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 im-plants. 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.

Automated summary

Magnesium (Mg)-based implants have re-emerged as an alternative to permanent implants in orthopaedic surgery, but little information is available on the safety implications of degradation on medical imaging. This study investigates the RF-induced heating of biodegradable orthopaedic implants and suggests the need for industry standards to include biodegradable materials in MRI safety assessment.