Advances in interventional magnetic resonance imaging and its clinical applications

doi:10.16150/j.1671-2870.2024.02.002

Abstract

Abstract:

Interventional therapy has been widely used in surgeries involving neurology, vasculature, and breasts.Image-guided, robot-assisted interventional therapy significantly enhances surgical precision and safety, emerging as a critical trend in modern interventional surgery. Among various interventional imaging methods, interventional magnetic resonance imaging (i-MRI) stands out due to its excellent soft tissue differentiation, diverse imaging contrasts, ability to yield quantitative data, and no ionizing radiation. However, the challenges facing MRI-guided therapy include the relatively low speed of imaging and the stringent compatibility demands of interventional devices. Advance in the rapid i-MRI techniques and MR-compatible equipment have propelled i-MRI to a pivotal role in clinical applications, encompassing neurological, cardiovascular, prostate, and breast interventions. This review initially provides an overview of the current i-MRI landscape. It then consolidates the application of i-MRI in multiple medical interventions, offering illustrative examples. The article further delves into the obstacles posed by i-MRI, specifically slow imaging speed and the delicate spatiotemporal resolution balance. Ultimately, it envisages the growth potential of i-MRI in multimodal imaging, real-time MRI, and i-MRI-guided interventional robotic surgery.

Key words: Interventional magnetic resonance imaging, Image guidance, Interventional therapy, Clinical applications

CLC Number:

R815
R445.2

FENG Yuan, HE Zhao, SUN Qingfang, SUN Bomin, YAN Fuhua, YANG Guangzhong. Advances in interventional magnetic resonance imaging and its clinical applications[J]. Journal of Diagnostics Concepts & Practice, 2024, 23(02): 108-113.

Figures/Tables 1

Table 1

Clinical applications of i-MRI

作者	应用场景	磁共振	实时成像	序列	TR/TE (ms)	空间分辨率 (mm³)	成像时间
He, et al ^[19]	脑组织介入(人体标本)	3.0T封闭式	是	3D GRE radial	4.58/1.76	1.00 $×$ 1.00 $×$ 3.00	0.73 s
He, et al ^[25]	脑穿刺活检	1.0T开放式	是	2D T1W-FFE	25/6.91	1.29 $×$ 1.30 $×$ 6.00	2.9 s
Lu, et al ^[26]	脑胶质瘤切除	3.0T移动式	否	3D T1W-MPRAGE	2 530/2.98	1.00 $×$ 1.00 $×$ 1.00	20 min
Larson, et al ^[11]	DBS电极植入	1.5T封闭式	否	3D TSE	2 000/80	1.00 $×$ 1.13 $×$ 1.50	54 s
Razavi, et al ^[12]	心脏导管术	1.5T	是	2D bSSFP	2.9/1.45	/	0.1 s
Overduin, et al ^[30]	前列腺穿刺	3.0T封闭式	是	2D bSSFP	4.16/2.03	1.88 $×$ 1.88 $×$ 5.00	0.33 s
Josan, et al ^[37]	前列腺肿瘤冷冻消融	0.5T开放式	是	2D T1W FSE	300/10.5	/	20 s
Spick, et al ^[34]	乳腺穿刺	1.5T	否	FLASH-3D	11/4.76	0.70 $×$ 0.70 $×$ 3.00	58 s
Hynynen, et al ^[13]	乳腺纤维肿瘤超声消融	1.5T封闭式	是	2D Fast spoiled gradient-echo	27.3/13.5	0.63 $×$ 1.25 $×$ 3.00	3.6 s

Table 1

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