Radiofrequency induced heating of biodegradable orthopaedic screw implants during magnetic resonance imaging

Magnesium(Mg)-based implants have re-emerged in orthopaedic surgery as an alternative to permanent implants.Literature reveals little information on how the degradation of biodegradable implants may introduce safety implications for patient follow-up using medical imaging.Magnetic resonance imaging(MRI)benefits post-surgery monitoring of bone healing and implantation sites.Previous studies demonstrated radiofrequency(RF)heating of permanent implants caused by electromagnetic fields used in MRI.Our investigation is the first to report the effect of the degradation layer on RF-induced heating of biodegradable orthopaedic implants.WE43 orthopaedic compression screws underwent in vitro degradation.Imaging techniques were applied to assess the corrosion process and the material composition of the degraded screws.Temperature measurements were performed to quantify implant heating with respect to the degradation layer.For comparison,a commercial titanium implant screw was used.Strongest RF induced heating was observed for non-degraded WE43 screw samples.Implant heating had shown to decrease with the formation of the degradation layer.No statistical differences were observed for heating of the non-degraded WE43 material and the titanium equivalent.The highest risk of implant RF heating is most pronounced for Mg-based screws prior to degradation.Amendment to industry standards for MRI safety assessment is warranted to include biodegradable materials.

Evaluating metallic artefact of biodegradable magnesium-based implants in magnetic resonance imaging

Magnesium(Mg)implants have shown to cause image artefacts or distortions in magnetic resonance imaging(MRI).Yet,there is a lack of information on how the degradation of Mg-based implants influences the image quality of MRI examinations.In this study,Mg-based implants are analysed in vitro,ex vivo,and in the clinical setting for various magnetic field strengths with the aim to quantify metallic artefact behaviour.In vitro corroded Mg-based screws and a titanium(Ti)equivalent were imaged according to the ASTM F2119.Mg-based and Ti pins were also implanted into rat femurs for different time points and scanned to provide insights on the influence of soft and hard tissue on metallic artefact.Additionally,MRI data of patients with scaphoid fractures treated with CE-approved Mg-based compression screws(MAGNEZIX®)were analysed at various time points post-surgery.The artefact production of the Mg-based material decreased as implant material degraded in all settings.The worst-case imaging scenario was determined to be when the imaging plane was selected to be perpendicular to the implant axis.Moreover,the Mg-based implant outperformed the Ti equivalent in all experiments by producing lower metallic artefact(p<0.05).This investigation demonstrates that Mg-based implants generate significantly lower metallic distortion in MRI when compared to Ti.Our positive findings suggest and support further research into the application of Mg-based implants including post-operative care facilitated by MRI monitoring of degradation kinetics and bone/tissue healing processes.