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Abstract #4245

Prototype Platform for Real-time MR-guided Brain Clot EvacuationĀ 

Robert Moskwa1, Azam Ahmed2, and Walter Block1
1Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Neurological Surgery, University of Wisconsin-Madison, Madison, WI, United States

The international Phase III MISTIE Trial, which used CT-image guidance to position a catheter at the site of intracerebral hemorrhage (ICH) failed to meet its clinical endpoint for all patients. The Trial concluded that improved guidance was needed to help a wider set of neurosurgeons. MR-guidance of ICH evacuation could meet these needs. We present an MR-guidance prototype to provide neurosurgeons with a real-time interface with similar viewpoints as commonly used in stereotactic operating room settings. The MR-guidance prototype shows potential to be a reliable tool to assist as monitoring and guiding tools and lysing drugs during clot-evacuation procedures.

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