Adam G, Glowinski A, Neuerburg J, Bücker A, van Vaals J J, Hurtak W, Günther R W
Klinik für Radiologische Diagnostik, RWTH Aachen.
Rofo. 1997 Apr;166(4):324-8. doi: 10.1055/s-2007-1015433.
To assess the feasibility of a new developed field inhomogeneity catheter for interventional MR imaging in vivo.
Three different prototypes of a field inhomogeneity catheter were investigated in 6 pigs. The catheters were introduced in Seldinger technique via the femoral vessels over a guide wire on an interventional MR system (Philips Gyroscan NT combined with a C-arm fluoroscopy unit [Philips BV 212]). Catheters were placed in veins and arteries. The catheter position was controlled by a fast gradient echo sequence (Turbo Field Echo [TEE]).
Catheters were introduced over a guide wire without complications in all cases. Using the field inhomogeneity concept, catheters were easily visualised in the inferior vena cava and the aorta by the fast gradient echo technique on MR in all cases. Although aortic branches were successfully cannulated, the catheters were not displayed by the TFE technique due to the complex and tortuous anatomy. All animals survived the experiments without complications.
MR guided visualization of a field inhomogeneity catheter is a simple concept which can be realised on each MR scanner and may allow intravascular MR guided interventions in future.
评估一种新开发的用于体内介入磁共振成像的场不均匀性导管的可行性。
在6头猪身上研究了三种不同原型的场不均匀性导管。通过Seldinger技术,在介入磁共振系统(飞利浦Gyroscan NT与C形臂荧光透视装置[飞利浦BV 212]相结合)上,经导丝将导管经股血管引入。导管放置在静脉和动脉中。导管位置由快速梯度回波序列(Turbo Field Echo [TEE])控制。
所有病例中导管均经导丝顺利引入,无并发症。利用场不均匀性概念,在所有病例中,通过磁共振上的快速梯度回波技术可轻松在下腔静脉和主动脉中看到导管。尽管成功插管至主动脉分支,但由于解剖结构复杂且迂曲,导管未通过TFE技术显示。所有动物均顺利完成实验,无并发症。
磁共振引导下场不均匀性导管的可视化是一个简单的概念,可在每台磁共振扫描仪上实现,未来可能允许进行血管内磁共振引导的介入操作。