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Updated: Feb 17, 2026

Clinical Imaging of Microwave Mammography
Published on: November 14, 2025
In vitro artifact assessment of an MR-compatible, microwave antenna device for percutaneous tumor ablation with
David-Emanuel Kessler1, Jakob Weiss1, Hansjörg Rempp1
1a Department of Diagnostic and Interventional Radiology , Eberhard Karls University , Tuebingen , Germany.
Objective:
To evaluate artifact configuration and diameters of a magnetic resonance (MR) compatible microwave (MW) applicator using near-realtime MR-fluoroscopic sequences for percutaneous tumor ablation procedures.
Material And Methods:
Two MW applicators (14 G and 16 G) were tested in an ex-vivo phantom at 1.5 T with two 3 D fluoroscopic sequences: T1-weighted spoiled Gradient Echo (GRE) and T1/T2-weighted Steady State Free Precession (SSFP) sequence. Applicator orientation to main magnetic field (B0), slice orientation and phase encoding direction (PED) were systematically varied. The influence of these variables was assessed with ANOVA and post-hoc testing.
Results:
The artifact was homogenous along the whole length of both antennas with all tested parameters. The tip artifact diameter of the 16 G antenna measured 6.9 ± 1.0 mm, the shaft artifact diameter 8.6 ± 1.2 mm and the Tip Location Error (TLE) was 1.5 ± 1.2 mm.The tip artifact diameter of the 14 G antenna measured 7.7 ± 1.2 mm, the shaft artifact diameter 9.6 ± 1.5 mm and TLE was 1.6 ± 1.2 mm. Orientation to B0 had no statistically significant influence on tip artifact diameters (16 G: p = .55; 14 G: p = .07) or TLE (16 G: p = .93; 14 G: p = .26). GRE sequences slightly overestimated the antenna length with TLE(16 G) = 2.6 ± 0.5 mm and TLE(14 G) = 2.7 ± 0.7 mm.
Conclusions:
The MR-compatible MW applicator's artifact seems adequate with an acceptable TLE for safe applicator positioning during near-realtime fluoroscopic MR-guidance.
Insights
This study shows that magnetic resonance (MR)-compatible microwave (MW) applicators produce acceptable artifacts and tip location errors for safe positioning during MR-guided percutaneous tumor ablation. Near-realtime MR-fluoroscopic sequences are effective for evaluating these applicators.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Biomedical Engineering
Background:
- Percutaneous tumor ablation relies on accurate applicator placement.
- Magnetic resonance (MR)-compatible microwave (MW) applicators offer potential for image-guided procedures.
- Evaluating applicator artifact configuration and diameters is crucial for safe and effective MR-guided interventions.
Purpose of the Study:
- To assess the artifact characteristics and diameters of MR-compatible MW applicators.
- To evaluate the impact of applicator orientation and imaging parameters on artifact formation.
- To determine the Tip Location Error (TLE) for precise applicator positioning during MR-guided ablation.
Main Methods:
- Two MW applicators (14G and 16G) were tested in an ex-vivo phantom at 1.5T.
- Near-realtime 3D fluoroscopic MR sequences (GRE and SSFP) were utilized.
- Applicator orientation, slice orientation, and phase encoding direction were systematically varied and analyzed using ANOVA.
Main Results:
- Artifacts were consistently homogenous along both applicator lengths across all tested parameters.
- The 16G applicator showed a tip artifact diameter of 6.9 ± 1.0 mm and shaft artifact diameter of 8.6 ± 1.2 mm, with a TLE of 1.5 ± 1.2 mm.
- The 14G applicator exhibited a tip artifact diameter of 7.7 ± 1.2 mm and shaft artifact diameter of 9.6 ± 1.5 mm, with a TLE of 1.6 ± 1.2 mm. GRE sequences slightly overestimated antenna length.
Conclusions:
- The MR-compatible MW applicator demonstrates acceptable artifact configuration and Tip Location Error (TLE).
- These findings support the safe positioning of MW applicators under near-realtime fluoroscopic MR-guidance for percutaneous tumor ablation.
- The study validates the utility of MR-fluoroscopic sequences for evaluating applicator performance in MR-guided procedures.
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