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Real-time three-dimensional MRI for the assessment of dynamic carpal instability


Autoři: Calvin B. Shaw aff001;  Brent H. Foster aff002;  Marissa Borgese aff001;  Robert D. Boutin aff001;  Cyrus Bateni aff001;  Pattira Boonsri aff001;  Christopher O. Bayne aff003;  Robert M. Szabo aff003;  Krishna S. Nayak aff004;  Abhijit J. Chaudhari aff001
Působiště autorů: Department of Radiology, University of California Davis, Sacramento, California, United States of America aff001;  Department of Biomedical Engineering, University of California Davis, Davis, California, United States of America aff002;  Department of Orthopaedic Surgery, University of California Davis, Sacramento, California, United States of America aff003;  Ming Hsieh Department of Electrical Engineering, University of Southern California, Los Angeles, California, United States of America aff004
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0222704

Souhrn

Background

Carpal instability is defined as a condition where wrist motion and/or loading creates mechanical dysfunction, resulting in weakness, pain and decreased function. When conventional methods do not identify the instability patterns, yet clinical signs of instability exist, the diagnosis of dynamic instability is often suggested to describe carpal derangement manifested only during the wrist’s active motion or stress. We addressed the question: can advanced MRI techniques provide quantitative means to evaluate dynamic carpal instability and supplement standard static MRI acquisition? Our objectives were to (i) develop a real-time, three-dimensional MRI method to image the carpal joints during their active, uninterrupted motion; and (ii) demonstrate feasibility of the method for assessing metrics relevant to dynamic carpal instability, thus overcoming limitations of standard MRI.

Methods

Twenty wrists (bilateral wrists of ten healthy participants) were scanned during radial-ulnar deviation and clenched-fist maneuvers. Images resulting from two real-time MRI pulse sequences, four sparse data-acquisition schemes, and three constrained image reconstruction techniques were compared. Image quality was assessed via blinded scoring by three radiologists and quantitative imaging metrics.

Results

Real-time MRI data-acquisition employing sparse radial sampling with a gradient-recalled-echo acquisition and constrained iterative reconstruction appeared to provide a practical tradeoff between imaging speed (temporal resolution up to 135 ms per slice) and image quality. The method effectively reduced streaking artifacts arising from data undersampling and enabled the derivation of quantitative measures pertinent to evaluating dynamic carpal instability.

Conclusion

This study demonstrates that real-time, three-dimensional MRI of the moving wrist is feasible and may be useful for the evaluation of dynamic carpal instability.

Klíčová slova:

Medicine and health sciences – Diagnostic medicine – Diagnostic radiology – Magnetic resonance imaging – Tomography – Computed axial tomography – Radiology and imaging – Arms – Ligaments – Research and analysis methods – Imaging techniques – Biology and life sciences – Anatomy – Musculoskeletal system – Body limbs – Skeletal joints – Biological tissue – Connective tissue – Neuroscience – Neuroimaging – People and places – Population groupings – Professions – Medical personnel – Radiologists


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