Highlights
- •MRI in novel venous stents is not impaired by susceptibility-induced artifacts.
- •RF-induces artifacts are more complex in braided compared to laser-cut stents.
- •Braided stents can enhance the intraluminal signal due to B1 amplification.
Abstract
Purpose
To quantify B0- and B1-induced imaging artifacts of braided venous stents and to compare the artifacts to
a set of laser-cut stents used in venous interventions.
Methods
Three prototypes of braided venous stents with different geometries were tested in
vitro. B0 field distortion maps were measured via the frequency shift using multi-echo imaging. B1 distortions were quantified using the double angle method. The relative amplitudes
were calculated to compare the intraluminal alteration of B1. Measurements were repeated with the stents in three different orientations: parallel,
diagonal and orthogonal to B0.
Results
At 1.5 T, the braided stents induced a maximum frequency shift of . Signal voids were limited to a distance of 2 mm to the stent walls at an echo time
of 3 ms. No substantial difference in the B0 field distortions was seen between laser-cut and braided venous stents. maps showed strongly varying distortion patterns in the braided stents with the mean
intraluminal ranging from in prototype 1 to in prototype 2. Compared to laser-cut stents the braided stents showed a 5 to 9 times
higher coefficient of variation of the intraluminal .
Conclusion
Braided venous stent prototypes allow for MR imaging of the intraluminal area without
substantial signal voids due to B0-induced artifacts. Whereas B1 is attenuated homogeneously in laser-cut stents, the B1 distortion in braided stents is more inhomogeneous and shows areas with enhanced
amplitude. This could potentially be used in braided stent designs for intraluminal
signal amplification.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Physica Medica: European Journal of Medical PhysicsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Iliac vein compression syndrome: A new method of treatment.Am Surg. 2000; 66: 653-655
- The effect of deep venous stenting on healing of lower limb venous ulcers.Eur J Vasc Endovasc Surg. 2014; 48: 330-336
- Clinical assessment of endovascular stenting compared with compression therapy alone in post-thrombotic patients with iliofemoral obstruction.Eur J Vasc Endovasc Surg. 2015; 50: 101-107
- Venous stents: current status and future directions.Tech Vasc Interv Radiol. 2018; 21: 113-116
- endovascular treatmen of chronic venous occlusive disease — specifications of endoprotheses and comparison of results.Angiol E Cir Vasc. 2019; 15: 76-85
- Physical properties of venous stents: an experimental comparison.Cardiovasc Intervent Radiol. 2018; 41: 942-950
- MRT-Sicherheitsaspekte und -Artefakte von Vorhofseptum-Okkludersystemen bei 1,5 Tesla: eine Phantomstudie.RöFo - Fortschritte Auf Dem Geb Röntgenstrahlen Bildgeb Verfahr. 2006; 178: 272-277
- Braided or laser-cut self-expanding nitinol stents for the common femoral vein in patients with post-thrombotic syndrome.J Vasc Surg Venous Lymphat Disord. 2021; 9: 760-769https://doi.org/10.1016/j.jvsv.2020.08.027
- Patency rates and clinical outcomes in a cohort of 200 patients treated with a dedicated venous stent.J Vasc Surg Venous Lymphat Disord. 2018; 6: 321-329
- Imaging of venous compression syndromes.Cardiovasc Diagn Ther. 2016; 6: 519-532
- MR imaging in the presence of vascular stents: a systematic assessment of artifacts for various stent orientations, sequence types, and field strengths.J Magn Reson Imaging. 2000; 12: 606-615
- MR imaging of vascular stents: effects of susceptibility, flow, and radiofrequency eddy currents.J Vasc Interv Radiol. 2001; 12: 365-371
- Visualization of stent lumen in MR imaging: relationship with stent design and RF direction.Acta Med Okayama. 2012;
- Simulations of the Stent Artifacts in Magnetic Resonance Imaging.IEEE Trans Magn. 2012; 48: 659-662
- rf enhancement and shielding in MRI caused by conductive implants: Dependence on electrical parameters for a tube model.Med Phys. 2005; 32: 337-342
- Neurovascular stent artifacts in 3D-TOF and 3D-PCMRI: influence of stent design on flow measurement.Magn Reson Med. 2019; 81: 560-572
- Magnetic Resonance Imaging of Venous Stents at 1.5 T: Susceptibility Artifacts and Radiofrequency Shielding.Invest Radiol. 2020; 55: 741-746
- RF-field mapping in vivo.Soc Magn Reson Med Annu Meet. 1988; 106–106
- The role of magnetic susceptibility in magnetic resonance imaging: MRI magnetic compatibility of the first and second kinds.Med Phys. 1996; 23: 815-850
- Pelvic and Lower Extremity Veins: Contrast-enhanced Three-dimensional MR Venography with a Dedicated Vascular Coil—Initial Experience.Radiology. 2000; 215: 421-427
- Iliac compression syndrome and recanalization of femoropopliteal and iliac venous thrombosis: A prospective study with magnetic resonance venography.J Vasc Surg. 2004; 40: 612-619
- Magnetic resonance VIBE venography using the blood pool contrast agent gadofosveset trisodium—An interrater reliability study.Eur J Radiol. 2012; 81: 547-552
- Magnetic Resonance Imaging of Bioresorbable Vascular Scaffolds Potential Approach for Noninvasive Evaluation of Coronary Patency.Circ Cardiovasc Interv. 2015; 8e002388
- Coronary magnetic resonance imaging after routine implantation of bioresorbable vascular scaffolds allows non-invasive evaluation of vascular patency.PLoS One. 2018; 13: e0191413
- First magnetic resonance coronary artery imaging of bioresorbable vascular scaffold in-patient.Eur Heart J - Cardiovasc Imaging. 2015; 16: 229-239
- Improved lumen visualization in metallic vascular implants by reducing RF artifacts.Magn Reson Med. 2002; 47: 171-180
- Metal-Induced Artifacts in MRI.Am J Roentgenol. 2011; 197: 547-555
- High flip angle imaging of metallic stents: implications for MR angiography and intraluminal signal interpretation.Magn Reson Med. 2003; 50: 879-883
- Inductively coupled stent antennas in MRI.Magn Reson Med. 2002; 48: 781-790
- On the heating of inductively coupled resonators (stents) during MRI examinations.Magn Reson Med. 2005; 54: 775-782
- A vascular stent as an active component for locally enhanced magnetic resonance imaging: initial in vivo imaging results after catheter-guided placement in rabbits.Invest Radiol. 2003; 38: 147-152
- Improvement of the MR imaging behavior of vascular implants.Minim Invasive Ther Allied Technol. 2006; 15: 85-92
- Analysis of the RF Excitation of Endovascular Stents in Small Gap and Overlap Scenarios using an Electro-optical E-field Sensor.IEEE Trans Biomed Eng. 2021; 68: 783-792https://doi.org/10.1109/TBME.1010.1109/TBME.2020.3009869
Article info
Publication history
Published online: June 17, 2021
Accepted:
June 4,
2021
Received in revised form:
May 19,
2021
Received:
April 14,
2021
Identification
Copyright
© 2021 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.