Lisa Latzko, Anna Schmit, Bernhard Glodny, Astrid E Grams, Christoph Birkl, Adriano G Crismani
{"title":"Orthodontic appliances and their diagnostic impact to brain MRI.","authors":"Lisa Latzko, Anna Schmit, Bernhard Glodny, Astrid E Grams, Christoph Birkl, Adriano G Crismani","doi":"10.1007/s00784-025-06275-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to display and quantify signal loss artifacts in 1.5T and 3T brain MRI on a volunteer with different orthodontic appliances.</p><p><strong>Materials and methods: </strong>In this experimental study, three different orthodontic appliances were examined on a 1.5T and a 3T MRI scanner in a healthy adult with normal dental occlusion: stainless-steel brackets paired with a nickel-titanium archwire; brackets, archwire, and stainless-steel molar bands; brackets, archwire, molar bands, and a stainless-steel trans-palatal archwire. Assessment of diverse anatomical structures, including different cerebral structures and blood vessels, was conducted using a six-point Likert scale.</p><p><strong>Results: </strong>Utilizing conventional stainless-steel brackets and a nickel-titanium archwire, with or without the inclusion of stainless-steel molar bands, all cerebral structures demonstrated satisfactory assessability with high diagnostic quality under both 1.5T and 3T MRI. For example, with an average rating of 85/85 for T2 and 77/85 for susceptibility-weighted imaging (SWI). Upon introduction of the stainless-steel trans-palatal archwire, additional artifacts were observed, predominantly manifesting in SWI (20/85), diffusion-weighted imaging (DWI) sequences (31/85), and phase contrast angiography (PCA) (17/20). Differences in artifact severity were mainly observed in the SWI and DWI sequences.</p><p><strong>Conclusion: </strong>Based on the findings of this study, it is not imperative to entirely remove orthodontic appliances to achieve sufficient diagnostic quality in brain MRI. In instances where SWI or DWI sequences are necessitated, the removal of solely the trans-palatal stainless-steel archwire should be contemplated, given its straightforward execution.</p><p><strong>Clinical relevance: </strong>These results highlight the potential to reduce injury risk during orthodontic appliance removal, expedite imaging procedures, and consequently accelerate diagnostic processes, particularly crucial in emergencies.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 4","pages":"202"},"PeriodicalIF":3.1000,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929640/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Investigations","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00784-025-06275-8","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The aim of this study was to display and quantify signal loss artifacts in 1.5T and 3T brain MRI on a volunteer with different orthodontic appliances.
Materials and methods: In this experimental study, three different orthodontic appliances were examined on a 1.5T and a 3T MRI scanner in a healthy adult with normal dental occlusion: stainless-steel brackets paired with a nickel-titanium archwire; brackets, archwire, and stainless-steel molar bands; brackets, archwire, molar bands, and a stainless-steel trans-palatal archwire. Assessment of diverse anatomical structures, including different cerebral structures and blood vessels, was conducted using a six-point Likert scale.
Results: Utilizing conventional stainless-steel brackets and a nickel-titanium archwire, with or without the inclusion of stainless-steel molar bands, all cerebral structures demonstrated satisfactory assessability with high diagnostic quality under both 1.5T and 3T MRI. For example, with an average rating of 85/85 for T2 and 77/85 for susceptibility-weighted imaging (SWI). Upon introduction of the stainless-steel trans-palatal archwire, additional artifacts were observed, predominantly manifesting in SWI (20/85), diffusion-weighted imaging (DWI) sequences (31/85), and phase contrast angiography (PCA) (17/20). Differences in artifact severity were mainly observed in the SWI and DWI sequences.
Conclusion: Based on the findings of this study, it is not imperative to entirely remove orthodontic appliances to achieve sufficient diagnostic quality in brain MRI. In instances where SWI or DWI sequences are necessitated, the removal of solely the trans-palatal stainless-steel archwire should be contemplated, given its straightforward execution.
Clinical relevance: These results highlight the potential to reduce injury risk during orthodontic appliance removal, expedite imaging procedures, and consequently accelerate diagnostic processes, particularly crucial in emergencies.
期刊介绍：
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
