Interactive magnetic resonance imaging-guided biopsy in the head and neck

Initial patient experience

Marvin P. Fried, Liangge Hsu, Ferenc A. Jolesz

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Because of its excellent soft tissue resolution, magnetic resonance imaging (MRI) can optimize image guidance for interventional and surgical procedures. Notably, needle biopsy of head and neck lesions has been used for years, deeper lesions often requiring some form of image guidance. The closed space of diagnostic MRI scanners proves cumbersome for intervention. The authors report on the first head and neck image-guided biopsies performed in a new, investigational “open configuration” intraoperative MRI scanner. Vertical space between the scanner’s upright coils gives access to the patient while imaging; image acquisition is as fast as 2 sec/image. Biopsies were performed on seven patients (parotid, parapharyngeal space, second cervical vertebra); five specimens were diagnostic. Both general anesthesia and intravenous sedation were used. The procedures were without complications. Imaging provided definition of anatomy to direct needle placement. Access to the patient allowed for both percutaneous and transoral approaches. The environment of the open magnet is well suited for biopsy of the head and neck, and near real-time intraoperative MRI has promise for guiding more complex head and neck procedures. Further study should optimize the quality of the images and the interactibility of localization and targeting and fully utilize MRI’s three-dimensional imaging capabilities.

Original languageEnglish (US)
Pages (from-to)488-493
Number of pages6
JournalLaryngoscope
Volume108
Issue number4
StatePublished - 1998
Externally publishedYes

Fingerprint

Image-Guided Biopsy
Neck
Head
Magnetic Resonance Imaging
Biopsy
Cervical Vertebrae
Three-Dimensional Imaging
Magnets
Needle Biopsy
General Anesthesia
Needles
Anatomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Interactive magnetic resonance imaging-guided biopsy in the head and neck : Initial patient experience. / Fried, Marvin P.; Hsu, Liangge; Jolesz, Ferenc A.

In: Laryngoscope, Vol. 108, No. 4, 1998, p. 488-493.

Research output: Contribution to journalArticle

@article{d92bd17643ac4ea996f05ed462e10642,
title = "Interactive magnetic resonance imaging-guided biopsy in the head and neck: Initial patient experience",
abstract = "Because of its excellent soft tissue resolution, magnetic resonance imaging (MRI) can optimize image guidance for interventional and surgical procedures. Notably, needle biopsy of head and neck lesions has been used for years, deeper lesions often requiring some form of image guidance. The closed space of diagnostic MRI scanners proves cumbersome for intervention. The authors report on the first head and neck image-guided biopsies performed in a new, investigational “open configuration” intraoperative MRI scanner. Vertical space between the scanner’s upright coils gives access to the patient while imaging; image acquisition is as fast as 2 sec/image. Biopsies were performed on seven patients (parotid, parapharyngeal space, second cervical vertebra); five specimens were diagnostic. Both general anesthesia and intravenous sedation were used. The procedures were without complications. Imaging provided definition of anatomy to direct needle placement. Access to the patient allowed for both percutaneous and transoral approaches. The environment of the open magnet is well suited for biopsy of the head and neck, and near real-time intraoperative MRI has promise for guiding more complex head and neck procedures. Further study should optimize the quality of the images and the interactibility of localization and targeting and fully utilize MRI’s three-dimensional imaging capabilities.",
author = "Fried, {Marvin P.} and Liangge Hsu and Jolesz, {Ferenc A.}",
year = "1998",
language = "English (US)",
volume = "108",
pages = "488--493",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "4",

}

TY - JOUR

T1 - Interactive magnetic resonance imaging-guided biopsy in the head and neck

T2 - Initial patient experience

AU - Fried, Marvin P.

AU - Hsu, Liangge

AU - Jolesz, Ferenc A.

PY - 1998

Y1 - 1998

N2 - Because of its excellent soft tissue resolution, magnetic resonance imaging (MRI) can optimize image guidance for interventional and surgical procedures. Notably, needle biopsy of head and neck lesions has been used for years, deeper lesions often requiring some form of image guidance. The closed space of diagnostic MRI scanners proves cumbersome for intervention. The authors report on the first head and neck image-guided biopsies performed in a new, investigational “open configuration” intraoperative MRI scanner. Vertical space between the scanner’s upright coils gives access to the patient while imaging; image acquisition is as fast as 2 sec/image. Biopsies were performed on seven patients (parotid, parapharyngeal space, second cervical vertebra); five specimens were diagnostic. Both general anesthesia and intravenous sedation were used. The procedures were without complications. Imaging provided definition of anatomy to direct needle placement. Access to the patient allowed for both percutaneous and transoral approaches. The environment of the open magnet is well suited for biopsy of the head and neck, and near real-time intraoperative MRI has promise for guiding more complex head and neck procedures. Further study should optimize the quality of the images and the interactibility of localization and targeting and fully utilize MRI’s three-dimensional imaging capabilities.

AB - Because of its excellent soft tissue resolution, magnetic resonance imaging (MRI) can optimize image guidance for interventional and surgical procedures. Notably, needle biopsy of head and neck lesions has been used for years, deeper lesions often requiring some form of image guidance. The closed space of diagnostic MRI scanners proves cumbersome for intervention. The authors report on the first head and neck image-guided biopsies performed in a new, investigational “open configuration” intraoperative MRI scanner. Vertical space between the scanner’s upright coils gives access to the patient while imaging; image acquisition is as fast as 2 sec/image. Biopsies were performed on seven patients (parotid, parapharyngeal space, second cervical vertebra); five specimens were diagnostic. Both general anesthesia and intravenous sedation were used. The procedures were without complications. Imaging provided definition of anatomy to direct needle placement. Access to the patient allowed for both percutaneous and transoral approaches. The environment of the open magnet is well suited for biopsy of the head and neck, and near real-time intraoperative MRI has promise for guiding more complex head and neck procedures. Further study should optimize the quality of the images and the interactibility of localization and targeting and fully utilize MRI’s three-dimensional imaging capabilities.

UR - http://www.scopus.com/inward/record.url?scp=0000932969&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0000932969&partnerID=8YFLogxK

M3 - Article

VL - 108

SP - 488

EP - 493

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 4

ER -