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Abstract #2708

Cardiac MR-thermometry with integrated catheter drift detection for guidance of ventricular tachycardia ablation

Charlotte Rogers1, Ronald Mooiweer1,2,3, Rohini Vidya Shankar1, Donovan Tripp1, Reza Razavi1, René Botnar1,4,5, and Sébastien Roujol1
1King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare Limited, Camberley, United Kingdom, 3MR Physics, Guy’s and St.Thomas’ NHS Foundation Trust, London, United Kingdom, 4School of Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile, 5Institute for Biological and Medical Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile

Synopsis

Keywords: MR-Guided Interventions, Interventional Devices, Active Tracking

Motivation: MR-thermometry is a promising approach for real-time monitoring of lesion formation during MRI-guided cardiac ablation. However, ablation catheters can potentially drift during ablation and lead to inaccurate lesion formation.

Goal(s): To develop a cardiac MR-thermometry sequence with integrated catheter drift detection.

Approach: Continuous active tracking modules were added between the cardiac triggered acquisitions of a cardiac MR-thermometry sequence. Low-pass temporal filtering of the active tracking signal was then applied to remove cardiac and respiratory components and estimate catheter drift. This approach was evaluated in a phantom.

Results: This study showed that catheter drift detection is possible within active tracking in an MR-thermometry sequence.

Impact: This study demonstrates the potential for simultaneous catheter drift detection and cardiac MR-thermometry, which may improve the safety of the procedure and the accuracy of lesion formation. Further evaluation in-vivo is now warranted.

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