Startseite Medizin Tailored interactive sequences for continuous MR-image-guided freehand biopsies of different organs in an open system at 1.0 tesla (T) – Initial experience
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Tailored interactive sequences for continuous MR-image-guided freehand biopsies of different organs in an open system at 1.0 tesla (T) – Initial experience

  • Florian Streitparth , Christian Althoff , Martin Jonczyk , Felix Guettler , Martin Maurer , Hendrik Rathke , Keno Moritz Sponheuer , Bernd Hamm , Ulf K. Teichgräber und Maximilian de Bucourt EMAIL logo
Veröffentlicht/Copyright: 11. Januar 2017

Abstract

Objectives:

To assess the feasibility, image quality, and accuracy of freehand biopsies of liver, bone, muscle, vertebral disc, soft tissue, and other lesions using balanced steady-state free precession (SSFP, balanced fast field echo: bFFE), spoiled and nonspoiled gradient echo (FFE), and turbo spin echo (TSE) sequences for interactive continuous navigation in an open magnetic resonance imaging (MRI) system at 1.0 tesla (T).

Methods:

Twenty-six MR-guided biopsies (five liver, five bone, four muscle, four vertebral disc, one lung, one kidney, one suprarenal gland, and five soft or other tissue) were performed in 23 patients in a 1.0-T open magnetic resonance (MR) scanner (Panorama HFO, Philips Healthcare, Best, the Netherlands). A total of 42 samples were obtained. Depending on lesion size and location, 14–18-gauge MR-compatible biopsy sets with a length of 100 or 200 mm (Somatex Medical, Teltow, Germany), 14–18-gauge MR-compatible semiautomatic biopsy guns with a length of 100 or 150 mm (Invivo, Schwerin, Germany), or 11-gauge MR-compatible bone marrow biopsy needles with a length of 100 mm (Somatex Medical, Teltow, Germany) were employed.

Results:

All lesions were visible with continuous interactive imaging. Our initial results indicate that bFFE is particularly suitable for fast-moving organs (pulmonary, paracardial); moving organs are targeted better with T1-weighted (T1W) TSE, T1W FFE (liver) or T2-weighted (T2W) TSE (complicated cysts, adrenal glands), and static organs are successfully approached with proton density (PD) (spine) or T1W TSE (peripheral bones, musculoskeletal system). No adverse events related to the use of MRI were obtained. No complications occurred according to the Society of Interventional Radiology (SIR) clinical practice guidelines.

Conclusion:

Applying tailored interactive dynamic imaging sequences for continuous navigation to liver, bone, muscle, vertebral disc, soft tissue, and other lesions can improve the feasibility, image quality, and interventional accuracy of freehand MR-guided biopsies and may hence reduce the risk of complications.


Corresponding author: PD Dr. med. Maximilian de Bucourt, Dipl. Vw., Head Angiography Campus Benjamin Franklin (CBF), Department of Radiology, Charité CBF, Charité – University Medicine Berlin, Hindenburgdamm 30, 12203 Berlin, Germany, Pieper 4780, Phone: +49 30 450 527 085, Fax: +49 30 450 7 627 085
aFlorian Streitparth and Christian Althoff contributed equally to this work.
  1. Funding: European Union – European Fund for Regional Development, Berlin, Germany, TSB Technologiestiftung Berlin – Zukunftsfonds Berlin, Berlin, Germany.

References

[1] Appelbaum L, Solbiati L, Sosna J, et al. Evaluation of an electromagnetic image-fusion navigation system for biopsy of small lesions: assessment of accuracy in an in vivo swine model. Acad Radiol 2013; 20: 209–217.10.1016/j.acra.2012.09.020Suche in Google Scholar PubMed

[2] Chen F, Jiang TA, Zhao, QY. Percutaneous biopsy of anterior mediastinal mass guided by real-time US fused with CT. J Clin Ultrasound 2010; 39: 38–40.10.1002/jcu.20744Suche in Google Scholar PubMed

[3] Chopra SS, Rump J, Schmidt SC, et al. Imaging sequences for intraoperative MR-guided laparoscopic liver resection in 1.0-T high field open MRI. Eur Radiol 2009; 19: 2191–2196.10.1007/s00330-009-1393-7Suche in Google Scholar PubMed

[4] Chopra SS, Schmidt SC, Eisele R, et al. Initial results of MR-guided liver resection in a high-field open MRI. Surg Endosc 2010; 24: 2506–2512.10.1007/s00464-010-0994-1Suche in Google Scholar PubMed

[5] Collettini F, Rathke H, Schnackenburg B, et al. Fluid preinjection for microwave ablation in an ex vivo bovine liver model assessed with volumetry in an open MRI system. Diagn Interv Radiol 2013; 19: 427–432.10.5152/dir.2013.12189Suche in Google Scholar PubMed

[6] de Bucourt M, Busse R, Zada O, et al. CT-guided biopsies: quality, complications and impact on treatment: a retrospective initial quality control. Rofo 2011; 183: 842–848.10.1055/s-0031-1281594Suche in Google Scholar PubMed

[7] de Bucourt M, Streitparth F, Collettini F, et al. Minimally invasive magnetic resonance imaging-guided free-hand aspiration of symptomatic nerve route compressing lumbosacral cysts using a 1.0-Tesla open magnetic resonance imaging system. Cardiovasc Intervent Radiol 2012; 35: 154–160.10.1007/s00270-011-0120-3Suche in Google Scholar PubMed

