MR Image Overlay for Joint Arthrography

Magnetic Resonance Imaging (MRI) provides great potential for planning, guiding, monitoring and controlling interventions. MR arthrography (MRAr) is the imaging gold standard to assess small ligament and fibrocartilage injury in joints. In contemporary practice, MRAr consists of two consecutive sessions: 1) an interventional session where a needle is driven to the joint space and MR contrast is injected under fluoroscopy or CT guidance, and 2) A diagnostic MRI imaging session to visualize the distribution of contrast inside the joint space and evaluate the condition of the joint. Our approach to MRAr is to eliminate the separate radiologically guided needle insertion and contrast injection procedure by performing those tasks on conventional high-field closed MRI scanners. We propose a 2D augmented reality image overlay device to guide needle insertion procedures. This approach makes diagnostic high-field magnets available for interventions without a complex and expensive engineering entourage. In preclinical trials, needle insertions have been performed in the joints of porcine and human cadavers using MR image overlay guidance; insertions successfully reached the joint space on the first attempt in all cases.

MRI Image Overlay
MRI Image Overlay

Please see more information about the Image Overlay at the Queens University Perk Lab

Related Publications

  1. Weiss CR, Marker DR, Fischer GS, Fichtinger G, Machado A, Carrino JA, Augmented reality visualization using image-overlay for MR-guided interventions: system description, feasibility, and initial evaluation in a spine phantom, American Journal of Roentgenology, Vol 196, No 3, pp 305-307, March 2011. AJR, PDF
  2. Carrino JA, Marker DR, Weiss CR, Fischer GS, Machado A, Fichtinger G, Augmented reality visualization using image-overlay for MR-guided interventions: system description, feasibility, and initial evaluation in a spine phantom, American Society of Spine Radiology, Feb 2010. ASSR
  3. Fischer GS, Doctoral Dissertation, Johns Hopkins University, Enabling Technologies for MRI Guided Interventional Procedures, 2008 JHU Archive
  4. Fischer GS, Weiss CR, Dyer E, Csoma C, Deguet A, Carrino JA, Fichtinger G, Evaluation of MR Image Overlay for Spinal Interventions, International Society for Magnetic Resonance in Medicine 15th Scientific Meeting - ISMRM 2006, Berlin, Germany, May 2007. PDF
  5. Fischer GS, Dyer E, Csoma C, Deguet A, Fichtinger G, Validation System of MRI Image Overlay and Other Insertion Techniques, Studies in Health Technology and Informatics - Medicine Meets Virtual Reality 15: In vivo, In vitro, In silico: Designing the Next in Medicine, Vol 125, pp 130-135, February 2007. PubMed
  6. Fischer GS , Deguet A, Csoma C, Taylor RH, Fayad LM, Carrino JA, SJ Zinreich, Fichtinger G, MRI Image Overlay: Application to Arthrography Needle Insertion, Journal of Computer Assisted Surgery - JCAS, Vol 12, No 1, pp 2-14, Taylor & Francis, January 2007. Informa, PubMed, PDF
  7. Fischer GS, Deguet A, Csoma C, Taylor RH, Fayad LM, Carrino JA, Zinreich SJ, Fichtinger G, Image Overlay for MR-Guided Joint Arthrography, 6th Interventional MRI Symposium, Leipzig, Germany, pp 240-242, September 2006.
  8. Fischer GS, Deguet A, Csoma C, Taylor RH, Fayad L, Zinreich SJ, Fichtinger G, Musculoskeletal Needle Placement with MRI Image Overlay Guidance, International Society for Computer Assisted Orthopaedic Surgery 6th Annual Conference - CAOS 2006, Montreal, Canada, pp 158-160, June 2006.
  9. Fischer GS, Wamsley C, Zinreich SJ, Fichtinger G, Laser-Assisted MRI-Guided Needle Insertion and Comparison of Techniques, International Society for Computer Assisted Orthopaedic Surgery 6th Annual Conference - CAOS 2006, Montreal, Canada, pp 161-163, June 2006. PDF
  10. Fischer GS, Deguet A, Csoma C, Taylor RH, Fayad L, Zinreich SJ, Fichtinger G, MRI Image Overlay: Joint Arthrography Porcine Trials, International Society for Magnetic Resonance in Medicine 14th Scientific Meeting - ISMRM 2006, Seattle, Washington, p 1735, May 2006
  11. Fischer GS, Wamsley C, Zinreich SJ, Fichtinger G, MRI Guided Needle Insertion - Comparison of Four Techniques, Society for Interventional Radiology 31st Annual Scientific Meeting - SIR 2006, Toronto, Canada, March 2006.
  12. Fischer GS, Deguet A, Schlattman D, Taylor RH, Fayad L, Zinreich SJ, Fichtinger G, MRI Image Overlay: Applications to Arthrography Needle Insertion, Studies in Health Technology and Informatics - Medicine Meets Virtual Reality 14: Accelerating Change in Healthcare: Next Medical Toolkit, Vol 119, pp 150-155, February 2006.
  13. Fichtinger G, Deguet A, Masamune K, Fischer GS, Balogh E, Mathieu H, Taylor RH, SJ Zinreich, Fayad LM, Image Overlay Guidance for Needle Insertion in CT Scanner, IEEE Transactions on Biomedical Engineering, Vol 52, No 8, pp 1415-1424, IEEE, August 2005.IEEE, PubMed, PDF
  14. Fichtinger G, Deguet A, Fischer GS, Balogh E, Masamune K, Taylor RH, Fayad LM, SJ Zinreich, CT Image Overlay for Percutaneous Needle Insertions, Journal of Computer Assisted Surgery - JCAS, Vol 10, No 4, pp 241-255, Taylor & Francis, July 2005. Informa, PubMed, PDF
  15. DeOliviera M, Deguet A, Fischer GS, Balogh E, Taylor RH, Fayad LM, Zinreich SJ, Fichtinger G, Image Overlay for CT-Guided Hepatic Needle Insertions - Cadaver Studies, Congress of the Society of American Gastrointestinal Endoscopic Surgeons - SAGES 2005, Ft. Lauderdale, FL, April 2005.
  16. Fichtinger G, Deguet A, Masamune K, Fischer GS, Balogh E, Mathieu H, Taylor RH, Fayad LM, SJ Zinreich, Needle Insertion in CT Scanner with Image Overlay - Cadaver Studies, Seventh International Conference on Medical Image Computing and Computer-Assisted Intervention - MICCAI 2004, St Malo, France, Lecture Notes on Computer Science, Vol 3217, pp 795-783, Springer, 2004. Springer