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Research ArticleArticles

Assessment of Magnetic Resonance Imaging Artifact Following Cervical Total Disc Arthroplasty

Amir H. Fayyazi, Jennifer Taormina, David Svach, Jeff Stein and Nathaniel R. Ordway
International Journal of Spine Surgery January 2015, 9 30; DOI: https://doi.org/10.14444/2030
Amir H. Fayyazi
1OAA Orthopaedic Specialists, Allentown, PA
MD
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Jennifer Taormina
2SUNY Upstate Medical University, Syracuse, NY
MS
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David Svach
3Research & Testing, Depuy Synthes, West Chester, PA
MS
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Jeff Stein
4Clinical Biostatistics & Data Management, DePuy Synthes, West Chester, PA
PhD
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Nathaniel R. Ordway
2SUNY Upstate Medical University, Syracuse, NY
MS
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  • Article
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Article Figures & Data

Figures

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  • Fig. 1
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    Fig. 1

    The area of the artifact was measured on each axial image using eFilm Lite software as demonstrated.

  • Fig. 2
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    Fig. 2

    Corresponding T2 weighted sagittal and axial images of Visualized, Partially Distorted, and Fully Distorted implanted segments.

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    Fig. 3

    The cross-sectional area of the artifact measures in each slice was dependent on the shape and material property of the device.

  • Fig. 4
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    Fig. 4

    The volume of the artifact measured was significantly larger following implantation of the Prestige ST implant.

  • Fig. 5
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    Fig. 5

    Minimal artifact was seen following the implantation of the Titanium Devices; Bryan (Top Left), Discover (Top Right), Prestige LP (Lower Left), and Prodisc C Ti (Lower Right).

  • Fig. 6
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    Fig. 6

    Significant distortion was noted following implantation of the stainless steel Prestige ST implant; neither the index nor the adjacent levels could be assessed following implantation.

Tables

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    Table 1

    MRI imaging sequences

    T1T2
    SagittalTR: 400ms
    TE: 7.4ms
    TR: 3500ms
    TE: 120ms
    AxialTR: 1089ms
    TE: 7.8ms
    TR: 3500ms
    TE: 80ms
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    Table 2

    List of cervical implants imaged as well as the size and weight ranges.

    Implant MaterialsSize Used (mm) (deep x width x height)Size Range (mm)Weight Range (grams)
    Prodisc-CCoCrMo endplates with plasma-sprayed titanium surface, UHMWPE inlay12 x 15 x 512 – 18 D
    15 – 19 W
    5 – 7 H
    4.43 – 9.26
    Prodisc-C Ti (prototype)TAN Endplates, superior CoCrMo insert, inferior UHMWPE inlay12 x 15 x 512 – 18 D
    15 – 19 W
    5 – 7 H
    2.73 – 5.64
    Prestige LPTitanium Alloy/Titanium Carbide Composite, plasma-sprayed titanium coating12 x 17.8 x 612 – 18 D
    17.8 W
    6 – 8 H
    3.65 – 7.67
    DiscoverTitanium Alloy Endplates, Polyethylene Core15.2 x 18.7 x 813.7 – 16.7 D
    14.2 – 18.7 W
    5 – 9 H
    2.14 – 5.54
    BryanTitanium shells, Polyurethane nucleus and sheath14 (diameter) x 614 – 18 D
    6 H
    Prestige STStainless steel14 x 17.8 x 712 – 18 D
    17.8 W
    6 – 7 H
    10.41 – 14.74
    • D: depth; W: width; H: height.

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    Table 3

    Qualitative scoring method used for classifying image artifact.

    IVisualizedNo distinguishable artifact in either sagittal or axial images of the spinal canal or bilateral neural foramina.
    IIPartially DistortedDistortion of either neural foramina or the spinal canal that allows partial visualization of the neural structures.
    IIIFully DistortedInability to visualize the neural structures in bilateral neural foramina and the canal.
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    Table 4

    Pearson Product Moment Correlation Coefficients.

    TI (All)T1 Without Prestige STT2 (All)T2 Without Prestige ST
    Overall0.9990.9880.9970.990
    Observer A0.9990.9970.9990.996
    Observer B0.9980.9991.0000.999
    Observer C0.9990.9920.9990.974
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    Table 5

    Concordance Correlation Coefficients.

    T1T2
    First Measurement (All)0.8980.974
    Repeat Measurement (All)0.9110.992
    First Measurement Without Prestige ST0.860.913
    Repeat Measurement Without Prestige ST0.8610.924
    • View popup
    Table 6

    Qualitative measurements by level and implant.

    LevelProDisc-CProDisc-C TiPrestige LPDiscoverBryanPrestige ST
    IndexPartially DistortedFully VisualizedFully VisualizedFully VisualizedFully VisualizedFully Distorted
    AdjacentFully VisualizedFully VisualizedFully VisualizedFully VisualizedFully VisualizedFully Distorted
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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Assessment of Magnetic Resonance Imaging Artifact Following Cervical Total Disc Arthroplasty
Amir H. Fayyazi, Jennifer Taormina, David Svach, Jeff Stein, Nathaniel R. Ordway
International Journal of Spine Surgery Jan 2015, 9 30; DOI: 10.14444/2030

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Assessment of Magnetic Resonance Imaging Artifact Following Cervical Total Disc Arthroplasty
Amir H. Fayyazi, Jennifer Taormina, David Svach, Jeff Stein, Nathaniel R. Ordway
International Journal of Spine Surgery Jan 2015, 9 30; DOI: 10.14444/2030
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Keywords

  • cervical spine
  • total disc arthroplasty
  • MRI
  • Artifact
  • Quantitative Measurement
  • Qualitative Measurement

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