Nour Sherif G, Lewin Jonathan S
Associate Professor, Interventional MRI Program, Department of Radiology and Imaging Sciences, Emory University Hospitals and School of Medicine.
Professor and Executive Vice President for Health Affairs, Emory University, Atlanta, GA.
Top Magn Reson Imaging. 2018 Feb;27(1):25-31. doi: 10.1097/RMR.0000000000000167.
The expansive technological developments that occurred over the past decades have clearly moved the field of Interventional MRI beyond the arena of the "proof of concept" to a viable option for minimally invasive diagnosis and therapy. State-of-the-art MRI technology can currently be employed to identify an occult target pathology, confidently steer an interventional device into complex anatomy, accurately deliver a device, drug, or energy, and/or monitor the real time effect of a treatment. Implementing a full-scope interventional MRI service requires substantial physical and conceptual modifications of the traditional diagnostic MRI environment. As such, it is essential to recognize that interventional MRI does not only involve the actual MRI-guided interventional event but should rather be perceived as a whole foundation of technology, development, set-up, conceptual training, and an institutional culture that realizes the opportunities offered by and understands the challenges and limitations of MRI-guided interventions. At Emory University, we had the privilege to build a de novo interventional MRI suite and to subsequently operate a high volume clinical interventional MRI service. The Emory program was launched with the goal of establishing a destination site for a comprehensive clinical service of MRI-guided interventions. The experience gained and the lessons learned are shared with the readers in this article.
过去几十年间发生的巨大技术发展，已明确将介入性磁共振成像领域从“概念验证”阶段推进至微创诊断与治疗的可行选择。目前，先进的磁共振成像技术可用于识别隐匿的目标病变，可靠地将介入设备引导至复杂解剖结构中，精确输送设备、药物或能量，和/或监测治疗的实时效果。实施全面的介入性磁共振成像服务需要对传统诊断磁共振成像环境进行重大的物理和概念上的改造。因此，必须认识到介入性磁共振成像不仅涉及实际的磁共振成像引导介入事件，而更应被视为一个完整的技术、开发、设置、概念培训以及机构文化基础，该基础要能实现磁共振成像引导介入所带来的机遇，并理解其挑战与局限。在埃默里大学，我们有幸新建了一套全新的介入性磁共振成像设备，并随后开展了大量的临床介入性磁共振成像服务。埃默里项目启动的目标是打造一个提供磁共振成像引导介入综合临床服务的目的地机构。本文将与读者分享我们所获得的经验和吸取的教训。
