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Magnetic resonance imaging (MRI) offers superior soft tissue contrast for minimally invasive procedures. However, challenges in workflow integration, cost, and device compatibility persist for widespread interventional use.

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Area of Science:

  • Medical Imaging
  • Interventional Radiology
  • Medical Device Technology

Background:

  • Magnetic resonance imaging (MRI) provides excellent soft tissue contrast without ionizing radiation, making it ideal for minimally invasive interventions.
  • Despite advancements in MRI compatibility and processing, current systems are often procedure-specific, limiting broader application.
  • Existing challenges include spatial constraints, electromagnetic interference, long scan times, and workflow integration issues.

Purpose of the Study:

  • To review devices and techniques for MRI-guided interventions, focusing on percutaneous and interstitial procedures.
  • To identify technical and procedural elements applicable across various clinical settings for interventional guidance.
  • To address key challenges in seamless workflow integration, clinical translation, and cost-effectiveness.

Main Methods:

  • Review of existing devices and techniques for MRI-guided interventions.
  • Focus on percutaneous and interstitial procedures across different organ regions.
  • Analysis of technical and procedural elements for broader applicability.

Main Results:

  • Various devices and techniques exist for specific MRI-guided interventional procedures.
  • Stereotactic guidance and instrument tracking enhance precision and physician coordination.
  • Robotic or manual remote operation can improve control and workflow in standard MRI systems.

Conclusions:

  • MRI-guided interventions offer significant advantages but face hurdles in workflow integration and cost-effectiveness.
  • Further development is needed for seamless integration into clinical workflows and broader adoption.
  • Standardization and cost-benefit analyses are crucial for the safe and effective clinical translation of MRI-guided interventions.