Abstract

BackgroundThe purpose of the present study was to compare the image quality of spinal magnetic resonance (MR) imaging performed on a high-field horizontal open versus a short-bore MR scanner in a randomized controlled study setup.MethodsAltogether, 93 (80% women, mean age 53) consecutive patients underwent spine imaging after random assignement to a 1-T horizontal open MR scanner with a vertical magnetic field or a 1.5-T short-bore MR scanner. This patient subset was part of a larger cohort. Image quality was assessed by determining qualitative parameters, signal-to-noise (SNR) and contrast-to-noise ratios (CNR), and quantitative contour sharpness.ResultsThe image quality parameters were higher for short-bore MR imaging. Regarding all sequences, the relative differences were 39% for the mean overall qualitative image quality, 53% for the mean SNR values, and 34–37% for the quantitative contour sharpness (P<0.0001). The CNR values were also higher for images obtained with the short-bore MR scanner. No sequence was of very poor (nondiagnostic) image quality. Scanning times were significantly longer for examinations performed on the open MR scanner (mean: 32±22 min versus 20±9 min; P<0.0001).ConclusionsIn this randomized controlled comparison of spinal MR imaging with an open versus a short-bore scanner, short-bore MR imaging revealed considerably higher image quality with shorter scanning times.Trial RegistrationClinicalTrials.gov NCT00715806

Highlights

  • Conventional magnetic resonance (MR) imaging is performed with the patient lying in a long, narrow tube [1]

  • Imaging of the spine: 35 cervicothoracic spine, 61 thoracolumbar spine, 10 whole spine. Of these 106 patients, 93 underwent MR imaging, and all were included in this analysis (Figure 1)

  • All patients were at increased risk to suffer from claustrophobia

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Summary

Introduction

Conventional magnetic resonance (MR) imaging is performed with the patient lying in a long, narrow tube [1]. Modern MR scanners with these configurations have already shown a potential for reducing claustrophobia and allowing imaging of extremely obese patients [2,5,6,7,8,9]. An open scanner configuration might impair image quality due to a potentially larger inhomogeneity of a vertical magnetic field. Until recently, such systems operated at rather low field strengths [11,12,13]. The purpose of the present study was to compare the image quality of spinal magnetic resonance (MR) imaging performed on a high-field horizontal open versus a short-bore MR scanner in a randomized controlled study setup

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