Olsen RV, Munk PL, Lee MJ, et al. Metal artifact reduction sequence: early clinical applications. Radiographics. 2000;20(3):699–712.

    Article  CAS  Google Scholar 

  8. Koch KM, Brau AC, Chen W, et al. Imaging near metal with a MAVRIC-SEMAC hybrid. Magn Reson Med. 2011;65(1):71–82.

    Article  CAS  Google Scholar 

  9. Koch KM, Lorbiecki JE, Hinks RS, King KF. A multispectral three-dimensional acquisition technique for imaging near metal implants. Magn Reson Med. 2009;61(2):381–90.

    Article  Google Scholar 

  10. Lu W, Pauly KB, Gold GE, Pauly JM, Hargreaves BA. SEMAC: slice encoding for metal artifact correction in MRI. Magn Reson Med. 2009;62(1):66–76.

    Article  Google Scholar 

  11. Hargreaves BA, Worters PW, Pauly KB, Pauly JM, Koch KM, Gold GE. Metal-induced artifacts in MRI. AJR Am J Roentgenol. 2011;197(3):547–55.

    Article  Google Scholar 

  12. Harris CA, White LM. Metal artifact reduction in musculoskeletal magnetic resonance imaging. Orthop Clin North Am. 2006;37(3):349-359,vi.

    Article  Google Scholar 

  13. Kretzschmar M, Nardo L, Han MM, et al. Metal artefact suppression at 3 T MRI: comparison of MAVRIC-SL with conventional fast spin echo sequences in patients with Hip joint arthroplasty. Eur Radiol. 2015;25(8):2403–11.

    Article  Google Scholar 

  14. Otazo R, Nittka M, Bruno M, et al. Sparse-SEMAC: rapid and improved SEMAC metal implant imaging using SPARSE-SENSE acceleration. Magn Reson Med. 2017;78(1):79–87.

    Article  CAS  Google Scholar 

  15. Wiens CN, Artz NS, Jang H, McMillan AB, Reeder SB. Externally calibrated parallel imaging for 3D multispectral imaging near metallic implants using broadband ultrashort echo time imaging. Magn Reson Med. 2017;77(6):2303–9.

    Article  CAS  Google Scholar 

  16. Nardo L, Han M, Kretzschmar M, et al. Metal artifact suppression at the hip: diagnostic performance at 3.0 T versus 1.5 Tesla. Skeletal Radiol. 2015;44(11):1609–16.

    Article  Google Scholar 

  17. Liebl H, Heilmeier U, Lee S, et al. In vitro assessment of knee MRI in the presence of metal implants comparing MAVRIC-SL and conventional fast spin echo sequences at 1.5 and 3 T field strength. J Magn Reson Imaging. 2015;41(5):1291–9.

    Article  Google Scholar 

  18. Hargreaves BA, Chen W, Lu W, et al. Accelerated slice encoding for metal artifact correction. J Magn Reson Imaging. 2010;31(4):987–96.

    Article  Google Scholar 

  19. Levine E, Stevens K, Beaulieu C, Hargreaves B. Accelerated three-dimensional multispectral MRI with robust principal component analysis for separation of on- and off-resonance signals. Magn Reson Med. 2018;79(3):1495–505.

    Article  Google Scholar 

  20. Fritz J, Ahlawat S, Demehri S, et al. Compressed sensing SEMAC: 8-fold accelerated high resolution metal artifact reduction MRI of cobalt-chromium knee arthroplasty implants. Invest Radiol. 2016;51(10):666–76.

    Article  CAS  Google Scholar 

  21. Worters PW, Sung K, Stevens KJ, Koch KM, Hargreaves BA. Compressed-sensing multispectral imaging of the postoperative spine. J Magn Reson Imaging. 2013;37(1):243–8.

    Article  Google Scholar 

  22. Gwet KL. Computing inter-rater reliability and its variance in the presence of high agreement. Br J Math Stat Psychol. 2008;61(Pt 1):29–48.

    Article  Google Scholar 

  23. Hayter CL, Koff MF, Shah P, Koch KM, Miller TT, Potter HG. MRI after arthroplasty: comparison of MAVRIC and conventional fast spin-echo techniques. AJR Am J Roentgenol. 2011;197(3):W405–11.

    Article  Google Scholar 

  24. Choi SJ, Koch KM, Hargreaves BA, Stevens KJ, Gold GE. Metal artifact reduction with MAVRIC SL at 3-T MRI in patients with hip arthroplasty. AJR Am J Roentgenol. 2015;204(1):140–7.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Dr. Evan Levine for assistance in the design and preliminary work on the RPCA MAVRIC-SL sequence.

Funding

This work was supported by the National Institutes of Health (R01 EB017739) and GE Medical Systems.

Author information

Author notes

  1. First authorship is shared by Zoe Doyle and Daehyun Yoon. Both of these individuals contributed substantially and equally to study design, data acquisition, analysis, and interpretation, and manuscript writing.

Authors and Affiliations

  1. Department of Radiology, Stanford University, 300 Pasteur Drive, Stanford, CA, 94305-5105, USA

    Zoe Doyle, Daehyun Yoon, Philip K. Lee, Jarrett Rosenberg, Brian A. Hargreaves, Christopher F. Beaulieu & Kathryn J. Stevens

  2. Department of Electrical Engineering, Stanford University, 350 Jane Stanford Way, Stanford, CA, 94305, USA

    Philip K. Lee & Brian A. Hargreaves

  3. Department of Bioengineering, Stanford University, 443 Via Ortega, Stanford, CA, 94305, USA

    Brian A. Hargreaves

  4. Department of Orthopaedic Surgery, Stanford University, 430 Broadway Street, Redwood City, CA, 94063, USA

    Christopher F. Beaulieu & Kathryn J. Stevens

Authors
  1. Zoe Doyle
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Daehyun Yoon
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Philip K. Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jarrett Rosenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Brian A. Hargreaves
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Christopher F. Beaulieu
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kathryn J. Stevens
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kathryn J. Stevens.

Ethics declarations

Competing interests

B.A.H. received NIH grant support, R01 EB017739 (MRI Near Metal). These sponsors provided funding for the study but were not involved in the study design, collection, analysis or interpretation of data, or preparation of the article. All other authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Doyle, Z., Yoon, D., Lee, P.K. et al. Clinical utility of accelerated MAVRIC-SL with robust-PCA compared to conventional MAVRIC-SL in evaluation of total hip arthroplasties. Skeletal Radiol 51, 549–556 (2022). https://doi.org/10.1007/s00256-021-03848-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-021-03848-y

Keywords

Search

Navigation