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In situ guidance for MRI interventions using projected feedback

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

To develop and evaluate an augmented reality instrument guidance system for MRI-guided needle placement procedures such as musculoskeletal biopsy and arthrography. Our system guides the physician to insert a needle toward a target while looking at the insertion site without requiring special headgear.

Methods

The system is comprised of a pair of stereo cameras, a projector, and a computational unit with a touch screen. All components are designed to be used within the MRI suite (Zone 4). Multi-modality fiducial markers called VisiMARKERs, detectable in both MRI and camera images, facilitate automatic registration after the initial scan. The navigation feedback is projected directly onto the intervention site allowing the interventionalist to keep their focus on the insertion site instead of a secondary monitor which is often not in front of them.

Results

We evaluated the feasibility and accuracy of this system on custom-built shoulder phantoms. Two radiologists used the system to select targets and entry points on initial MRIs of these phantoms over three sessions. They performed 80 needle insertions following the projected guidance. The system targeting error was 1.09 mm, and the overall error was 2.29 mm.

Conclusion

We demonstrated both feasibility and accuracy of this MRI navigation system. The system operated without any problems inside the MRI suite close to the MRI bore. The two radiologists were able to easily follow the guidance and place the needle close to the target without any intermediate imaging.

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Funding

This work has been supported by NIH Grant Numbers 1R43EB028722-01A1 and 2R44EB028722-02A1.

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Authors and Affiliations

  1. Clear Guide Medical Inc., Baltimore, MD, 21211, USA

    Pezhman Foroughi, Alican Demir, Martin Hossbach & Purnima Rajan

  2. Children’s National, Washington, DC, 20010, USA

    Pavel Yarmolenko, Ranjith Vellody, Kevin Cleary & Karun Sharma

Authors
  1. Pezhman Foroughi
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  2. Alican Demir
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  3. Martin Hossbach
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  4. Purnima Rajan
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  5. Pavel Yarmolenko
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  6. Ranjith Vellody
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  7. Kevin Cleary
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  8. Karun Sharma
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Correspondence to Pezhman Foroughi.

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Foroughi, P., Demir, A., Hossbach, M. et al. In situ guidance for MRI interventions using projected feedback. Int J CARS 18, 1069–1076 (2023). https://doi.org/10.1007/s11548-023-02897-z

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  • DOI: https://doi.org/10.1007/s11548-023-02897-z

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