Abstract

Purpose: Endovascular stents are medical devices, which are implanted in stenosed blood vessels to ensure sufficient blood flow. Due to a high rate of in-stent re-stenoses, there is the need of a noninvasive imaging method for the early detection of stent occlusion. The evaluation of the stent lumen with computed tomography (CT) and magnetic resonance imaging (MRI) is limited by material-induced artifacts. The purpose of this work is to investigate the potential of the tracer-based modality magnetic particle imaging (MPI) for stent lumen visualization and quantification.
Methods: In this in vitro study, 21 endovascular stents were investigated in a preclinical MPI scanner. Therefore, the stents were implanted in vessel phantoms. For the signal analysis, the phantoms were scanned without tracer material, and the signal-to-noise-ratio was analyzed. For the evaluation of potential artifacts and the lumen quantification, the phantoms were filled with diluted tracer agent. To calculate the stent lumen diameter a calibrated threshold value was applied.

Results: We can show that it is possible to visualize the lumen of a variety of endovascular stents without material induced artifacts, as the stents do not generate sufficient signals in MPI. The stent lumen quantification showed a direct correlation between the calculated and nominal diameter (r = 0.98).

Conclusion: In contrast to MRI and CT, MPI is able to visualize and quantify stent lumina very accurately.
Original languageEnglish
JournalInternational Journal of Nanomedicine
Volume16
Pages (from-to)213-221
Number of pages9
ISSN1176-9114
DOIs
Publication statusPublished - 11.01.2021

Research Areas and Centers

  • Academic Focus: Biomedical Engineering
  • Centers: Center for Artificial Intelligence Luebeck (ZKIL)

DFG Research Classification Scheme

  • 205-30 Radiology, Nuclear Medicine, Radiation Therapy and Radiobiology
  • 205-32 Medical Physics, Biomedical Engineering
  • 205-12 Cardiology, Angiology

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