Department of Radiology, Stanford University, Palo Alto, California, USA.
Magn Reson Med. 2018 Aug;80(2):655-661. doi: 10.1002/mrm.27056. Epub 2017 Dec 29.
Magnetic resonance (MR) guidance for biopsy procedures requires high intrinsic soft-tissue contrast. However, artifacts induced by the metallic needle can reduce its localization and require low-susceptibility needle materials with poorer cutting performance. In a proof of concept, we demonstrate the feasibility of 2D multispectral imaging (2DMSI) for both needle tracking and for needle artifact reduction for more precise needle localization and to enable the usage of needle materials with higher susceptibility.
We applied 2DMSI for imaging of MR-compatible biopsy needles, conventional stainless-steel needles, and mixed-material needles and compared it to conventional techniques. In addition, we exploited intrinsic off-resonance information for passive needle tracking.
2DMSI achieved a stronger reduction of the needle artifact compared to conventional techniques. For the mixed-material needles, the artifact was reduced to a level below that for MR-compatible needles with conventional imaging. The passive tracking also improved the ability to pinpoint the needle.
2DMSI is promising for both needle tracking and artifact-reduced imaging of biopsy needles for a more precise needle localization. 2DMSI may be particularly promising for needles inducing large distortions or for targeting of small lesions. In addition, it may enable the use of needle materials with higher susceptibility and potentially better sampling performance. Magn Reson Med 80:655-661, 2018. © 2017 International Society for Magnetic Resonance in Medicine.
活检过程中的磁共振(MR)引导需要高的固有软组织对比。然而,金属针引起的伪影会降低其定位精度,需要采用具有较差切割性能的低顺磁性针材料。在概念验证中,我们演示了二维多谱成像(2DMSI)用于针跟踪和针伪影减少的可行性,以实现更精确的针定位,并能够使用具有更高磁化率的针材料。
我们将 2DMSI 应用于成像兼容磁共振的活检针、传统不锈钢针和混合材料针,并将其与传统技术进行比较。此外,我们还利用了固有失谐信息进行被动针跟踪。
2DMSI 与传统技术相比,能更有效地减少针伪影。对于混合材料针,其伪影减少到低于传统成像的兼容磁共振的针水平。被动跟踪还提高了精确定位针的能力。
2DMSI 有望用于活检针的针跟踪和降低伪影成像,以实现更精确的针定位。2DMSI 对于产生较大失真的针或靶向小病变的针可能特别有前途。此外,它可能允许使用具有更高磁化率和潜在更好采样性能的针材料。磁共振医学 80:655-661, 2018。© 2017 国际磁共振学会。