Interventional MRI for oncologic applications.

Interventional radiology plays an important role in the diagnosis and treatment of many oncologic disorders. Magnetic resonance imaging (MRI) has excellent soft-tissue contrast capabilities and allows visualization of anatomical details of many organs that is not possible with other imaging modalities. MRI also is multiplanar, has the ability to display tissue temperature changes, and uses no ionizing radiation. With an open configuration MRI system, the radiologist may stand alongside the patient and view images, all while performing an interventional procedure. In this article, we explain the rationale for using MRI to guide interventions, focus on technical aspects of biopsy, cryoablation, focused ultrasound, and brachytherapy, and provide a primer for the interventional radiologist wishing to use MRI to guide oncologic interventions.

[1]  Kullervo Hynynen,et al.  Tissue temperature monitoring with multiple gradient‐echo imaging sequences , 1998, Journal of magnetic resonance imaging : JMRI.

[2]  A. D'Amico,et al.  Real-time magnetic resonance image-guided interstitial brachytherapy in the treatment of select patients with clinically localized prostate cancer. , 1998, International journal of radiation oncology, biology, physics.

[3]  A. D'Amico,et al.  MR imaging-guided prostate biopsy with surgical navigation software: device validation and feasibility. , 2001, Radiology.

[4]  S. Silverman,et al.  MRI-guided percutaneous cryoablation of renal tumors: use of external manual displacement of adjacent bowel loops. , 2006, European journal of radiology.

[5]  S. Stokes,et al.  Comparison of biochemical disease-free survival of patients with localized carcinoma of the prostate undergoing radical prostatectomy, transperineal ultrasound-guided radioactive seed implantation, or definitive external beam irradiation. , 2000, International journal of radiation oncology, biology, physics.

[6]  T. Helbich,et al.  MRI-Guided percutaneous biopsy of breast lesions: materials, techniques, success rates, and management in patients with suspected radiologic-pathologic mismatch. , 2006, Magnetic resonance imaging clinics of North America.

[7]  M. Papa,et al.  The use of MR imaging guided focused ultrasound in breast cancer patients; a preliminary phase one study and review , 2005, Breast cancer.

[8]  F A Jolesz,et al.  MR imaging-guided focused ultrasound surgery of fibroadenomas in the breast: a feasibility study. , 2001, Radiology.

[9]  A. D'Amico,et al.  A clinical method for real-time dosimetric guidance of transperineal 125I prostate implants using interventional magnetic resonance imaging. , 2000, International journal of radiation oncology, biology, physics.

[10]  E Grabbe,et al.  Breast carcinoma: effect of preoperative contrast-enhanced MR imaging on the therapeutic approach. , 1999, Radiology.

[11]  G. Haar,et al.  High-intensity focused ultrasound ablation of the kidney in a large animal model. , 1997, Journal of endourology.

[12]  E. Salomonowitz,et al.  MR imaging-guided biopsy and therapeutic intervention in a closed-configuration magnet: single-center series of 361 punctures. , 2001, AJR. American journal of roentgenology.

[13]  Kemal Tuncali,et al.  Renal tumors: MR imaging-guided percutaneous cryotherapy--initial experience in 23 patients. , 2005, Radiology.

[14]  K. Hynynen,et al.  Temperature Mapping using the water proton chemical shift: A chemical shift selective phase mapping method , 1997, Magnetic resonance in medicine.

[15]  R Kikinis,et al.  Interventional and intraoperative magnetic resonance imaging. , 2000, Annual review of biomedical engineering.

[16]  F. Jolesz,et al.  Magnetic resonance image-guided thermal ablations. , 2000, Topics in magnetic resonance imaging : TMRI.

[17]  F. Jolesz,et al.  Invited. Compatible instrumentation for intraoperative MRI: Expanding resources , 1998 .

[18]  Kullervo Hynynen,et al.  MR imaging-guided focused ultrasound surgery of uterine leiomyomas: a feasibility study. , 2003, Radiology.

[19]  H. Sittek,et al.  Magnetic resonance‐guided, vacuum‐assisted breast biopsy , 2006, Cancer.

[20]  Thomas J. Vogl,et al.  MR-compatible assistance system for punction in a high-field system: device and feasibility of transgluteal biopsies of the prostate gland , 2007, European Radiology.

[21]  F. Lee,et al.  Cryoablation: History, Mechanism of Action, and Guidance Modalities , 2005 .

[22]  S. P. Mitchell,et al.  Long-term treatment related complications of brachytherapy for early prostate cancer: a survey of patients previously treated. , 2001, The Journal of urology.

[23]  T Tynes,et al.  Accessory equipment considerations with respect to MRI compatibility , 1998, Journal of magnetic resonance imaging : JMRI.

[24]  M. A. van den Bosch,et al.  Targeting difficult accessible breast lesions: MRI-guided needle localization using a freehand technique in a 3.0 T closed bore magnet. , 2007, European journal of radiology.

[25]  A. Perel,et al.  Magnetic resonance-guided focused ultrasound surgery (MRgFUS): ablation of liver tissue in a porcine model. , 2006, European journal of radiology.

