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Real-Time Slice Steering for MR-Guided Interventions Using Endovascular Devices Equipped with Passive MRI Markers
Daniel Christopher Hoinkiss1, Han Nijsink2, Paul Borm3, Sabrina Haase1, Jan Strehlow1, Jurgen Futterer2, and Torben Pätz1
1Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany, 2Radboud University Medical Centre (Radboudumc), Nijmegen, Netherlands, 3Nano4imaging GmbH, Aachen, Germany
The presented workflow for automatic interventional slice steering combines real-time tracking information based on passive MRI markers with pre-calculated therapy planning for smooth and accurate device monitoring that increases precision during MR-guided interventions.
Figure 5: a) Automatic slice steering based on reconstructed wire geometry (top) and vascular information (bottom) with a non-moving wire. A slight jittering of the real-time slices can be seen in the top row where orientation of the slices changes between timepoints (see differences in blue circle). b) and c) Time series of real-time images, acquired with slice steering and while performing guidewire motion. The experiments were performed at different MRI sites using two different MRI phantoms.
Figure 3: An additional option allows to use a-priori information of pre-processed vessel masks and the envisioned path for intervention (a). A smoothed path representation is synchronized to the reconstructed wire geometry (b) and sample points are calculated based on the interventional path (c) with which the imaging plane information can be calculated (d). This allows to better align the real-time MRI slices to the vascular characteristics.