Rapid freehand MR-guided percutaneous needle interventions: An image-based approach to improve workflow and feasibility
Author(s): Rothgang E, Gilson W, Wacker F, Hornegger J, Lorenz C, Weiss C
Publication year: 2013
Journal issue: 5
Pages range: 1202-1212
Purpose: To develop and evaluate software-based methods for improving the workflow of magnetic resonance (MR)-guided percutaneous interventions. Materials and Methods: A set of methods was developed that allows the user to: 1) plan an entire procedure, 2) directly apply this plan to skin entry site localization without further imaging, and 3) place a needle under real-time MR guidance with automatic alignment of three orthogonal slices along a planned trajectory with preference to the principal patient axes. To validate targeting accuracy and time, phantom experiments (96 targets) and in vivo paraspinal and kidney needle punctures in two pigs (55 targets) were performed. The influence of trajectory obliquity, level of experience, and organ motion on targeting accuracy and time was analyzed. Results: Mean targeting error was 1.8 ± 0.9 mm (in vitro) and 2.9 ± 1.0 mm (in vivo) in all directions. No statistically significant differences in targeting accuracy between single- and double-oblique trajectories, novice and expert users, or paraspinal and kidney punctures were observed. The average time (in vivo) from trajectory planning to verification of accurate needle placement was 6 minutes. Conclusion: The developed methods allow for accurate needle placement along complex trajectories and are anticipated to reduce table time for MR-guided percutaneous needle interventions. © 2013 Wiley Periodicals, Inc.
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APA: Rothgang, E., Gilson, W., Wacker, F., Hornegger, J., Lorenz, C., & Weiss, C. (2013). Rapid freehand MR-guided percutaneous needle interventions: An image-based approach to improve workflow and feasibility. Journal of Magnetic Resonance Imaging, 37(5), 1202-1212. https://dx.doi.org/10.1002/jmri.23894
MLA: Rothgang, Eva, et al. "Rapid freehand MR-guided percutaneous needle interventions: An image-based approach to improve workflow and feasibility." Journal of Magnetic Resonance Imaging 37.5 (2013): 1202-1212.