MRI‐guided interventions of the musculoskeletal system

Abstract

MRI has become the modality of choice for many diagnostic questions in musculoskeletal radiology. Naturally, with the increasing role of MRI in diagnosis of musculoskeletal conditions, clinicians have been eager to explore the possibility of using MR guidance for musculoskeletal procedures. Researchers are actively investigating the utility and practicality of MRI compared with more established modalities for procedure guidance such as computed tomography, fluoroscopy, and ultrasound. Early studies have demonstrated the safety and feasibility of MR guidance for biopsies, spine procedures, cyst aspirations, therapeutic injections, and tumor ablation. Applications in the musculoskeletal system are likely to expand as technology improves and clinicians gain more experience. Hybrid X-ray fluoroscopy/MR imaging systems hold great promise for the future of musculoskeletal intervention by combining the excellent temporal and spatial resolution of X-ray with the anatomic detail provided by MRI.

A Signal-Inducing Bone Cement for Magnetic Resonance Imaging-Guided Spinal Surgery Based on Hydroxyapatite and Polymethylmethacrylate

“…The added increments of CA were 0.5, 1, 1. 5,2,4,10,15,20,30,40, and 60 ll. To determine the amount of HA necessary for an adequate signal, we decreased the HA in 1-ml increments from 4 to 2 ml using CA concentrations of 1 and 4 ll/ml HA.…”

“…MRI-guided musculoskeletal interventions have been proven to be feasible [3]. The detection of soft tissues and other delicate structures, such as nerves, vessels, and spinal cord, improves the safety of these interventions [4]. Fast interventional MRI-sequences generate short repetition rates and allow real-time imaging during the intervention.…”

Présentation des différentes avancées techniques en imagerie interventionnelle par résonance magnétique

“…Elles constituent encore les principales indications, avec les interventions rachidiennes et les ablations tumorales. En ostéoarticulaire et en résection de tissus mous, l'IRMi a démontré une sécu-rité et des performances suffisantes pour être utilisée en routine clinique, comme le démontre le bref aperçu suivant [54].…”

Magnetic resonance imaging guided biopsy of musculoskeletal lesions

“…MRI is especially useful for lesions that are difficult or impossible to visualize using other imaging modalities. 12 MRI is also useful in cases when it is impossible to obtain a biopsy result using other imaging guidance techniques. 12 Consequently, MRI is a potential imaging tool for guiding invasive procedures.…”

“…12 MRI is also useful in cases when it is impossible to obtain a biopsy result using other imaging guidance techniques. 12 Consequently, MRI is a potential imaging tool for guiding invasive procedures. In addition, MRI is radiation-free, which benefits both the physician and patient.…”