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The rope ladder: an uncommon artifact and potential pitfall in MR arthrography of the shoulder.

OBJECTIVE: MR arthrograms were retrospectively reviewed for susceptibility artifacts induced by accidental injection of a small amount of gas when paramagnetic contrast solution was injected. A pitfall to interpretation, an unusual distribution of intraarticular gas into the sheath of the long biceps tendon that resembled a rope ladder, was observed and compared with findings of bicipital tenosynovitis. CONCLUSION: Intraarticular gas contamination during MR arthrography must be differentiated from intraarticular loose bodies and findings of bicipital tenosynovitis. Most reliable for the differential diagnosis are the different shapes and sizes of the gas-induced susceptibility artifacts on spin-echo and gradient-recalled echo images.

Adult↗

Respiration-related artifacts in EDA recordings: introducing a standardized method to overcome multiple interpretations.

When electrodermal activity (EDA) recordings are controlled for artifacts, i.e., electrodermal reactions [EDRs] elicited by breathing irregularities, several problems arise. For example, respiration is difficult to evaluate because there are no clear-cut criteria for its values, e.g., wave form, depth. Furthermore, respiration and EDA are rather complexly intertwined, and there is no established or standardized method for evaluation. Especially when subjects are not stimulated, i.e., when nonspecific EDRs are taken, EDR recordings elicited by irregular breathing may overestimate the subject's arousal and bias any given research question. Moreover, incidences of concurrent consecutive EDRs and changes in respiratory activity may encourage multicausal interpretation due to both signals' having a common central causation. To circumvent such problems, we developed a method which provides rule-based guidelines to identify potential artifacts. Two experiments (N = 14 and N = 12) were conducted to test the accuracy of the judgments of three independent raters. The reliability coefficients for the number of electrodermal reactions and the sum of their amplitudes yielded satisfactory coefficients of convergence for each individual experiment (.87 and .82 in Exp. 1 vs .94 and .95 in Exp. 2) as well as for the two experiments combined (.92 and .91).

Adolescent↗

Avoiding electromagnetic artifacts when recording auditory steady-state responses.

Electromagnetic artifacts can occur when recording multiple auditory steady-state responses evoked by sinusoidally amplitude modulated (SAM) stimuli. High-intensity air-conducted stimuli evoked responses even when hearing was prevented by masking. Additionally, high-intensity bone-conducted stimuli evoked responses that were completely different from those evoked by air-conducted stimuli of similar sensory level. These artifacts were caused by aliasing since they did not occur when recordings used high analog-digital (AD) conversion rates or when high frequencies in the electroencephalographic (EEG) signal were attenuated by steep-slope low-pass filtering. Two possible techniques can displace aliased energy away from the response frequencies: (1) using an AD rate that is not an integer submultiple of the carrier frequencies and (2) using stimuli with frequency spectra that do not alias back to the response frequencies, such as beats or "alternating SAM" tones. Alternating SAM tones evoke responses similar to conventional SAM tones, whereas beats produce significantly smaller responses.

Acoustic Stimulation↗

[Optimization of three-dimensional triple IR fast spoiled gradient recalled acquisition in the steady state (FSPGR) to decrease vascular artifact at 3.0 Tesla].

The purpose of this study was to decrease vascular artifacts caused by the in-flow effect in three-dimensional inversion recovery prepared fast spoiled gradient recalled acquisition in the steady state (3D IR FSPGR) at 3.0 Tesla. We developed 3D triple IR (3IR) FSPGR and examined the signal characteristics of the new sequence. We have optimized scan parameters based on simulation, phantom, and in-vivo studies. As a result, optimized parameters (1st TI=600 ms, 3rd TI=500 ms) successfully have produced the vessel signal at more than 40% reduction, while gray-white matter contrast was preserved. Moreover, the reduced artifact was also confirmed by visual inspection of the in-vivo images for which this condition was used. Thus, 3D 3IR FSPGR was a useful sequence for the acquisition of T1-weighted images at 3.0 Tesla.

Adult↗

[Application of the OS-EM method to myocardial SPECT: evaluation of artifact reduction using heart phantom with liver object].