[26]  N Hata,et al.  Feasibility of transperineal prostate biopsy under interventional magnetic resonance guidance. , 2000, Urology.

[27]  Bernhard Walter,et al.  High-intensity focused ultrasound for the treatment of localized prostate cancer: 5-year experience. , 2004, Urology.

[28]  N. Obuchowski,et al.  Biochemical and hematologic alterations following percutaneous cryoablation of liver tumors: experience in 48 procedures. , 2008, Radiology.

[29]  J S Lewin,et al.  A method for simultaneous RF ablation and MRI , 1998, Journal of magnetic resonance imaging : JMRI.

[30]  Kemal Tuncali,et al.  MRI-guided percutaneous cryotherapy for soft-tissue and bone metastases: initial experience. , 2007, AJR. American journal of roentgenology.

[31]  Kullervo Hynynen,et al.  Uterine leiomyomas: MR imaging-guided focused ultrasound surgery--results of different treatment protocols. , 2007, Radiology.

[32]  E. Morris,et al.  Utility of Breast Magnetic Resonance Imaging in Patients With Occult Primary Breast Cancer , 2005, Annals of Surgical Oncology.

[33]  F A Jolesz,et al.  Design and implementation of an interventional MR imaging suite. , 1997, AJR. American journal of roentgenology.

[34]  Morphologic, functional, and metabolic magnetic resonance imaging-guided prostate biopsy in a patient with prior negative transrectal ultrasound-guided biopsies and persistently elevated prostate-specific antigen levels. , 2007, Urology.

[35]  A. D'Amico,et al.  Transperineal magnetic resonance image guided prostate biopsy. , 2000, The Journal of urology.

[36]  Kullervo Hynynen,et al.  MR temperature mapping of focused ultrasound surgery , 1994, Magnetic resonance in medicine.

[37]  Ferenc A. Jolesz,et al.  MR-guided focused ultrasound surgery. , 1992 .

[38]  Three-dimensional real-time magnetic resonance-guided interstitial prostate brachytherapy optimizes radiation dose distribution resulting in a favorable acute side effect profile in patients with clinically localized prostate cancer. , 2000, Techniques in urology.

[39]  A. D'Amico,et al.  Comparing PSA outcome after radical prostatectomy or magnetic resonance imaging-guided partial prostatic irradiation in select patients with clinically localized adenocarcinoma of the prostate. , 2003, Urology.

[40]  Linda K. Han,et al.  Interim results from the FibroAdenoma Cryoablation Treatment Registry. , 2005, American journal of surgery.

[41]  Y. Kodama,et al.  Magnetic Resonance-Guided Percutaneous Cryoablation of Uterine Fibroids: Early Clinical Experiences , 2006, CardioVascular and Interventional Radiology.

[42]  Steven J Haker,et al.  Magnetic resonance spectroscopy-guided transperineal prostate biopsy and brachytherapy for recurrent prostate cancer. , 2005, Urology.

[43]  Kullervo Hynynen,et al.  MR imaging-controlled focused ultrasound ablation: a noninvasive image-guided surgery. , 2005, Magnetic resonance imaging clinics of North America.

[44]  R. Lufkin,et al.  Biopsy of hepatic dome lesions: semi-real-time coronal MR guidance technique. , 1997, AJR. American journal of roentgenology.

[45]  Kemal Tuncali,et al.  MR Imaging-guided Percutaneous Tumor Ablation1 , 2005 .

[46]  F. Jolesz,et al.  Interventional MR: Techniques and Clinical Experience , 1997 .

[47]  C. N. Coleman,et al.  Transrectal prostate biopsy and fiducial marker placement in a standard 1.5T magnetic resonance imaging scanner. , 2006, The Journal of urology.

[48]  F A Jolesz,et al.  MR imaging-guided percutaneous cryotherapy of liver tumors: initial experience. , 2000, Radiology.

[49]  F. Jolesz,et al.  Interactive MR-guided biopsy in an open-configuration MR imaging system. , 1995, Radiology.

[50]  C K Kuhl,et al.  MR imaging--guided large-core (14-gauge) needle biopsy of small lesions visible at breast MR imaging alone. , 2001, Radiology.

[51]  H M Kooy,et al.  A software system for interventional magnetic resonance image-guided prostate brachytherapy. , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[52]  C. Lehman,et al.  MRI-guided breast interventions. , 2006, Seminars in ultrasound, CT, and MR.

[53]  R. Killiany,et al.  MRI‐guided focused ultrasound surgery in the brain: Tests in a primate model , 2003, Magnetic resonance in medicine.

[54]  Amnon Zisman,et al.  Treatment of organ confined prostate cancer with third generation cryosurgery: preliminary multicenter experience. , 2003, The Journal of urology.

[55]  F A Jolesz,et al.  Interventional MR imaging. , 1997, Journal of vascular and interventional radiology : JVIR.

[56]  A. D'Amico,et al.  MRI-guided diagnosis and treatment of prostate cancer. , 2001, The New England journal of medicine.

[57]  Nobuhiko Hata,et al.  Magnetic Resonance-guided Prostate Interventions , 2005, Topics in magnetic resonance imaging : TMRI.