[8] de Bucourt M, Streitparth F, Wonneberger U, et al. Obese patients in an open MRI at 1.0 Tesla: image quality, diagnostic impact and feasibility. Eur Radiol 2011; 21: 1004–1015.10.1007/s00330-010-2005-2Suche in Google Scholar PubMed

[9] Ewertsen C, Henriksen BM, Torp-Pedersen S, et al. Characterization by biopsy or CEUS of liver lesions guided by image fusion between ultrasonography and CT, PET/CT or MRI. Ultraschall Med 2011; 32: 191–197.10.1055/s-0029-1245921Suche in Google Scholar PubMed

[10] Ewertsen C. Image fusion between ultrasonography and CT, MRI or PET/CT for image guidance and intervention – a theoretical and clinical study. Dan Med Bull 2010; 57: B4172.Suche in Google Scholar PubMed

[11] Fischbach F, Bunke J, Thormann M, et al. MR-guided freehand biopsy of liver lesions with fast continuous imaging using a 1.0-T open MRI scanner: experience in 50 patients. Cardiovasc Intervent Radiol 2011; 34: 188–192.10.1007/s00270-010-9836-8Suche in Google Scholar PubMed

[12] Freyhardt P, Hartwig T, de Bucourt M, et al. MR-guided facet joint injection therapy using an open 1.0-T MRI system: an outcome study. Eur Radiol 2013; 23: 3296–3303.10.1007/s00330-013-2940-9Suche in Google Scholar PubMed

[13] Guimaraes MD, de Andrade MQ, da Fonte AC, et al. CT-guided cutting needle biopsy of lung lesions-An effective procedure for adequate material and specific diagnose. Eur J Radiol 2010; 80: e488–e490.10.1016/j.ejrad.2010.09.038Suche in Google Scholar PubMed

[14] Kim GR, Hur J, Lee SM, et al. CT fluoroscopy-guided lung biopsy versus conventional CT-guided lung biopsy: a prospective controlled study to assess radiation doses and diagnostic performance. Eur Radiol 2011; 21: 232–239.10.1007/s00330-010-1936-ySuche in Google Scholar PubMed

[15] Kühn JP, Langner S, Hegenscheid K, et al. Magnetic resonance-guided upper abdominal biopsies in a high-field wide-bore 3-T MRI system: feasibility, handling, and needle artefacts. Eur Radiol 2010; 20: 2414–2421.10.1007/s00330-010-1809-4Suche in Google Scholar PubMed

[16] Lack W, Donigan JA, Morcuende J, et al. Conical utility of CT-guided biopsies in orthopaedic oncology. Iowa Orthop J 2010; 30: 76–79.Suche in Google Scholar PubMed

[17] Park HJ, Lee MW, Lee MH, et al. Fusion imaging-guided percutaneous biopsy of focal hepatic lesions with poor conspicuity on conventional sonography. J Ultrasound Med 2013; 32: 1557–1564.10.7863/ultra.32.9.1557Suche in Google Scholar PubMed

[18] Pinkernelle JG, Streitparth F, Rump J, et al. [Adaptation of a wireless PC mouse for modification of GUI during intervention in an open highfield MRI at 1.0T]. Rofo 2010; 182: 348–352.10.1055/s-0028-1109895Suche in Google Scholar PubMed

[19] Rimondi E, Rossi G, Bartalena T, et al. Percutaneous CT-guided biopsy of the musculoskeletal system: Results of 2027 cases. Eur J Radiol 2011; 77: 34–42.10.1016/j.ejrad.2010.06.055Suche in Google Scholar PubMed

[20] Sacks D, McClenny TE, Cardella JF, et al. Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol 2003; 14: S199–S202.10.1097/01.RVI.0000094584.83406.3eSuche in Google Scholar

[21] Streitparth F, de Bucourt M, Hartwig T, et al. Real-time MR-guided lumbosacral periradicular injection therapy using an open 1.0-T MRI system: an outcome study. Invest Radiol 2013; 48: 471–476.10.1097/RLI.0b013e31828362beSuche in Google Scholar PubMed

[22] Streitparth F, Walter T, Wonneberger U, et al. Image-guided spinal injection procedures in open high-field MRI with vertical field orientation: feasibility and technical features. Eur Radiol 2010; 20: 395–403.10.1007/s00330-009-1567-3Suche in Google Scholar PubMed

[23] Wonneberger U, Schnackenburg B, Streitparth F, et al. Evaluation of magnetic resonance imaging-compatible needles and interactive sequences for musculoskeletal interventions using an open high-field magnetic resonance imaging scanner. Cardiovasc Intervent Radiol 2010; 33: 346–351.10.1007/s00270-009-9676-6Suche in Google Scholar PubMed

[24] Wonneberger U, Schnackenburg B, Wlodarczyk W, et al. Evaluation of thermometric monitoring for intradiscal laser ablation in an open 1.0 T MR scanner. Int J Hyperthermia 2010; 26: 295–304.10.3109/02656730903463784Suche in Google Scholar PubMed

[25] Wonneberger U, Schnackenburg B, Wlodarczyk W, et al. Intradiscal temperature monitoring using double gradient-echo pulse sequences at 1.0T. J Magn Reson Imaging 2010; 31: 1499–1503.10.1002/jmri.22197Suche in Google Scholar PubMed

Received: 2015-8-14
Accepted: 2016-8-22
Published Online: 2017-1-11
Published in Print: 2017-11-27

©2017 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 29.1.2026 von https://www.degruyterbrill.com/document/doi/10.1515/bmt-2015-0163/html
Button zum nach oben scrollen