SPECT images reconstructed by the ordered subsets expectation maximization (OS-EM) method are known to have fewer artifacts induced by the nearly high-count background organs. The aim of this study was to determine whether the OS-EM method is effective in reducing artifacts induced by the high radioactivity of liver compared with the filtered back projection (FBP) method using a heart phantom with a liver object. Heart and liver phantoms were laid to overlap each other by 2 cm, and the liver/heart radioactivity (L/H) ratios were 0:1, 2:1, and 6:1. Short axial images of cardiac SPECT were reconstructed by OS-EM and the filtered back projection (FBP) method, and counts profiles were obtained for both methods. In both methods of image reconstruction, artifactual higher counts in the inferior wall of the heart were observed as the L/H ratio increased. When compared with the L/H ratio of 0:1, the increase in relative counts of the L/H ratio of 2:1 in the inferior wall showed a similar value for both methods (OS-EM: +9.7%, FBP: +11.6%). With the L/H ratio of 6:1, the OS-EM method showed a lesser increase in relative counts of the inferior wall than with the FBP method (OS-EM: +24.5%, FBP: +38.9%). Moreover, the areas of increased counts were smaller. In conclusion, the OS-EM method was thought to be more useful than the FBP method in reducing the increase in artifactual counts caused by the high radioactivity of liver.

Artifacts↗

The comet tail artifact.

A description and explanation of an unexpected echographic appearance in a patient who had sustained an abdominal shotgun wound is presented. In the B-scans, a trail of dense continuous echoes, simulating a comet tail, is seen distal to each lead pellet. This comet tail appearance is shown to be a type of reverberation artifact. The effect of object size, shape, composition, and orientation on the appearance of this artifact is demonstrated.

Animals↗

Chemical artifacts in drug metabolism research.

A number of drug metabolism reactions results in artifacts produced by non-enzymatic changes in substrate or metabolite. Substrates and/or their metabolites may either be chemically modified during their metabolism or at any stage of the experimental procedure, i.e. extraction, concentration, separation and storage into breakdown/condensation products. In the present work, the formation and the sources of the chemical artifacts, most of which were previously observed in our laboratories, will be discussed. These will include the chemical formation of amides and oxaziridines from diarylnitrones; diarylnitrones from the corresponding hydroxylamines and the observation of diarylimines formed as a metabonate from debenzylation products during the metabolism of N-benzyl-4-chloraniline and N-(4-chlorobenzyl)-4-chloraniline.

Animals↗

Gating of myocardial perfusion imaging for the identification of artifacts: is it useful for experienced physicians?

Gating of myocardial perfusion imaging helps to differentiate artifacts from perfusion defects. We used this technique to evaluate the impact of routine gating on the interpretation of results by physicians experienced in this field. We studied, prospectively, 270 consecutive patients (161 men and 109 women) who underwent gated myocardial perfusion imaging. Single-photon emission-computed tomography was performed to evaluate myocardial perfusion in patients at rest and after stress, using technetium-99m sestamibi and post-stress gating. Participating physicians interpreted each study and indicated a confidence level for the interpretation. Initially, these opinions were formed on the basis of static slices alone and subsequently, with the addition of gating information. The impact of gating was evaluated by the number of studies in which gating led to a change in interpretation from normal to abnormal or vice versa, or from borderline to definite. The interpretation was changed from abnormal to normal or vice versa in 10 studies (3.7%) and from borderline to definite in 3 (1.1%). In 37 studies (13. 7%), the confidence level was increased from confident to very confident with no change in interpretation. We conclude that routine gating of every myocardial perfusion imaging study for the identification of artifacts is of low value for physicians experienced in interpreting such studies. Although gating frequently increases the confidence level, it seldom leads to a change in interpretation. Specific subgroups of patients who would benefit from gating should be identified.

Aged↗

PCR artifacts in LOH and MSI analysis of microdissected tumor cells.

