Optimization of magnetic resonance imaging of the hand

Мұқаба

Дәйексөз келтіру

Толық мәтін

Аннотация

BACKGROUND: Magnetic resonance imaging is one of the leading imaging modalities of the musculoskeletal system. However, when imaging the hand, major problems in magnetic resonance imaging include the lack of specialized coils and reliable fixation devices for the hand, uncomfortable patient posture, motion artifacts, and small anatomical structures in the wrist. These factors inevitably lead to incorrect interpretation.

AIM: To improve the quality of magnetic resonance imaging of the hand by developing an approach to coil selection, scanning protocol, and hand positioning and fixation.

MATERIALS AND METHODS: A positioning device was developed to prevent hand movements. Two types of coils were evaluated. Magnetic resonance images were evaluated comparatively, as well as by a musculoskeletal radiologist.

RESULTS: А head coil is more appropriate when scanning the entire hand, for example, in rheumatic diseases. A knee coil is more appropriate when studying smaller anatomical structures (including the wrist) owing to a smaller field of view and higher resolution. Based on the obtained data, guidelines for the selection of scanning parameters, sequences, and coils for magnetic resonance imaging of the hand were formulated. To prevent motion artifacts, a special fixation device of the patient’s hand was introduced.

CONCLUSION: Certain factors directly affect the qualitative magnetic resonance imaging study of the hand, such as safety protocols, scanning parameters, and hand fixation. The guidelines presented in this study and the use of the developed specialized fixation device may improve the quality of magnetic resonance imaging of the hand.

Негізгі сөздер

Толық мәтін

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Авторлар туралы

Yuriy Vasilev

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: VasilevYA1@zdrav.mos.ru
ORCID iD: 0000-0002-0208-5218
SPIN-код: 4458-5608

MD, Cand. Sci. (Medicine)

Ресей, Moscow

Dmitry Semenov

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: SemenovDS4@zdrav.mos.ru
ORCID iD: 0000-0002-4293-2514
SPIN-код: 2278-7290

Cand. Sci. (Engineering)

Ресей, Moscow

Alexey Petraikin

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: PetryajkinAV@zdrav.mos.ru
ORCID iD: 0000-0003-1694-4682
SPIN-код: 6193-1656

MD, Dr. Sci. (Medicine)

Ресей, Moscow

Andrey Uchevatkin

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: UchevatkinAA@zdrav.mos.ru
ORCID iD: 0000-0001-7284-4737
SPIN-код: 5575-4511

MD, Cand. Sci. (Medicine)

Ресей, Moscow

Liya Abuladze

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Хат алмасуға жауапты Автор.
Email: drliaabuladze@gmail.com
ORCID iD: 0000-0001-6745-1672
SPIN-код: 8640-9989
Ресей, Moscow

Alexander Bazhin

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: BazhinAV@zdrav.mos.ru
ORCID iD: 0000-0003-3198-1334
SPIN-код: 6122-5786

MD, Cand. Sci. (Medicine)

Ресей, Moscow

Dariya Sharova

Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies

Email: SharovaDE@zdrav.mos.ru
ORCID iD: 0000-0001-5792-3912
SPIN-код: 1811-7595
Ресей, Moscow

Әдебиет тізімі

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Қосымша файлдар

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2. Fig. 1. A device (splint) for positioning the patient’s hand.

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3. Fig. 2. Fixing a splint to immobilize the patient’s hand; (a) top view; (b) side view.

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4. Fig. 3. Patient in the prone position with the arm extended forward (the superman position) and the hand placed on a splint for immobilization; (a) positioning of the device in the assembled radiofrequency coil; (b) positioning of the device in the volume radiofrequency coil with the upper part open.

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5. Fig. 4. Magnetic resonance imaging of the hand using a head radiofrequency coil, with a splint to immobilize the hand. PD-weighted images with fat suppression; (a) coronal plane; (b) axial plane.

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6. Fig. 5. Magnetic resonance imaging of the hand using a knee radiofrequency coil, with a splint to immobilize the hand. PD-weighted images with fat suppression; (a) coronal plane; (b) axial plane.

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7. Fig. 6. Large encapsulated ganglion cyst of the dorsal hand with neck-like connection to the wrist cavity; (a) PD-weighted images with fat suppression in the axial plane; (b) PD-weighted images with fat suppression in the coronal plane; (c) T1-weighted images in the coronal plane; (d) PD-weighted images with fat suppression in the sagittal plane.

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8. Fig. 8. Reduced imaging quality because of movement artifacts without using a splint (arrows); (a) T1-weighted images in the coronal plane; (b) STIR protocol in the coronal plane.

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9. Fig. 9. Reduced imaging quality in a patient with triangular fibrocartilage complex disorder because of motion artifacts (arrows) and atypical positioning (without a splint); (a) T2-weighted images in the coronal plane; (b) PD-weighted images with fat suppression in the sagittal plane.

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10. Fig. 10. Reduced imaging quality because of technical artifacts from the ring: T1-weighted images in the coronal plane.

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11. Fig. 7. Left hand, wrist bones, and magnetic resonance imaging (T1-weighted images, coronal plane). The proximal bone row is marked in red; the distal bone row is marked in yellow. S, scaphoid bone; L, lunate bone; Tr, triquetral bone; Ps, pisiform bone; Tp, trapezium bone; Tz, trapezoid bone; H, hamatum, Cp, capitate bone.

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