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Hybrid MRI Systems and Applications

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Interventional Magnetic Resonance Imaging

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Hybrid X-ray/MRI systems facilitate complex minimally invasive procedures by providing information about anatomy and physiology from the MRI while using all of the tools available for X-ray fluoroscopy. Combining two modalities, such as X-ray and MRI, presents some significant challenges not encountered in the individual imaging labs alone. In this chapter we will discuss opportunities and limitations when operating a hybrid X-ray/MRI laboratory. Equipment, tools and resources, as well as clinical applications that benefit from a hybrid setting, are also reviewed.

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References

  • Buecker A, Neuerburg JM et al (2001) MR-guided percutaneous drainage of abdominal fluid collections in combination with X-ray fluoroscopy: initial clinical experience. Eur Radiol 11(4):670–674

    Article  PubMed  CAS  Google Scholar 

  • Catana C, Procissi D et al (2008) Simultaneous in vivo positron emission tomography and magnetic resonance imaging. Proc Nat Acad Sci U S A 105(10):3705–3710

    Article  CAS  Google Scholar 

  • Davis SC, Samkoe KS et al (2010) MRI-coupled fluorescence tomography quantifies EGFR activity in brain tumors. Academic radiol 17(3):271–276

    Article  Google Scholar 

  • de Silva R, Gutierrez LF et al (2006) X-ray fused with magnetic resonance imaging (XFM) to target endomyocardial injections: validation in a swine model of myocardial infarction. Circulation 114(22):2342–2350

    Article  PubMed  Google Scholar 

  • Dick A, Raman V et al (2005) Invasive human magnetic resonance imaging during angioplasty: feasibility in a combined X-ray/MRI suite. Catheter Cardiovasc Interv 64(3):265–274

    Article  PubMed  Google Scholar 

  • Dori Y, Sarmiento M et al (2011) X-ray magnetic resonance fusion to internal markers and utility in congenital heart disease catheterization. Circ Cardiovasc imaging 4(4):415–424

    Article  PubMed  Google Scholar 

  • Fahrig R, Butts K et al (2001) A truly hybrid interventional MR/X-ray system: feasibility demonstration. J Magn Reson Imaging 13(2):294–300

    Article  PubMed  CAS  Google Scholar 

  • Fahrig R, Wen Z et al (2005) Performance of a static-anode/flat-panel X-ray fluoroscopy system in a diagnostic strength magnetic field: a truly hybrid X-ray/MR imaging system. Med Phys 32(6):1775–1784

    Article  PubMed  CAS  Google Scholar 

  • Fallone BG, Murray B et al (2009) First MR images obtained during megavoltage photon irradiation from a prototype integrated linac-MR system. Med Phys 36(6):2084–2088

    Article  PubMed  CAS  Google Scholar 

  • Fischer GS, Deguet A et al (2007) MRI image overlay: application to arthrography needle insertion. Comput Aided Surg: Off J Int Soc Comput Aided Surg 12(1):2–14

    Google Scholar 

  • Freeman-Walsh CB, Fahrig R et al (2008) A hybrid radiography/MRI system for combining hysterosalpingography and MRI in infertility patients: initial experience. AJR Am J Roentgenol 190(2):W157–W160

    Article  PubMed  Google Scholar 

  • Gaba RC, Jin B, Wang D, Lewandowski RJ, Ragin AB, Larson AC, Salem R, Omary RA (2012) Transcatheter intraarterial perfusion magnetic resonance imaging predicts locoregional chemoembolic delivery. AJR Am J Roentgenol (in press)

    Google Scholar 

  • Ganguly A, Wen Z et al (2005) Truly hybrid X-ray/MR imaging: toward a streamlined clinical system. Academic Radiol 12(9):1167–1177

    Article  Google Scholar 

  • George AK, Sonmez M et al (2011) Robust automatic rigid registration of MRI and X-ray using external fiducial markers for XFM-guided interventional procedures. Med Phys 38(1):125–141

