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[磁共振成像引导下的血管内介入治疗]

[Magnetic resonance imaging-guided endovascular interventions].

作者信息

Wacker F K, Bock M

机构信息

Klinik für Radiologie und Nuklearmedizin, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin.

出版信息

Rofo. 2007 Apr;179(4):355-64. doi: 10.1055/s-2007-962930.

Abstract

Historically, the combination of relatively long imaging times and restricted patient access has made MRI-guided intervention an impractical technique. Recent developments in MR hardware, pulse sequence improvements that have allowed the development of rapid imaging, and the availability of instruments that can be used under MR guidance have helped to overcome many of the disadvantages of MRI. Parallel to the development of MRI, image-guided percutaneous and endovascular interventions are becoming increasingly complex and require progressively more sophisticated imaging techniques to guide and control such interventions. These initially parallel trends have converged in the last couple of years. The ability of MRI to provide both unprecedented morphology and functional information has created a growing interest in both percutaneous and endovascular MRI-guided interventions. The goal of this review is to describe the technical prerequisites for MR-guided endovascular interventions, to discuss experimental and clinical applications, and to explain safety aspects of this technique.

摘要

从历史上看,相对较长的成像时间和有限的患者可及性相结合,使得磁共振成像(MRI)引导的介入成为一种不切实际的技术。MR硬件的最新发展、允许快速成像发展的脉冲序列改进以及可在MR引导下使用的仪器的可用性,有助于克服MRI的许多缺点。与MRI的发展并行,图像引导的经皮和血管内介入正变得越来越复杂,并且需要越来越复杂的成像技术来引导和控制此类介入。这些最初并行的趋势在过去几年中已经汇聚。MRI提供前所未有的形态学和功能信息的能力,引发了对经皮和血管内MRI引导介入的日益浓厚的兴趣。本综述的目的是描述MR引导的血管内介入的技术前提条件,讨论实验和临床应用,并解释该技术的安全方面。

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