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Abstract #2717

MR-Guided Percutaneous Interventions: Needle Insertion with a Compact Assistance System and T2-weighted Imaging in 2 Orthogonal Slices

Samantha Hickey1, Simon Reiss1, Niklas Verloh2, Srdjan Milosavljevic3, Michael Vogele3, Wolfgang Ptacek4, Wibke Uller2, and Michael Bock1
1Division of Medical Physics, Department of Diagnostic and Interventional Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 2Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany, 3Interventional Systems GmbH, Kitzbuehel, Austria, 4ACMIT Gmbh, Wiener Neustadt, Austria

Synopsis

Keywords: Interventional Devices, Interventional Devices, Pulse sequence design

Motivation: MR-guided percutaneous interventions at closed-bore high-field systems profit from remote device manipulation with real-time needle tracking.

Goal(s): To integrate a sequence capable of acquiring two T2-weighted orthogonal slices simultaneously (Ortho-SSFP-Echo) into the device-assisted needle intervention workflow during needle insertion.

Approach: The assistance system (GantryMate) was coupled with a real-time POCC sequence to target a lesion. Once the lesion was identified, its position information was used in a real-time Ortho-SSFP-Echo acquisition to dynamically monitor the needle insertion.

Results: The Ortho-SSFP-Echo sequence enables simultaneous needle visualization in two planes, offering higher CNR than GRE and comparable to bSSFP, without banding artifacts.

Impact: Combining an Ortho-SSFP-Echo sequence with a compact needle assistance system provides a streamlined interventional workflow with decreased complexity and improved image contrast for MR-guided percutaneous interventions at high field.

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