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
Summary
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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