Target definition and trajectory optimization for interactive MR-guided biopsies of brain tumors in an open configuration MRI system

被引:31
作者
Kollias, SS
Bernays, R
Marugg, RA
Romanowski, B
Yonekawa, Y
Valavanis, A
机构
[1] Univ Zurich Hosp, Inst Neuroradiol & Magnet Resonance Ctr, CH-8091 Zurich, Switzerland
[2] Univ Zurich Hosp, Dept Neurosurg, CH-8091 Zurich, Switzerland
来源
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING | 1998年 / 8卷 / 01期
关键词
brain biopsy; cerebral tumors; functional MRI; perfusion; interventional MRI; neurosurgical planning;
D O I
10.1002/jmri.1880080127
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
We present an imaging strategy for planning and guiding brain biopsies in an open configuration MR system. Preprocedure imaging was performed in a 1.5-T MR system and was designed to provide, in a clinically efficient manner. high resolution anatomical and functional/physiologic information for precise definition and tissue characterization of the target, aiming at optimization of the biopsy trajectory for planning a safe and accurate procedure. The interventions were performed in a .5-T open bore magnet, and imaging was optimized to provide the imaging quality and temporal resolution necessary for performing the procedure interactively in near real time. Brain biopsies of 21 patients were performed in a 10-month period. Segmentation and surface rendering analysis of the lesions and vascular structures and dynamic MR perfusion and cortical activation studies provided an efficient and comprehensive way to appreciate the relationship of the target to surrounding vital structures, improved tissue characterization and definition of the tumor margins, and demonstrated the location of essential cortex, allowing appropriate placement of the burr hole and choice of optimal trajectory. Interactive protocols provided good visualization of the target and the interventional devices and offered the operator real-time feedback and control of the procedure. No complications were encountered. Advanced methods of image acquisition and processing for accurate planning of interventional brain procedures and interactive imaging with MR guidance render feasible the performance of safe and accurate neurointerventional procedures.
引用
收藏
页码:143 / 159
页数:17
相关论文
共 34 条
  • [1] CEREBRAL BLOOD-VOLUME MAPS OF GLIOMAS - COMPARISON WITH TUMOR GRADE AND HISTOLOGIC-FINDINGS
    ARONEN, HJ
    GAZIT, IE
    LOUIS, DN
    BUCHBINDER, BR
    PARDO, FS
    WEISSKOFF, RM
    HARSH, GR
    COSGROVE, GR
    HALPERN, EF
    HOCHBERG, FH
    ROSEN, BR
    [J]. RADIOLOGY, 1994, 191 (01) : 41 - 51
  • [2] ULTRASOUND-GUIDED STEREOTAXIC BIOPSY USING A NEW APPARATUS
    BERGER, MS
    [J]. JOURNAL OF NEUROSURGERY, 1986, 65 (04) : 550 - 554
  • [3] Brem S, 1976, Clin Neurosurg, V23, P440
  • [4] CHIEN D, 1991, MAGN RESON QUART, V18, P1032
  • [5] 3D SURFACE RENDERED MR IMAGES OF THE BRAIN AND ITS VASCULATURE
    CLINE, HE
    LORENSEN, WE
    SOUZA, SP
    JOLESZ, FA
    KIKINIS, R
    GERIG, G
    KENNEDY, TE
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1991, 15 (02) : 344 - 351
  • [6] 3-DIMENSIONAL SEGMENTATION OF MR IMAGES OF THE HEAD USING PROBABILITY AND CONNECTIVITY
    CLINE, HE
    LORENSEN, WE
    KIKINIS, R
    JOLESZ, F
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1990, 14 (06) : 1037 - 1045
  • [7] ULTRA-FAST IMAGING
    COHEN, MS
    WEISSKOFF, RM
    [J]. MAGNETIC RESONANCE IMAGING, 1991, 9 (01) : 1 - 37
  • [8] INFLUENCE OF THE TYPE OF SURGERY ON THE HISTOLOGIC DIAGNOSIS IN PATIENTS WITH ANAPLASTIC GLIOMAS
    GLANTZ, MJ
    BURGER, PC
    HERNDON, JE
    FRIEDMAN, AH
    CAIRNCROSS, JG
    VICK, NA
    SCHOLD, SC
    [J]. NEUROLOGY, 1991, 41 (11) : 1741 - 1744
  • [9] Assessment of tumor microcirculation: A new role of dynamic contrast MR imaging
    Griebel, J
    Mayr, NA
    deVries, A
    Knopp, MV
    Gneiting, T
    Kremser, C
    Essig, M
    Hawighorst, H
    Lukas, PH
    Yuh, WTC
    [J]. JOURNAL OF MAGNETIC RESONANCE IMAGING, 1997, 7 (01) : 111 - 119
  • [10] FDG-PET IN THE SELECTION OF BRAIN-LESIONS FOR BIOPSY
    HANSON, MW
    GLANTZ, MJ
    HOFFMAN, JM
    FRIEDMAN, AH
    BURGER, PC
    SCHOLD, SC
    COLEMAN, RE
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1991, 15 (05) : 796 - 801