Carbon-fiber-reinforced polyetheretherketone orthopedic implants in musculoskeletal and spinal tumors: imaging and clinical features

Carbon-fiber-reinforced polyetheretherketone (CFR-PEEK) orthopedic implants are gaining popularity in oncologic applications as they offer many potential advantages over traditional metallic implants. From an imaging perspective, this instrumentation allows for improved evaluation of adjacent anatom...

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Bibliographic Details
Published in:Skeletal radiology 2023-03, Vol.52 (3), p.393-404
Main Authors: Long, Jeremiah R., Kalani, Maziyar A., Goulding, Krista A., Ashman, Jonathan B., Flug, Jonathan A.
Format: Article
Language:English
Subjects:
Ablation
Benzophenones
Bone cancer
Carbon
Carbon - chemistry
Carbon Fiber - chemistry
Carbon fiber reinforced plastics
Computed tomography
CT imaging
Diagnostic imaging
Disease control
Fiber reinforced polymers
Health services
Humans
Imaging
Implants, Artificial
Ketones - chemistry
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Nuclear Medicine
Oncology
Orthopaedic implants
Orthopedics
Palliation
Pathology
Percutaneous treatment
Perturbation
Polyether ether ketones
Polyethylene Glycols - chemistry
Polymers
Prosthesis
Radiation
Radiation dosage
Radiation therapy
Radiography
Radiology
Radiotherapy
Review Article
Spinal cancer
Spinal Neoplasms - surgery
Tumors
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Description
Summary:Carbon-fiber-reinforced polyetheretherketone (CFR-PEEK) orthopedic implants are gaining popularity in oncologic applications as they offer many potential advantages over traditional metallic implants. From an imaging perspective, this instrumentation allows for improved evaluation of adjacent anatomic structures during radiography, computed tomography (CT), and magnetic resonance imaging (MRI). This results in improved postoperative surveillance imaging quality as well as easier visualization of anatomy for potential image-guided percutaneous interventions (e.g., pain palliation injections, or ablative procedures for local disease control). CFR-PEEK devices are also advantageous in radiation oncology treatment due to their decreased imaging artifact during treatment planning imaging and decreased dose perturbation during radiotherapy delivery. As manufacturing processes for CFR-PEEK materials continue to evolve and improve, potential orthopedic applications in the spine and appendicular skeleton increase. An understanding of the unique properties of CFR-PEEK devices and their impact on imaging is valuable to radiologists delivering care to orthopedic oncology patients in both the diagnostic and interventional settings. This multidisciplinary review aims to provide a comprehensive insight into the radiologic, surgical, and radiation oncology impact of these innovative devices.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-022-04069-7