    Article  PubMed  Google Scholar 

  • Ginks MR, Lambiase PD et al (2011) A simultaneous X-Ray/MRI and noncontact mapping study of the acute hemodynamic effect of left ventricular endocardial and epicardial cardiac resynchronization therapy in humans. Circ Heart Fail 4(2):170–179

    Article  PubMed  Google Scholar 

  • Govil A, Calkins H et al (2011) Fusion of imaging technologies: how, when, and for whom? J Interv Cardiac Electrophysiol: Int J Arrhythm Pacing 32(3):195–203

    Article  Google Scholar 

  • Gutierrez et al (2007) Catheterization and Cardiovasc Interv 70:773–782

    Google Scholar 

  • Gutierrez LF, Ozturk C et al (2008) A practical global distortion correction method for an image intensifier based x-ray fluoroscopy system. Med Phys 35(3):997–1007

    Article  PubMed  Google Scholar 

  • Hipwell JH, Penney GP et al (2003) Intensity-based 2-D-3-D registration of cerebral angiograms. IEEE Trans Med Imaging 22(11):1417–1426

    Article  PubMed  Google Scholar 

  • Huang X, Ren J et al (2009) Rapid dynamic image registration of the beating heart for diagnosis and surgical navigation. IEEE Trans Med Imaging 28(11):1802–1814

    Article  PubMed  Google Scholar 

  • Hushek SG, Martin AJ et al (2008) MR systems for MRI-guided interventions. J Magn Resonance Imaging: JMRI 27(2):253–266

    Article  Google Scholar 

  • Jin B, Wang D et al (2011) Quantitative 4D transcatheter intraarterial perfusion MRI for standardizing angiographic chemoembolization endpoints. AJR Am J Roentgenol 197(5):1237–1243

    Article  PubMed  Google Scholar 

  • Judenhofer MS, Wehrl HF et al (2008) Simultaneous PET-MRI: a new approach for functional and morphological imaging. Nat Med 14(4):459–465

    Article  PubMed  CAS  Google Scholar 

  • Kee ST, Ganguly A et al (2005) MR-guided transjugular intrahepatic portosystemic shunt creation with use of a hybrid radiography/MR system. J Vasc Interv Radiol: JVIR 16(2 Pt 1):227–234

    Article  PubMed  Google Scholar 

  • Kim JH, Kocaturk O et al (2009) Mitral cerclage annuloplasty, a novel transcatheter treatment for secondary mitral valve regurgitation: initial results in swine. J Am Coll Cardiol 54(7):638–651

    Article  PubMed  Google Scholar 

  • Lagendijk JJ, Raaymakers BW et al (2008) MRI/linac integration. Radiother Oncol: J Eur Soc Ther Radiol oncol 86(1):25–29

    Article  Google Scholar 

  • Martin AJ, Saloner DA et al (2005) Carotid stent delivery in an XMR suite: immediate assessment of the physiologic impact of extracranial revascularization. AJNR Am J Neuroradiol 26(3):531–537

    PubMed  Google Scholar 

  • Meyer BC, Frericks BB et al (2007) Contrast-enhanced abdominal angiographic CT for intra-abdominal tumor embolization: a new tool for vessel and soft tissue visualization. Cardiovasc Intervent Radiol 30(4):743–749

    Article  PubMed  Google Scholar 

  • Moche M, Zajonz D et al (2010) MRI-guided procedures in various regions of the body using a robotic assistance system in a closed-bore scanner: preliminary clinical experience and limitations. J Magn Resonance Imaging: JMRI 31(4):964–974

    Article  Google Scholar 

  • Ning R, Chen B et al (2000) Flat panel detector-based cone-beam volume CT angiography imaging: system evaluation. IEEE Trans Med Imaging 19(9):949–963

    Article  PubMed  CAS  Google Scholar 

  • Odille F, Pasquier C et al (2007) Noise cancellation signal processing method and computer system for improved real-time electrocardiogram artifact correction during MRI data acquisition. IEEE Trans Biomed Eng 54(4):630–640

