A Combined Intravascular MRI Endoscope and Intravascular Ultrasound (IVUS) Transducer for High-Resolution Image-Guided Ablation.

Xiaoyang Liu, Nicholas Ellens, Emery Williams, Everette Clif Burdette, Parag Karmarkar, Paul Bottomley
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Abstract

An intravascular MRI (IMRI) loopless antenna is combined for the first time with an intravascular water-cooled ultrasound ablation transducer as a possible tool for providing high-resolution MRI-guided ablations of pathological tissue via intravascular access. High resolution anatomical MRI, and real-time MRI thermometry were used to monitor ablation delivery in phantoms and tissue specimens. Results show that IMRI can guide IVUS-mediated directional ablation with minimal image artifacts. This permits the monitoring of thermal dose and therapy titration while minimizing potential thermal damage to the vessel wall.

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用于高分辨率图像引导消融的血管内MRI内窥镜和血管内超声(IVUS)换能器。
血管内MRI (IMRI)无环路天线首次与血管内水冷超声消融换能器相结合,作为一种可能的工具,可通过血管内通道提供高分辨率MRI引导病理组织消融。使用高分辨率解剖MRI和实时MRI测温来监测幻影和组织标本的消融输送。结果表明,IMRI可以指导ivus介导的定向消融,并且图像伪影最小。这样可以监测热剂量和治疗滴定,同时最大限度地减少对血管壁的潜在热损伤。
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