Polymerase chain reaction (PCR) analysis to study loss of heterozygosity (LOH) and microsatellite instability (MSI) in tumors is widely used. Microdissection techniques are applied to obtain tumor-specific tissue cells. By microdissection, however, the amount of template DNA extracted may vary considerably and interfere with optimal PCR amplification. To circumvent LOH and MSI misinterpretations due to low DNA input, we have assessed the critical level of DNA input for reliable PCR analysis. PCR analysis was performed by using 18 polymorphic markers (mono-, di-, tri-, and tetranucleotide) on DNA derived from both paraffin-embedded, formalin-fixed, and fresh frozen tumor specimens at template input levels ranging from 0.05 to 25.0 ng. We show a highly significant relation between DNA input and the occurrence of LOH and MSI artifacts. Furthermore, for DNA extracted from paraffin-embedded material, the percentage of LOH artifacts is significantly higher compared with DNA extracted from frozen tissue. For reliable PCR analyses using a mono-, di-, tri-, or tetranucleotide marker, a minimum of 10.0 ng DNA is required when DNA is isolated from formalin-fixed, paraffin-embedded tissue and 5.0 ng when isolated from fresh frozen tissue. HUM PATHOL 31:1414-1419.

Alleles↗

[Multislice CT of the thorax: effects of contrast material pushed with saline solution using a dual power injector on contrast material dose and perivenous artifacts].

A new method of power injection of contrast material flushed with saline solution for thoracic multislice CT using a dual power injector was evaluated in 105 patients. The patients were categorized into 3 groups of 35 patients each, according to the protocol of contrast material administration: (1) 100 mL of non-ionic contrast material(300 mgI/mL), (2) 75 mL of the same contrast material, and (3) 75 mL of the same contrast material flushed with 30 mL of saline solution. Scanning was performed in a caudal-to-cranial direction. Mean attenuation for the three protocols was measured in the superior vena cava, pulmonary trunk, ascending aorta, and descending aorta. Vascular opacification and perivenous artifacts were graded using four-point scoring by a consensus panel of three blinded radiologists. Intravenous injection of 75 mL of contrast material flushed with saline solution provided significantly better vascular opacification in the superior vena cava(p < 0.001) and pulmonary trunk(p < 0.02) than that provided by a 75 mL or 100 mL injection of contrast material alone. A similar degree of enhancement was observed in the ascending and descending aorta. Further, perivenous artifacts in the subclavian vein were significantly reduced (p < 0.05).

Adult↗

[Artifacts induced by dental reconstruction materials: the case of titanium].

MRI is becoming an important tool of examination of the head and neck. However, certain dental alloys cause artifacts characterized by a loss of signal surrounded by bright line and sometimes distortions. In our work, we studied artifacts caused by Titanium, metallic biomaterial used for oral implantology. Therefore, 2 experimental were investigated in a 1.5 T MR unit, with 2 sequences commonly used (SE, GRE). The investigation showed minor artefacts, without distortions. In order to minimize these "ghost images", the Titanium and its alloys should be an alternative.

Alloys↗

Building ICU artifact detection models with more data in less time.

As many as 86% of intensive care unit (ICU) alarms are false. Multiple signal integration of temporal monitor data by decision tree induction may improve artifact detection. We explore the effect of data granularity on model-building by comparing models made from 1-second versus 1-minute data. Models developed from 1-minute data remained effective when tested on 1-second data. Model development using 1-minute data means that more hours of ICU monitoring (including more artifacts) can be processed in less time. Compression of temporal data by arithmetic mean, therefore, can be an effective method for decreasing knowledge discovery processing time without compromising learning.

Artifacts↗

Blood glutathione disulfide: in vivo factor or in vitro artifact?

BACKGROUND: The reported mean concentration of glutathione disulfide (GSSG) in human blood/erythrocytes varies widely (1 to >500 micromol/L), as does that of reduced glutathione (GSH) to a lesser extent. We have identified and investigated possible pitfalls in measurement of both GSH and GSSG. METHODS: We measured GSH and GSSG using a spectrophotometer with a modification of the GSH recycling method; the same samples were also measured by reversed-phase HPLC after derivatization of thiols (dithiothreitol was used to reduce disulfides) with monobromobimane. The thiol-bimane adduct was measured by a fluorescence detector. RESULTS: Measured GSH/GSSG concentrations were affected by the following: (a) oxidation of thiols in acidified samples; (b) oxidation after restoring neutral-alkaline pH; (c) oxidation during acid deproteinization; (d) shift in the GSH/GSSG equilibrium because of irreversible blocking of free thiols; and (e) reaction of electrophiles with amino groups. In particular, oxidation during sample deproteinization with acid influenced and produced artifacts (30-150 micromol/L GSSG was produced by this procedure); this phenomenon was directly correlated with the presence of oxygenated hemoglobin, being minimized by both oxygen deprivation and incubation in an atmosphere of 5% carbon monoxide. CONCLUSIONS: GSSG is present in healthy human blood at low concentrations (2-6 micromol/L), and most published data on GSSG may be affected by artifacts.

