A Novel Portable, Mobile MRI: Comparison with an Established Low-Field Intraoperative MRI System

Sharon Bossert, Prashin Unadkat, Kevin N. Sheth, Gordon Sze, Michael Schulder
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Abstract

Abstract Background MRI (magnetic resonance imaging) using low-magnet field strength has unique advantages for intraoperative use. We compared a novel, compact, portable MR imaging system to an established intraoperative 0.15 T system to assess potential utility in intracranial neurosurgery. Methods Brain images were acquired with a 0.15 T intraoperative MRI (iMRI) system and a 0.064 T portable MR system. Five healthy volunteers were scanned. Individual sequences were rated on a 5-point (1 to 5) scale for six categories: contrast, resolution, coverage, noise, artifacts, and geometry. Results Overall, the 0.064 T images (M = 3.4, SD = 0.1) had statistically higher ratings than the 0.15 T images (M = 2.4, SD = 0.2) (p < 0.01). All comparable sequences (T1, T2, T2 FLAIR and SSFP) were rated significantly higher on the 0.064 T and were rated 1.2 points (SD = 0.3) higher than 0.15 T scanner, with the T2 fluid-attenuated inversion recovery (FLAIR) sequences showing the largest increment on the 0.064 T with an average rating difference of 1.5 points (SD = 0.2). Scanning time for the 0.064 T system obtained images more quickly and encompassed a larger field of view than the 0.15 T system. Conclusions A novel, portable 0.064 T self-shielding MRI system under ideal conditions provided images of comparable quality or better and faster acquisition times than those provided by the already well-established 0.15 T iMR system. These results suggest that the 0.064 T MRI has the potential to be adapted for intraoperative use for intracranial neurosurgery.
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一种新型便携式移动MRI:与已建立的低场术中MRI系统的比较
背景低磁场强度的MRI(磁共振成像)在术中应用具有独特的优势。我们比较了一种新型、紧凑、便携的磁共振成像系统和一种成熟的术中0.15 T磁共振成像系统,以评估其在颅内神经外科手术中的潜在效用。方法采用0.15 T术中MRI (iMRI)系统和0.064 T便携式MR系统采集脑图像。对5名健康志愿者进行了扫描。对单个序列进行5分(1到5)评分,分为六个类别:对比度,分辨率,覆盖率,噪声,伪影和几何形状。结果总体而言,0.064 T图像(M = 3.4, SD = 0.1)评分高于0.15 T图像(M = 2.4, SD = 0.2) (p <0.01)。所有可比较序列(T1、T2、T2 FLAIR和SSFP)在0.064 T上的评分均显著高于0.15 T,评分比0.15 T高1.2分(SD = 0.3),其中T2流体衰减反转恢复(FLAIR)序列在0.064 T上的评分增幅最大,平均评分差为1.5分(SD = 0.2)。0.064 T系统的扫描时间比0.15 T系统获得的图像更快,涵盖的视场更大。结论一种新型的便携式0.064 T自屏蔽磁共振成像系统在理想条件下提供的图像质量与现有的0.15 T iMR系统相当或更好、更快的采集时间。这些结果表明,0.064 T MRI有可能适用于颅内神经外科术中使用。
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