Clinical implementation of MRI of joint arthroplasty

AJR Am J Roentgenol. 2014 Jul;203(1):154-61. doi: 10.2214/AJR.13.11991.

Abstract

Objective: The purpose of this article is to explain the basic physics of imaging patients with metal implants, explain conflicting information regarding MRI scanning of "MR Conditional" devices, and relate our experience of scanning total joint arthroplasty (TJA) at our institution.

Conclusion: MRI near TJA is effective with appropriate imaging protocols and standardized safety precautions. Strict adherence to MR Conditional labeling may preclude broad use of MRI for TJA assessment.

Keywords: MRI; arthroplasty; fast spin-echo; multiacquisition variable resonance image combination technique; total hip arthroplasty; total knee arthroplasty; total shoulder replacement.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement
  • Artifacts
  • Device Approval
  • Humans
  • Joint Prosthesis*
  • Magnetic Resonance Imaging / methods*
  • Metals
  • Patient Safety
  • Phantoms, Imaging
  • Postoperative Complications / diagnosis*
  • United States
  • United States Food and Drug Administration

Substances

  • Metals