Interventional musculoskeletal procedures performed by using MR imaging guidance with a vertically open MR unit: Assessment of techniques and applicability

被引:55
作者
Genant, JW
Vandevenne, JE
Bergman, AG
Beaulieu, CF
Kee, ST
Norbash, AM
Lang, P [1 ]
机构
[1] Stanford Univ, Med Ctr, Dept Radiol, Stanford, CA 94305 USA
[2] Stanford Univ, Med Ctr, Sch Med, Stanford, CA 94305 USA
[3] Brigham & Womens Hosp, Dept Radiol, Boston, MA 02115 USA
[4] Univ Ziekenhuis Antwerp, Dept Radiol, Antwerp, Belgium
关键词
biopsies; interventional procedures; magnetic resonance (MR); guidance;
D O I
10.1148/radiol.2231010900
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
PURPOSE: To evaluate the safety of and time required for a broad range of musculoskeletal interventional procedures performed by using magnetic resonance (MR) imaging guidance with a vertically open 0.5-T unit. MATERIALS AND METHODS: Sixty-three MR imaging-guided procedures were performed. A vertically open MR unit equipped with in-room display monitors allowed interactive freehand MR guidance predominantly with fast spin-echo and gradient-echo sequences. Each procedure was classified in terms of the anatomic location, procedure type, and tissue type involved. The procedures were evaluated for success of needle placement, adequacy of tissue sampling, total procedural time, needle time, number of needle passes, and complications. RESULTS: Procedures consisted of tissue sampling with core-needle (n = 6) or fine-needle aspiration (n = 20) biopsy, corticosteroid or contrast agent injection (n = 19), joint cyst aspiration (n = 7), and drainage (n = 11). Successful needle placement was achieved in all 63 cases. Cytologic and histologic tissue samples were sufficient for pathologic diagnosis in 24 of 26 cases. In two cases, complications occurred: transient local bleeding and a brief vasovagal episode. The mean total procedural time was 64.8 minutes; the mean needle time, 26.2 minutes; and the mean number of needle passes per patient, 1.6. CONCLUSION: With use of a vertically open MR unit, MR-guided interventional procedures involving bone, soft tissue, intervertebral disks, and joints are safe and sufficiently rapid for use in clinical practice. (C) RSNA, 2002
引用
收藏
页码:127 / 136
页数:10
相关论文
共 25 条
[1]   Interventional MR imaging:: percutaneous abdominal and skeletal biopsies and drainages of the abdomen [J].
Adam, G ;
Bücker, A ;
Nolte-Ernsting, C ;
Tacke, J ;
Günther, RW .
EUROPEAN RADIOLOGY, 1999, 9 (08) :1471-1478
[2]   Interventional magnetic resonance - Initial clinical experience with a 1.5-tesla magnetic resonance system combined with c-arm fluoroscopy [J].
Adam, G ;
Neuerburg, J ;
Bucker, A ;
Glowinski, A ;
Vorwerk, D ;
Stargardt, A ;
VanVaals, JJ ;
Gunther, RW .
INVESTIGATIVE RADIOLOGY, 1997, 32 (04) :191-197
[3]   Breast cancer: Gadolinium-enhanced MR imaging with a 0.5-T open imager and three-point Dixon technique [J].
Daniel, BL ;
Butts, K ;
Glover, GH ;
Cooper, C ;
Herfkens, RJ .
RADIOLOGY, 1998, 207 (01) :183-190
[4]   Breast lesion localization: A freehand, interactive MR imaging-guided technique [J].
Daniel, BL ;
Birdwell, RL ;
Ikeda, DM ;
Jeffrey, SS ;
Black, JW ;
Block, WF ;
Sawyer-Glover, AM ;
Glover, GH ;
Herfkens, RJ .
RADIOLOGY, 1998, 207 (02) :455-463
[5]   HEAD AND NECK LESIONS - MR-GUIDED ASPIRATION BIOPSY [J].
DUCKWILER, G ;
LUFKIN, RB ;
TERESI, L ;
SPICKLER, E ;
DION, J ;
VINUELA, F ;
BENTSON, J ;
HANAFEE, W .
RADIOLOGY, 1989, 170 (02) :519-522
[6]   3-POINT DIXON TECHNIQUE FOR TRUE WATER FAT DECOMPOSITION WITH BO INHOMOGENEITY CORRECTION [J].
GLOVER, GH ;
SCHNEIDER, E .
MAGNETIC RESONANCE IN MEDICINE, 1991, 18 (02) :371-383
[7]  
Lewin JS, 1999, AM J NEURORADIOL, V20, P735
[8]   Interactive MR imaging-guided biopsy and aspiration with a modified clinical C-arm system [J].
Lewin, JS ;
Petersilge, CA ;
Hatem, SF ;
Duerk, JL ;
Lenz, G ;
Clampitt, ME ;
Williams, ML ;
Kaczynski, KR ;
Lanzieri, CF ;
Wise, AL ;
Haaga, JR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 170 (06) :1593-1601
[9]   Needle localization in MR-guided biopsy and aspiration: Effects of field strength, sequence design, and magnetic field orientation [J].
Lewin, JS ;
Duerk, JL ;
Jain, VR ;
Petersilge, CA ;
Chao, CP ;
Haaga, JR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1996, 166 (06) :1337-1345
[10]   Image-guided percutaneous biopsy of musculoskeletal tumors: An algorithm for selection of specific biopsy techniques [J].
Logan, PM ;
Connell, DG ;
OConnell, JX ;
Munk, PL ;
Janzen, DL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1996, 166 (01) :137-141