HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by König, C. W. Articles by Claussen, C. D. Search for Related Content PubMed PubMed Citation Articles by König, C. W. Articles by Claussen, C. D. Social Bookmarking                      What's this?

MR Imaging–Guided Adrenal Biopsy Using an Open Low-Field-Strength Scanner and MR Fluoroscopy

¹ All authors: Department of Diagnostic Radiology, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Str.3, D-72076 Tuebingen, Germany.

View larger version (145K): [in a new window]   Fig. 1A. —74-year-old man with symptomatic adrenal metastasis from small cell lung cancer. Transverse T2-weighted fast spin-echo MR image (TR/TE, 5447/134) for biopsy planning shows acute hemorrhage (arrow).

View larger version (147K): [in a new window]   Fig. 1B. —74-year-old man with symptomatic adrenal metastasis from small cell lung cancer. Sagittal fluoroscopic fast imaging with steady-state free precession image shows needle guidance towards lesion (arrow).

View larger version (157K): [in a new window]   Fig. 1C. —74-year-old man with symptomatic adrenal metastasis from small cell lung cancer. Sagittal (C) and Paraaxial (D) breath-hold T2-weighted fast spin-echo MR images (1856/105, 5 slices in 14 sec) before biopsy show sampling from nonhemorrhagic parts of lesion (arrow, D).

View larger version (169K): [in a new window]   Fig. 1D. —74-year-old man with symptomatic adrenal metastasis from small cell lung cancer. Sagittal (C) and Paraaxial (D) breath-hold T2-weighted fast spin-echo MR images (1856/105, 5 slices in 14 sec) before biopsy show sampling from nonhemorrhagic parts of lesion (arrow, D).

View larger version (170K): [in a new window]   Fig. 2. —53-year-old woman with pheochromocytoma with needle placement before biopsy. Transverse unenhanced T1-weighted three-section breath-hold fast low-angle shot MR image (TR/TE, 54/7.4; flip angle, 70°; scanning time, 7 sec) shows stylet partially withdrawn in 16-gauge cannula for detailed depiction of its tip.

View larger version (135K): [in a new window]   Fig. 3A. —47-year-old man with large adrenal metastasis from adenocarcinoma of lung. Sagittal MR fluoroscopic fast imaging with steady-state free precession image (TR/TE, 17.8/8.1; flip angle, 90°) shows angulated approach with 13-gauge cannula.

View larger version (127K): [in a new window]   Fig. 3B. —47-year-old man with large adrenal metastasis from adenocarcinoma of lung. MR fluoroscopic image shows needle tip (arrow) close to upper pole of kidney during expiration.

View larger version (127K): [in a new window]   Fig. 3C. —47-year-old man with large adrenal metastasis from adenocarcinoma of lung. Continued MR fluoroscopic image shows target lowering with inspiration.

View larger version (133K): [in a new window]   Fig. 3D. —47-year-old man with large adrenal metastasis from adenocarcinoma of lung. MR fluoroscopic image shows needle advancement into lesion with easy avoidance of pleura and kidney (asterisk). Only two fluoroscopic series (each with 23-sec scanning time for 20 images) were needed. Note that needle conspicuity and anatomic survey were not compromised by low spatial resolution (48 x 128 pixels) of MR fluoroscopic sequence.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati