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  • 1
    Keywords: Germany ; imaging ; TISSUE ; RESOLUTION ; radiation ; PATIENT ; CONTRAST ; MR ; MRI ; MAGNETIC-RESONANCE ; magnetic resonance imaging ; ACQUISITION ; HEALTH ; RATES ; ANGIOGRAPHY ; nuclear medicine ; RECONSTRUCTION ; 2D ; CATHETER TRACKING ; 3D ; TECHNOLOGY ; COILS ; occupational health ; PLACEMENT
    Abstract: At present, interventional procedures, such as stent placement, are performed under X-ray image guidance. Unfortunately with X-ray imaging, both patient and interventionalist are exposed to ionising radiation. Furthermore, X-ray imaging is lacking soft tissue contrast and is not capable of true 3-D displays of either interventional device or tissue morphology. Magnetic resonance imaging (MRI) offers excellent soft tissue contrast, 3-D acquisition techniques, as well as rapid image acquisition and reconstruction. Despite these advantages, MR-guided interventions are challenging owing to the limited access to the patient, strong magnetic and radio-frequency fields that require special interventional devices, inferior image frame rates and spatial resolution, and high MRI scanner noise. For MR-guided intravascular interventions, where access to the target organ is achieved through catheters, dedicated hardware and automated image slice positioning techniques have been developed. We illustrate that MR-guided renal embolisations can be performed in closed-bore high-field MR scanners
    Type of Publication: Journal article published
    PubMed ID: 16464829
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  • 2
    Keywords: Germany ; imaging ; SYSTEM ; SYSTEMS ; RESOLUTION ; TIME ; MARKER ; MR ; SEQUENCE ; SEQUENCES ; SIGNAL ; SUSCEPTIBILITY ; FIELD ; MAGNETIC-RESONANCE ; ACQUISITION ; RELAXATION ; TRACKING ; BIOPSY ; RE ; INTERVENTIONAL DEVICES ; INFUSION ; ENHANCEMENT ; SIZE ; COILS ; technique ; VIEW ; RARE ; CATHETERS ; DEFT ; device localization ; fast MRI ; INNER VOLUME ; inner volume imaging ; local look (LoLo) ; percutaneous intervention ; WIRES
    Abstract: Percutaneous MR-guided interventions with needles require fast pulse sequences to image the needle trajectory with minimal susceptibility artifacts. Spin-echo pulse sequences are well suited for reducing artifact size; however, even with single-shot turbo spin-echo techniques, such as rapid acquisition with relaxation enhancement (RARE) or half-Fourier acquisition single-shot turbo spin-echo (HASTE), fast imaging remains challenging. In this work we present a HASTE pulse sequence that is combined with inner-volume excitation to reduce the scan time and limit the imaging field of view (FOV) to a small strip close to the needle trajectory (targeted-HASTE). To compensate for signal saturation from fast repeated acquisitions, a magnetization restore pulse (driven equilibrium Fourier transform (DEFT)) is used. The sequence is combined with dedicated active marker coils to measure the position and orientation of the needle so that the targeted-HASTE image slice is automatically repositioned. In an animal experiment the coils were attached to an MR-compatible robotic assistance system for MR-guided interventions. Needle insertion and infusion via the needle could be visualized with a temporal resolution of 1 s, and the needle tip could be localized even in the presence of a stainless steel mandrel
    Type of Publication: Journal article published
    PubMed ID: 16795081
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