Analisis Prosedur MRI Cervical Menggunakan MAVRIC pada Kasus Cervical Root Syndrome
DOI:
https://doi.org/10.31983/jimed.v12i1.14021Keywords:
Artifacts, Cervical root syndrome, MRI cervical, SequenceAbstract
Background: Cervical Root Syndrome (CRS) is a neurological disorder caused by compression or irritation of the cervical nerve roots. Magnetic Resonance Imaging (MRI) of the cervical spine is one of the primary modalities for evaluating CRS. In specific cases such as the presence of braces, the resulting artifacts can reduce image quality. The use of Multi-Acquisition Variable-Resonance Image Combination (MAVRIC) sequences has been introduced to minimize metal artifacts, thereby improving diagnostic accuracy. This study aims to analyze the MRI Cervical examination procedure using MAVRIC sequences in CRS patients.
Methods: This research employed a qualitative method with a case study approach conducted at the Radiology Unit of Indriati Solo Baru Hospital. Data collection was carried out through direct observation, documentation, and structured interviews with radiographers. The obtained data were analyzed descriptively to understand the examination procedure and to identify its clinical implications.
Results: The MRI Cervical examination in CRS patients followed the standard cervical MRI protocol, including Localizer, Coronal T2, Sagital T1, Sagital T2, Sagital T2 Fat Sat, Axial T1, Axial T2 Merge, and Myelo 2D sequences. Prior to the examination, patients underwent metal screening and removal to ensure safety and image quality. The MAVRIC sequence was added specifically to reduce metal artifacts, which enabled clearer visualization of cervical anatomical structures and pathological findings.
Conclusions: The MRI Cervical examination with MAVRIC sequences provides significant benefits in reducing metal-related artifacts, thereby enhancing image quality and diagnostic accuracy in patients with Cervical Root Syndrome. Proper patient preparation and adherence to protocol are essential to maximize the effectiveness and safety of the procedure.
Downloads
References
Borrella-Andrés, S., Marqués-García, I., Lucha-López, M. O., Fanlo-Mazas, P., Hernández-Secorún, M., Pérez-Bellmunt, A., Tricás-Moreno, J. M., & Hidalgo-García, C. (2021). Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. BioMed Research International, 2021. https://doi.org/10.1155/2021/9936981
Budrys, T., Veikutis, V., Lukosevicius, S., Gleizniene, R., Monastyreckiene, E., & Kulakiene, I. (2018). Artifacts in magnetic resonance imaging: How it can really affect diagnostic image quality and confuse clinical diagnosis? Journal of Vibroengineering, 20(2), 1202–1213. https://doi.org/10.21595/jve.2018.19756
Gede, I. ngurah. (2018). Penatalaksanaan Fisioterapi Pada Penderita. 8(November), 57–58.
Hirano, M., Muto, Y., Kuroda, M., Fujiwara, Y., Sasaki, T., Kuroda, K., Kamizaki, R., Imajoh, S., Tanabe, Y., Al‑Hammad, W., Nakamitsu, Y., Shimizu, Y., Sugimoto, K., Oita, M., Sugianto, I., & Bamgbose, B. (2023). Quantitative evaluation of the reduction of distortion and metallic artifacts in magnetic resonance images using the multiacquisition variable‑resonance image combination selective sequence. Experimental and Therapeutic Medicine, 25(3), 1–9. https://doi.org/10.3892/etm.2023.11808
Jungmann, P. M., Agten, C. A., Pfirrmann, C. W., & Sutter, R. (2017). Advances in MRI around metal. Journal of Magnetic Resonance Imaging, 46(4), 972–991. https://doi.org/10.1002/jmri.25708
Kudura, K., Oblasser, T., Ferraro, D. A., Mader, C. E., Husmann, L., Friedrich, K., ter Voert, E. E. G. W., & Burger, I. A. (2020). Metal artifact reduction in 68Ga-PSMA-11 PET/MRI for prostate cancer patients with hip joint replacement using multiacquisition variable-resonance image combination. European Journal of Hybrid Imaging, 4(1). https://doi.org/10.1186/s41824-020-00075-x
Masrochah, S., Fatimah, F., & Yunitaningrum, N. (2020). Analisa Informasi Citra MRI Cervical Potongan Sagital Pada Variasi Nilai Time Repetition (TR) Dengan Sekuens Short Tau Inversion Recovery (STIR). Jurnal Imejing Diagnostik (JImeD), 6(2), 79–85. https://doi.org/10.31983/jimed.v6i2.5822
Menchetti, P. P. M. (2022). Cervical spine: Minimally invasive and open surgery (2nd ed.). Springer International Publishing.
Nidaa Azmii Susdiningtyas, Farrah Hendara Ningrum, Nanang Sulaksono, & Sudiyono. (2019). Perbedaan Informasi Anatomi Citra Mri Cervical Pada Kasus Hernia Nucleus Pulpopus (Hnp) Dengan Sekuen T2W Fast Spin Echo (Fse) Antara Penggunaan Flow Compensation Dan Tanpa Flow Compensation. JRI (Jurnal Radiografer Indonesia), 2(2), 94–99. https://doi.org/10.55451/jri.v2i2.41
Palar, G. T. K., Jeniyanthi, N. P. R., & Sugiantara, I. W. A. (2024). Analisis Perbedaan Informasi Citra Anatomi Sekuen Sagital T2 Fse Dan Sagital T2 Fse Propeller Pada Pemeriksaan Mri Cervical Dengan Kasus Cervical Root Syndrome. Prepotif : Jurnal Kesehatan Masyarakat, 8(3), 6736–6743. https://doi.org/10.31004/prepotif.v8i3.35219
Savva, C., Korakakis, V., Efstathiou, M., & Karagiannis, C. (2021). Cervical traction combined with neural mobilization for patients with cervical radiculopathy: A randomized controlled trial (26th ed.). Elsevier BV.
Taso, M., Sommernes, J. H., Kolstad, F., Sundseth, J., Bjorland, S., Pripp, A. H., Zwart, J. A., & Brox, J. I. (2020). A randomised controlled trial comparing the effectiveness of surgical and nonsurgical treatment for cervical radiculopathy. BMC Musculoskeletal Disorders, 21(1), 1–9. https://doi.org/10.1186/s12891-020-3188-6
Westbrook, C. (2014). Handbook of MRI Technique (4th ed.). Wiley-Blackwell.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jurnal Imejing Diagnostik (JImeD)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
.png)
.png)
.png)
.png)
.png)
.png){kind=spacer}
.png)
