Brain and spine imaging artefacts on low-field magnetic resonance imaging: Spectrum of findings in a Nigerian Tertiary Hospital

Background: Low-field (LF) magnetic resonance imaging (MRI) is a technology that is widely used in resource-limited settings for clinical imaging. The images produced, even though of low resolution with noise and artefacts, provide valuable information and guidance for patient assessment and treatment. This study shows a spectrum of MRI artefacts that affect image quality during routine clinical neuroradiology practice using LF MRI in a Nigerian hospital and suggests ways to avoid them. Materials and Methods: We retrospectively reviewed brain and spine MRI studies performed on a 0.36T MagSense 360 (Mindray, China) open MRI at our hospital over a 2-year period to identify image artefacts. About 90% of MRI studies performed at our facility during the study period were neuroimaging. The pattern and distribution of artefacts that featured during imaging were described and illustrative cases demonstrated highlighting their causes and ways to avoid or limit them. Results: Of 936 brain and spine cases evaluated, 506 (54.1%) had artefacts with 369 (72.9%) seen in the brain. Truncation/Gibbs (37.6%) and motion (20.6%) were the most common artefacts in the series, seen most commonly in T2-weighted images. There was no significant difference in the proportion of artefacts between adults and children (P = 0.736). Conclusion: Artefacts are relatively common in neuroimaging with LF MRI and may potentially degrade image quality and interfere with accurate radiological reporting and diagnosis. Improving the recognition of LF MRI artefacts may assist imaging practitioners to avoid or limit their effect on image quality and interpretation.