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Published on: April 12, 2024
Body Interventional MRI for Diagnostic and Interventional Radiologists: Current Practice and Future Prospects
Scott M Thompson1, Krzysztof R Gorny1, Erica M Knavel Koepsel1
1From the Department of Radiology (S.M.T., K.R.G., E.M.K.K., B.T.W., A.L., C.P.F., J.P.F., D.A.W.), Division of Vascular and Interventional Radiology (S.M.T.), and Department of Urology (L.M.), Mayo Clinic, 200 1st St SW, Rochester, MN 55905.
Interventional MRI (iMRI) has advanced significantly, offering superior soft-tissue imaging for procedures like biopsies and ablations. Despite challenges, iMRI provides crucial visualization for complex treatments.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Magnetic Resonance Imaging
Background:
- Clinical interventional MRI (iMRI) emerged in the late 1980s but faced early limitations.
- Technological progress over three decades has driven the expansion of iMRI applications, especially in body imaging.
Purpose of the Study:
- To review the evolution, advantages, disadvantages, and clinical applications of interventional MRI.
- To highlight safety considerations and the growing availability of MR-conditional devices for iMRI procedures.
Main Methods:
- Review of technological advancements in iMRI magnets, pulse sequences, and equipment.
- Discussion of safety protocols and the expanding range of MR-conditional devices.
- Overview of current clinical applications in body iMRI.
Main Results:
- Significant technological advancements have expanded iMRI capabilities.
- iMRI offers superior soft-tissue resolution and multiplanar imaging without ionizing radiation.
- Numerous MR-conditional devices are now available, facilitating diverse iMRI procedures.
Conclusions:
- Interventional MRI is increasingly valuable for precise localization, biopsy, and ablation of soft-tissue lesions.
- Safety in the iMRI environment requires strict protocols and team collaboration.
- The growth in clinical iMRI applications is substantial, driven by technological improvements and device availability.
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