Malrotation of knee arthroplasty implants is a source of pain following total knee arthroplasty and maybe measured on metal artifact reduction MR images; however, it is unclear which technique is best. Therefore, we compared the reliability, repeatability, and precision of rotational alignment measurements that were obtained on optimized high-bandwidth and compressed sensing SEMAC TSE MR images and their relationships with symptoms. CS-SEMAC TSE MRI afforded the highest reliability, repeatability and precision of rotational alignment measurements, which correlate best with symptoms. CS-SEMAC TSE MRI may be preferred over high-BW TSE for rotational alignment measurements of knee arthroplasty implants.
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