Skip to main content
Top
Published in: European Radiology 9/2006

01-09-2006 | Vascular-Interventional

MR-guided biopsies with a newly designed cordless coil in an open low-field system: Initial findings

Authors: Stephan Zangos, Theodor Vetter, Frank Huebner, Montu Tuwari, Florian Mayer, Katrin Eichler, M.-L. Hansmann, A. Wetter, C. Herzog, Thomas J. Vogl

Published in: European Radiology | Issue 9/2006

Login to get access

Abstract

The purpose of this study was to examine the feasibility and safety of MR-guided biopsies with a newly designed cordless coil in an open low-field magnetic resonance (MR) system. Eleven patients were biopsied using a low-field system (0.2 T, Magnetom Concerto, Siemens) by using the new cordless coil (Siemens). The biopsies were performed in different organ systems [liver (n=7), abdomen (n=1), shoulder (n=1), pelvis (n=1) and hip (n=1)]. The procedures were guided using T1-weighted FLASH (fast low-angle shot) sequences. The lesions were biopsied using the coaxial technique through a 15-gauge puncture needle with a 16-gauge biopsy handy. Coil handling, image quality and complications were evaluated. Imaging quality and visualization of the lesions were optimal up to a penetration depth of 9 cm. In all cases the biopsy procedures were successfully performed with MR guidance without any complications. Pathological findings revealed seven cases of malignant tissue and four cases of non-malignant tissue. The use of the cordless coil allows improved patient access during the biopsy and an improved handling of the coil system. MR-guided biopsy using the novel cordless coil system can be performed safely and precisely with easy handling of the coil. This coil concept, however, is restricted to special indications.
Literature
1.
go back to reference Matalon TA, Silver B (1990) US guidance of interventional procedures. Radiology 174:43–47PubMed Matalon TA, Silver B (1990) US guidance of interventional procedures. Radiology 174:43–47PubMed
2.
go back to reference Charboneau JW, Reading CC, Welch TJ (1990) CT and sonographically guided needle biopsy: current techniques and new innovations. AJR Am J Roentgenol 154:1–10PubMed Charboneau JW, Reading CC, Welch TJ (1990) CT and sonographically guided needle biopsy: current techniques and new innovations. AJR Am J Roentgenol 154:1–10PubMed
3.
go back to reference Dupuy DE, Rosenberg AE, Punyaratabandhu T, Tan MH, Mankin HJ (1998) Accuracy of CT-guided needle biopsy of musculoskeletal neoplasms. AJR Am J Roentgenol 171:759–762PubMed Dupuy DE, Rosenberg AE, Punyaratabandhu T, Tan MH, Mankin HJ (1998) Accuracy of CT-guided needle biopsy of musculoskeletal neoplasms. AJR Am J Roentgenol 171:759–762PubMed
4.
go back to reference Hopper K (1995) Percutaneous, radiographically guided biopsy: a history. Radiology 196:329–333PubMed Hopper K (1995) Percutaneous, radiographically guided biopsy: a history. Radiology 196:329–333PubMed
5.
go back to reference Daly B, Templeton PA (1999) Real-time CT fluoroscopy: evolution of an interventional tool. Radiology 211:309–315PubMed Daly B, Templeton PA (1999) Real-time CT fluoroscopy: evolution of an interventional tool. Radiology 211:309–315PubMed
6.
go back to reference Kliewer MA, Sheafor DH, Paulson EK, Helsper RS, Hertzberg BS, Nelson RC (1999) Percutaneous liver biopsy: a cost-benefit analysis comparing sonographic and CT guidance. AJR Am J Roentgenol 173:1199–1202PubMed Kliewer MA, Sheafor DH, Paulson EK, Helsper RS, Hertzberg BS, Nelson RC (1999) Percutaneous liver biopsy: a cost-benefit analysis comparing sonographic and CT guidance. AJR Am J Roentgenol 173:1199–1202PubMed
7.
go back to reference de Mey J, Op de Beeck B, Meysman M, Noppen M, De Maeseneer M, Vanhoey M, Vincken W, Osteaux M (2000) Real time CT-fluoroscopy: diagnostic and therapeutic applications. Eur J Radiol 34:32–40CrossRefPubMed de Mey J, Op de Beeck B, Meysman M, Noppen M, De Maeseneer M, Vanhoey M, Vincken W, Osteaux M (2000) Real time CT-fluoroscopy: diagnostic and therapeutic applications. Eur J Radiol 34:32–40CrossRefPubMed
8.
go back to reference Sklair-Levy M, Polliack A, Shaham D, Applbaum YH, Gillis S, Ben-Yehuda D, Sherman Y, Libson E (2000) CT-guided core-needle biopsy in the diagnosis of mediastinal lymphoma. Eur Radiol 10:714–718CrossRefPubMed Sklair-Levy M, Polliack A, Shaham D, Applbaum YH, Gillis S, Ben-Yehuda D, Sherman Y, Libson E (2000) CT-guided core-needle biopsy in the diagnosis of mediastinal lymphoma. Eur Radiol 10:714–718CrossRefPubMed
