Patient motion during an MRI exam can result in major degradation of image quality, and is of increasing concern due to the aging population and its associated diseases. This work presents a general strategy for real-time, intraimage compensation of rigidbody motion that is compatible with multiple imaging sequences. Image quality improvements are established for structural brain MRI acquired during volunteer motion. A headband integrated with three active markers is secured to the forehead. Prospective correction is achieved by interleaving a rapid track-and-update module into the imaging sequence. For every repetition of this module, a short tracking pulse-sequence remeasures the marker positions; during head motion, the rigid-body transformation that realigns the markers to their initial positions is fed back to adaptively update the image-plane-maintaining it at a fixed orientation relative to the head-before the next imaging segment of k-space is acquired. In cases of extreme motion, corrupted lines of kspace are rejected and reacquired with the updated geometry. Patient movement is a fundamental problem in virtually all in vivo MR applications. Motion induces local field variations, causes erroneous positional encoding of k-space data, and corrupts the spin-excitation history between slices; these phenomena manifest in image-space as misregistrations, blurring, and ghosting. Even a few millimeters of movement during scanning can produce severe artifacts in reconstructed data, thus rendering images unusable. Often, it is subject populations with the highest potential diagnostic benefit in which the utility of MRI is curtailed by motion artifacts. In a study of 17 patients with frontoparietal tumors, data from five had to be rejected due to gross motion artifacts (1). Even among a healthy elderly population, our experience suggests that significant artifacts may appear in 10% to 20% of high-resolution structural brain scans; typically used for diagnostic and morphological analysis, such scans are especially prone to motion artifact due to their longer duration. To address these concerns, a motion-correction strategy for brain MRI is presented.The fact that the head is a rigid-body (to a very close approximation) allows an arbitrary motion to be described by six degrees-of-freedom (6-DOF)-three rotations about a three-dimensional (3D) orthogonal coordinate-system, and three translations. Retrospective motion-compensation methods, such as those used to coregister multiple image volumes in functional MRI (fMRI) studies, are well established. The most popular algorithms (2) determine the 6-DOF via minimization of a least-squares cost function and only correct for interimage motion. Retrospective correction involves interpolation, which can cause image blurring, and is further limited by its inability to fully correct for the influences of through-plane motion on local spin-history.In contrast, prospective strategies compensate for motion in the acquisition stage by keeping the image-plane at a fixed orientation ...
PURPOSE-To assess the feasibility of the use of preprocedural imaging for guide wire, catheter, and needle navigation with electromagnetic tracking in phantom and animal models. MATERIALS AND METHODS-An image-guided intervention software system was developedbased on open-source software components. Catheters, needles, and guide wires were constructed with small position and orientation sensors in the tips. A tetrahedral-shaped weak electromagnetic field generator was placed in proximity to an abdominal vascular phantom or three pigs on the angiography table. Preprocedural computed tomographic (CT) images of the phantom or pig were loaded into custom-developed tracking, registration, navigation, and rendering software. Devices were manipulated within the phantom or pig with guidance from the previously acquired CT scan and simultaneous real-time angiography. Navigation within positron emission tomography (PET) and magnetic resonance (MR) volumetric datasets was also performed. External and endovascular fiducials were used for registration in the phantom, and registration error and tracking error were estimated. RESULTS-The CT scan position of the devices within phantoms and pigs was accurately determined during angiography and biopsy procedures, with manageable error for some applications. Preprocedural CT depicted the anatomy in the region of the devices with real-time position updating and minimal registration error and tracking error (<5 mm). PET can also be used with this system to guide percutaneous biopsies to the most metabolically active region of a tumor.CONCLUSIONS-Previously acquired CT, MR, or PET data can be accurately codisplayed during procedures with reconstructed imaging based on the position and orientation of catheters, guide wires, or needles. Multimodality interventions are feasible by allowing the real-time updated display of previously acquired functional or morphologic imaging during angiography, biopsy, and ablation.Address correspondence to B.J.W.; E-mail: bwood@nih.gov. B.J.W. and K.C. are coinventors on related US Patent Application #10/377,528, "Interstitial Magnetic Position Sensor System and Needle for Surgical and Image-guided Therapy Navigation." B.J.W. and N.G. are coinventors on US Patent Application: "Design for Guiding and Electromagnetic Tracking of Radiofrequency Ablation Needle" (US Provisional Patent Application # 60/625,186). Philips owns intellectual property and has market interest in this area. J.K., J.B., and S.K. are salaried employees of Philips Electronics. The mention of commercial devices or products, their source, or their use in connection with material reported herein is not to be construed as either an actual or implied endorsement of such products by the National Institutes of Health, the Department of Health and Human Services, or the Public Health Service. N.G. is President and a major shareholder of Traxtal, Inc. DEVICE navigation in angiography and interventional radiology has traditionally relied on real-time imaging to monitor anatomic position...
The combination of active catheter tracking and passive real-time visualization in CMR-guided electrophysiologic (EP) studies using advanced interventional hardware and software was safe and enabled efficient navigation, mapping, and ablation. These cases demonstrate significant progress in the development of MR-guided EP procedures.
CMR-EP using active catheter tracking is safe and feasible. The CMR-EP setup provides an effective workflow and has the potential to change the way in which ablation procedures may be performed.
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