    Article  PubMed  Google Scholar 

  • Ratnayaka K, Faranesh AZ et al (2008) “Interventional cardiovascular magnetic resonance: still tantalizing.” J Cardiovasc Magn Resonance: Off J Soc Cardiovasc Magn Resonance 10:62

    Article  Google Scholar 

  • Ratnayaka K, Raman VK et al (2009) Antegrade percutaneous closure of membranous ventricular septal defect using X-ray fused with magnetic resonance imaging. JACC Cardiovasc Interv 2(3):224–230

    Article  PubMed  Google Scholar 

  • Rhode KS, Sermesant M et al (2005) A system for real-time XMR guided cardiovascular intervention. IEEE Trans Med Imaging 24(11):1428–1440

    Article  PubMed  Google Scholar 

  • Schlemmer HP, Pichler BJ et al (2008) Simultaneous MR/PET imaging of the human brain: feasibility study. Radiology 248(3):1028–1035

    Article  PubMed  Google Scholar 

  • Spahn M, Heer V et al (2003) Flat-panel detectors in X-ray systems. Der Radiologe 43(5):340–350

    Article  PubMed  CAS  Google Scholar 

  • Tomazevic D, Likar B et al (2003) 3-D/2-D registration of CT and MR to X-ray images. IEEE Trans Med Imaging 22(11):1407–1416

    Article  PubMed  Google Scholar 

  • Tsekos NV, Khanicheh A et al (2007) Magnetic resonance-compatible robotic and mechatronics systems for image-guided interventions and rehabilitation: a review study. Annu Rev Biomed Eng 9:351–387

    Article  PubMed  CAS  Google Scholar 

  • Vin AP, Rhee TK et al (2007) Use of a combined MR imaging and interventional radiology suite for intraprocedural monitoring of uterine artery embolization. J Vasc Interv Radiol: JVIR 18(11):1362–1367

    Article  PubMed  Google Scholar 

  • Vogl TJ, Balzer JO et al (2002) Hybrid MR interventional imaging system: combined MR and angiography suites with single interactive table. Feasibility study in vascular liver tumor procedures. Eur Radiol 12(6):1394–1400

    Article  PubMed  Google Scholar 

  • Wacker FK, Vogt S et al (2006) An augmented reality system for MR image-guided needle biopsy: initial results in a swine model. Radiology 238(2):497–504

    Article  PubMed  Google Scholar 

  • Wallace MJ, Kuo MD et al (2008) Three-dimensional C-arm cone-beam CT: applications in the interventional suite. J Vasc Interv Radiol: JVIR 19(6):799–813

    Article  PubMed  Google Scholar 

  • Wu V, Barbash IM et al (2011) Adaptive noise cancellation to suppress electrocardiography artifacts during real-time interventional MRI. J Magn Resonance Imaging: JMRI 33(5):1184–1193

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Siemens Corporation, Corporate Research and Technology, Baltimore, MD, USA

    Wesley D. Gilson

  2. Department of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany

    Frank Wacker

Authors
  1. Wesley D. Gilson
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  2. Frank Wacker
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Corresponding author

Correspondence to Frank Wacker .

Editor information

Editors and Affiliations

  1. , Diagnostic and Interventional Radiology, Leipzig University Hospital, Liebigstrasse 20, Leipzig, 04103, Sachsen, Germany

    Thomas Kahn

  2. , Diagnostic and Interventional Radiology, Leipzig University Hospital, Liebigstrasse 20, Leipzig, 04103, Sachsen, Germany

    Harald Busse

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© 2012 Springer-Verlag Berlin Heidelberg

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Gilson, W.D., Wacker, F. (2012). Hybrid MRI Systems and Applications. In: Kahn, T., Busse, H. (eds) Interventional Magnetic Resonance Imaging. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2012_609

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  • DOI: https://doi.org/10.1007/174_2012_609

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-20705-1

  • Online ISBN: 978-3-642-20706-8

  • eBook Packages: MedicineMedicine (R0)

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