9.
go back to reference Adam G, Bucker A, Nolte-Ernsting C, Tacke J, Gunther RW (1999) Interventional MR imaging: percutaneous abdominal and skeletal biopsies and drainages of the abdomen. Eur Radiol 9:1471–1478CrossRefPubMed Adam G, Bucker A, Nolte-Ernsting C, Tacke J, Gunther RW (1999) Interventional MR imaging: percutaneous abdominal and skeletal biopsies and drainages of the abdomen. Eur Radiol 9:1471–1478CrossRefPubMed
10.
go back to reference Heywang-Kobrunner S, Heinig A, Pickuth D, Alberich T, Spielmann R (2000) Interventional MRI of the breast: lesion localisation and biopsy. Eur Radiol 10:36–45CrossRefPubMed Heywang-Kobrunner S, Heinig A, Pickuth D, Alberich T, Spielmann R (2000) Interventional MRI of the breast: lesion localisation and biopsy. Eur Radiol 10:36–45CrossRefPubMed
11.
go back to reference Kariniemi J, Blanco SR, Ojala R, Tervonen O (2005) MRI-guided abdominal biopsy in a 0.23-T open-configuration MRI system. Eur Radiol 15:1256–1262CrossRefPubMed Kariniemi J, Blanco SR, Ojala R, Tervonen O (2005) MRI-guided abdominal biopsy in a 0.23-T open-configuration MRI system. Eur Radiol 15:1256–1262CrossRefPubMed
12.
go back to reference Schneider J, Dietrich J, Lieberenz S et al (1999) Preliminary experience with interactive guided brain biopsies using a vertically opened 0.5-T MR system. Eur Radiol 9:230–236CrossRefPubMed Schneider J, Dietrich J, Lieberenz S et al (1999) Preliminary experience with interactive guided brain biopsies using a vertically opened 0.5-T MR system. Eur Radiol 9:230–236CrossRefPubMed
13.
go back to reference Schulz T, Puccini S, Schneider J, Kahn T (2004) Interventional and intraoperative MR: review and update of techniques and clinical experience. Eur Radiol 14:2212–2227CrossRefPubMed Schulz T, Puccini S, Schneider J, Kahn T (2004) Interventional and intraoperative MR: review and update of techniques and clinical experience. Eur Radiol 14:2212–2227CrossRefPubMed
14.
go back to reference Zangos S, Eichler K, Wetter A, et al (2005) MR-guided biopsies of lesions in the retroperitoneal space: technique and results. Eur Radiol. DOI 10.1007/s00330-005-2870-2 Zangos S, Eichler K, Wetter A, et al (2005) MR-guided biopsies of lesions in the retroperitoneal space: technique and results. Eur Radiol. DOI 10.1007/s00330-005-2870-2
15.
go back to reference Zangos S, Eichler K, Engelmann K et al (2004) MR-guided transgluteal biopsies with an open low-field system in patients with clinically suspected prostate cancer: technique and preliminary results. Eur Radiol 15 (1):174–182CrossRefPubMed Zangos S, Eichler K, Engelmann K et al (2004) MR-guided transgluteal biopsies with an open low-field system in patients with clinically suspected prostate cancer: technique and preliminary results. Eur Radiol 15 (1):174–182CrossRefPubMed
16.
go back to reference Zangos S, Kiefl D, Eichler K, Engelmann K, Heller M, Herzog C, Mack MG, Jacobi V, Vogl TJ (2003) MR-guided biopsies of undetermined liver lesions: technique and results. Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 175 (5):688–694CrossRef Zangos S, Kiefl D, Eichler K, Engelmann K, Heller M, Herzog C, Mack MG, Jacobi V, Vogl TJ (2003) MR-guided biopsies of undetermined liver lesions: technique and results. Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 175 (5):688–694CrossRef
17.
go back to reference Gilderdale D, Williams A, Dave U, de SN (2003) An inductively-coupled, detachable receiver coil system for use with magnetic resonance compatible endoscopes. J Magn Reson Imaging 18:131–135CrossRefPubMed Gilderdale D, Williams A, Dave U, de SN (2003) An inductively-coupled, detachable receiver coil system for use with magnetic resonance compatible endoscopes. J Magn Reson Imaging 18:131–135CrossRefPubMed
18.
go back to reference Staubert A, Vester M, Tronnier V, Renz W, Wirtz C, Bonsanto M, Kunze S (2000) Interventional MRI-guided brain biopsies using inductively coupled surface coils. Magn Reson Med 43:278–283CrossRefPubMed Staubert A, Vester M, Tronnier V, Renz W, Wirtz C, Bonsanto M, Kunze S (2000) Interventional MRI-guided brain biopsies using inductively coupled surface coils. Magn Reson Med 43:278–283CrossRefPubMed
19.
