Magnetic Resonance Imaging of Joint Replacements

Ali M. Naraghi; Lawrence M. White

doi:10.1055/s-2006-934220

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2006; 10(1): 098-106
DOI: 10.1055/s-2006-934220

Magnetic Resonance Imaging of Joint Replacements

Ali M. Naraghi¹ , Lawrence M. White²

¹Royal London Hospital, Department of Diagnostic Imaging, London, United Kingdom
²Mount Sinai Hospital and University Health Network, Department of Diagnostic Imaging, Toronto, Ontario, Canada

Abstract

ABSTRACT

An increasing number of joint replacements are being performed annually. Complications of joint arthroplasty are diverse and may involve the hardware as well as osseous and soft tissue components. Although modalities such as conventional radiography and scintigraphy remain the mainstay of radiological investigation, in some cases these traditional methods of imaging may be negative or underestimate the extent of disease. Magnetic resonance imaging (MRI) has been considered of limited benefit following arthroplasty because of severe image degradation caused by metallic components. However, with modification of pulse sequences, artifact reduction and improved visualization of periprosthetic tissues are achievable, enabling a comprehensive assessment of articular and nonarticular pathologies. The common artifacts in the presence of orthopedic hardware, optimization of pulse sequences to minimize metal-related artifacts, and the clinical uses of MRI following joint replacement, particularly with regard to total hip arthroplasty, total knee arthroplasty, and shoulder arthroplasty, are reviewed.

KEYWORDS

Magnetic resonance imaging - artifacts - arthroplasty

Full Text

References

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Lawrence M WhiteM.D.

Mount Sinai Hospital and University Health Network, Department of Diagnostic Imaging

600 University Avenue, Toronto, Ontario, Canada, M5G 1X5