Tracking of an interventional catheter with a ferromagnetic tip using dual-echo projections

Abstract

Interventional devices with ferromagnetic components can be manipulated remotely using forces induced by the MRI gradients. To deflect the tip of an endovascular catheter, large ferromagnetic spheres of 2 mm diameter are required to exert sufficiently high magnetic forces; however, tracking of these devices is difficult due to the large image artifacts. In this study, a new dual-echo technique is proposed to improve the stability of localizing and tracking medical devices with ferromagnetic components. MR tracking methods with selective off-resonant excitation and phase compensation with a rephasing gradient can detect ferromagnetic spheres up to a diameter of 1 mm only. In this work, a dual-echo technique is used with two rephasing gradients to stabilize the off-set localization. With rephasing being applied in orthogonal directions, an SNR of 5 was achieved in the signal projections. Compared to a single-echo acquisition the dual-echo method reduces the position error in a phantom from 8 mm to 1.6 mm. In an in vivo study a tracking precision of 4 mm was measured without steering gradients at an image update rate of 2 images per second. Steering experiments were successfully performed with a prototype catheter with ferromagnetic sphere in an aorta phantom and in the vena cava of a pig.

Keywords: Dual-echo projection; Ferromagnetic sphere; Interventional catheter; Interventional magnetic-resonance imaging; Passive tracking; Real-time tracking.