go back to reference Rivera M, Vaquero J, Santos A, Ruiz-Cabello J, del PF (1998) MRI visualization of small structures using improved surface coils. Magn Reson Imaging 16:157–166CrossRefPubMed Rivera M, Vaquero J, Santos A, Ruiz-Cabello J, del PF (1998) MRI visualization of small structures using improved surface coils. Magn Reson Imaging 16:157–166CrossRefPubMed
20.
go back to reference Duckwiler G, Lufkin RB, Hanafee WN (1989) MR-directed needle biopsies. Radiol Clin North Am 27:255–263PubMed Duckwiler G, Lufkin RB, Hanafee WN (1989) MR-directed needle biopsies. Radiol Clin North Am 27:255–263PubMed
21.
go back to reference Konig CW, Pereira PL, Trubenbach J, Fritz J, Duda SH, Schick F, Claussen CD (2003) MR imaging-guided adrenal biopsy using an open low-field-strength scanner and MR fluoroscopy. AJR Am J Roentgenol 180:1567–1570PubMed Konig CW, Pereira PL, Trubenbach J, Fritz J, Duda SH, Schick F, Claussen CD (2003) MR imaging-guided adrenal biopsy using an open low-field-strength scanner and MR fluoroscopy. AJR Am J Roentgenol 180:1567–1570PubMed
22.
23.
go back to reference Ladd ME, Erhart P, Debatin JF, Romanowski BJ, Boesiger P, McKinnon GC (1996) Biopsy needle susceptibility artifacts. Magn Reson Med 36:646–651PubMedCrossRef Ladd ME, Erhart P, Debatin JF, Romanowski BJ, Boesiger P, McKinnon GC (1996) Biopsy needle susceptibility artifacts. Magn Reson Med 36:646–651PubMedCrossRef
24.
go back to reference Lewin JS, Duerk JL, Jain VR, Petersilge CA, Chao CP, Haaga JR (1996) Needle localization in MR-guided biopsy and aspiration: effects of field strength, sequence design, and magnetic field orientation. AJR Am J Roentgenol 166:1337–1345PubMed Lewin JS, Duerk JL, Jain VR, Petersilge CA, Chao CP, Haaga JR (1996) Needle localization in MR-guided biopsy and aspiration: effects of field strength, sequence design, and magnetic field orientation. AJR Am J Roentgenol 166:1337–1345PubMed
25.
go back to reference Frahm C, Gehl HB, Melchert UH, Weiss HD (1996) Visualization of magnetic resonance-compatible needles at 1.5 and 0.2 Tesla. Cardiovasc Intervent Radiol 19:335–340CrossRefPubMed Frahm C, Gehl HB, Melchert UH, Weiss HD (1996) Visualization of magnetic resonance-compatible needles at 1.5 and 0.2 Tesla. Cardiovasc Intervent Radiol 19:335–340CrossRefPubMed
26.
go back to reference Lai A, Maghami E, Borges A, Bonyadilou S, Curran J, Abemayor E, Lufkin R (2003) MRI-guided access to the retropharynx. J Magn Reson Imaging 17:317–322CrossRefPubMed Lai A, Maghami E, Borges A, Bonyadilou S, Curran J, Abemayor E, Lufkin R (2003) MRI-guided access to the retropharynx. J Magn Reson Imaging 17:317–322CrossRefPubMed
27.
go back to reference Sakarya M, Unal O, Ozbay B, Uzun K, Kati I, Ozen S, Etlik O (2003) MR fluoroscopy-guided transthoracic fine-needle aspiration biopsy: feasibility. Radiology 228:589–592PubMedCrossRef Sakarya M, Unal O, Ozbay B, Uzun K, Kati I, Ozen S, Etlik O (2003) MR fluoroscopy-guided transthoracic fine-needle aspiration biopsy: feasibility. Radiology 228:589–592PubMedCrossRef
28.
go back to reference Alanen J, Keski-Nisula L, Blanco-Sequeiros R, Tervonen O (2004) Cost comparison analysis of low-field (0.23 T) MRI- and CT-guided bone biopsies. Eur Radiol 14:123–128CrossRefPubMed Alanen J, Keski-Nisula L, Blanco-Sequeiros R, Tervonen O (2004) Cost comparison analysis of low-field (0.23 T) MRI- and CT-guided bone biopsies. Eur Radiol 14:123–128CrossRefPubMed
29.
go back to reference Genant J, Vandevenne J, Bergman A, Beaulieu C, Kee S, Norbash A, Lang P (2002) Interventional musculoskeletal procedures performed by using MR imaging guidance with a vertically open MR unit: assessment of techniques and applicability. Radiology 223:127–136PubMedCrossRef Genant J, Vandevenne J, Bergman A, Beaulieu C, Kee S, Norbash A, Lang P (2002) Interventional musculoskeletal procedures performed by using MR imaging guidance with a vertically open MR unit: assessment of techniques and applicability. Radiology 223:127–136PubMedCrossRef
Metadata
Title
MR-guided biopsies with a newly designed cordless coil in an open low-field system: Initial findings
Authors
Stephan Zangos
Theodor Vetter
Frank Huebner
Montu Tuwari
Florian Mayer
Katrin Eichler
M.-L. Hansmann
A. Wetter
C. Herzog
Thomas J. Vogl
Publication date
01-09-2006
Publisher
Springer-Verlag
Published in
European Radiology / Issue 9/2006
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-005-0069-1

Other articles of this Issue 9/2006

European Radiology 9/2006 Go to the issue

Calendar of Events

Calendar of Events