Animals↗

[A method of minimization of ECG artifacts in digital EEG].

An off-line algorithm of automatic detection and minimization of ECG artifacts in digital EEG without using the ECG channel is proposed. A possibility of application of this technique for processing another high-frequency artifacts and different waveforms in biosignals is discussed.

Algorithms↗

Magnetic susceptibility artifact in spin-echo MR imaging of the pituitary gland.

PURPOSE: To evaluate the magnetic susceptibility effect on spin-echo MR images of the pituitary gland. METHODS: Air-in-water phantom experiments and studies in normal volunteers were performed using various sampling bandwidth (8.3-33.3 kHz) spin-echo sequences with the polarity of the readout gradient normal or reversed. RESULTS: Attachment of a sphenoid septum to the sellar floor was the major factor in the appearance of the inferior surface of the pituitary gland. Patterns of distortion and/or artifactual signal intensities, related to the presence or absence of the attachment, were accentuated on the images with narrower bandwidth. A "spearhead shape" deformity of the sphenoid sinus was observed both in the air-in-water phantom experiment, and when no sphenoid septum was present. When a sphenoid septum was present, two spearhead shapes side by side were present. High-intensity artifacts were seen where the sellar floor was misplaced into the pituitary gland. CONCLUSION: Knowledge of the patterns of distortion and high-intensity artifact is important in the diagnosis of pituitary lesions.

Adult↗

Artifacts associated with MR neuroangiography.

Neurovascular MR angiography (MRA) is rapidly gaining greater clinical acceptance. To provide functional information, novel techniques of acquisition, information processing, and display are used, generating a new set of artifacts. The purpose of this paper is to outline the causes, provide examples, and note clinical problems associated with MRA artifacts by grouping them into six common types: 1) poor visualization of small vessels, 2) overestimation of stenosis, 3) view-to-view variations, 4) false positives, 5) false negatives, and 6) vessel overlap. This in turn will lead to four generalized solutions: 1) optimize acquisition parameters, 2) edit volume boundaries before performing maximum intensity projection reconstructions, 3) refer to the individual source images, and 4) use alternative image processing. By organizing and simplifying both clinical problems and solutions into major categories, a greater understanding of the current clinical indications and the overall goals of MRA can be achieved.

Angiography↗

Reduction of respiratory motion artifacts in PET imaging of lung cancer by respiratory correlated dynamic PET: methodology and comparison with respiratory gated PET.

UNLABELLED: This study proposes a new method to reduce respiratory motion artifacts in PET images of lung cancer. The method is referred to as respiratory-correlated dynamic PET (RCDPET). RCDPET enables the acquisition of 4-dimensional PET data without the need for a respiratory tracking device. In this article, we compare this method with respiratory-gated PET (RGPET). Both methods provide the ability to correct for motion artifacts and more accurately quantitate radiotracer uptake within lung lesions. Both methods were evaluated in phantom studies and 1 patient. METHODS: With RCDPET, data are acquired in consecutive 1-s time frames. A point source attached to a rigid foam block is set on the patient's abdomen and is extended into the camera field of view at the level of the lesion by means of a low-density rod. The position of this source is used to track respiratory motion through the consecutive dynamic frames. Image frames corresponding to a user-selected lesion position within the breathing cycle, in correlation with the point source position, are then identified after scanning. The sinograms of the selected image frames are summed and then reconstructed using iterative reconstruction with segmented attenuation correction. RESULTS: The results from phantom studies with both RGPET and RCDPET were within 10% agreement, for both activity quantitation and image noise levels. In a clinical application, the quantitation of the SUV(max) and the lesion's size showed a 6% and 2% difference, respectively, between RCDPET and RGPET measurements. CONCLUSION: RCDPET can be considered as a comparable, or alternative, method to RGPET in reducing the smearing effects due to respiration and improving quantitation of PET in the thorax. One advantage of RCDPET over RGPET is the ability to retrospectively reconstruct the PET data at any phase or amplitude in the breathing cycle.

Algorithms↗