1.Influence of receiver bandwidth on MRI artifacts caused by orthodontic brackets composed of different alloys
Reinaldo ABDALA-JUNIOR ; Juliana NO-CORTES ; Emiko Saito ARITA ; Jerome L. ACKERMAN ; Renan Lúcio BERBEL DA SILVA ; Jun Ho KIM ; Arthur Rodriguez GONZALEZ CORTES
Imaging Science in Dentistry 2021;51(4):413-419
Purpose:
The aim of this in vitro study was to assess the role of bandwidth on the area of magnetic resonance imaging (MRI) artifacts caused by orthodontic appliances composed of different alloys, using different pulse sequences in 1.5 T and 3.0 T magnetic fields.
Materials and Methods:
Different phantoms containing orthodontic brackets (ceramic, ceramic bracket with a stainless-steel slot, and stainless steel) were immersed in agar gel and imaged in 1.5 T and 3.0 T MRI scanners. Pairs of gradient-echo (GE), spin-echo (SE), and ultrashort echo time (UTE) pulse sequences were used differing in bandwidth only. The area of artifacts from orthodontic devices was automatically estimated from pixel value thresholds within a region of interest (ROI). Mean values for similar pulse sequences differing in bandwidth were compared at 1.5 T and 3.0 T using analysis of variance.
Results:
The comparison of groups revealed a significant inverse association between bandwidth values and artifact areas of the stainless-steel bracket and the self-ligating ceramic bracket with a stainless-steel slot (P<0.05). The areasof artifacts from the ceramic bracket were the smallest, but were not reduced significantly in pulse sequences with higher bandwidth values (P<0.05). Significant differences were also observed between 1.5 T and 3.0 T MRI using SE and UTE, but not using GE 2-dimensional or 3-dimensional pulse sequences.
Conclusion
Higher receiver bandwidth might be indicated to prevent artifacts from orthodontic appliances in 1.5 T and 3.0 T MRI using SE and UTE pulse sequences.
2.Correlation between magnetic resonance imaging and cone-beam computed tomography for maxillary sinus graft assessment
Fernando Antonio Reis LAURINO ; Isabela Goulart Gil CHOI ; Jun Ho KIM ; Ivan Onone GIALAIN ; Renato FERRAÇO ; Rainer Guilherme HAETINGER ; Otavio Henrique PINHATA-BAPTISTA ; Reinaldo ABDALA-JUNIOR ; Claudio COSTA ; Arthur Rodriguez Gonzalez CORTES
Imaging Science in Dentistry 2020;50(2):93-98
Purpose:
Little is known regarding the accuracy of clinical magnetic resonance imaging (MRI) protocols with acceptable scan times in sinus graft assessment. The aim of this study was to evaluate the correlations between MRI and cone-beam computed tomographic (CBCT) measurements of maxillary sinus grafts using 2 different clinical MRI imaging protocols.
Materials and Methods:
A total of 15 patients who underwent unilateral sinus lift surgery with biphasic calcium phosphate were included in this study. CBCT, T1-weighted MRI, and T2-weighted MRI scans were taken 6 months after sinus lift surgery. Linear measurements of the maximum height and buccolingual width in coronal images, as well as the maximum anteroposterior depth in sagittal images, were performed by 2 trained observers using CBCT and MRI Digital Imaging and Communication in Medicine files. Microcomputed tomography (micro-CT) was also performed to confirm the presence of bone tissue in the grafted area. Correlations between MRI and CBCT measurements were assessed with the Pearson test.
Results:
Significant correlations between CBCT and MRI were found for sinus graft height (T1-weighted, r=0.711 and p<0.05; T2-weighted, r=0.713 and p<0.05), buccolingual width (T1-weighted, r=0.892 and p<0.05; T2-weighted, r=0.956 and p<0.05), and anteroposterior depth (T1-weighted, r=0.731 and p<0.05; T2-weighted, r=0.873 and p<0.05). The presence of bone tissue in the grafted areas was confirmed via micro-CT.
Conclusion
Both MRI pulse sequences tested can be used for sinus graft measurements, as strong correlations with CBCT were found. However, correlations between T2-weighted MRI and CBCT were slightly higher than those between T1-weighted MRI and CBCT.