Experimental Cryosurgery of the Liver Under Magnetic Resonance Guidance

The feasibility and the advantages of magnetic resonance (MR)-guided interstitial cryosurgery of the liver in an 0.5 Tesla open MR system have been evaluated. Cryosurgery was performed using an Erbocryo PS system with a nonmagnetic cryoprobe of 6 mm diameter. The probe was inserted into the liver pa...

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Veröffentlicht in:Computer aided surgery (New York, N.Y.) N.Y.), 1997, Vol.2 (6), p.340-345
Hauptverfasser: Klotz, H. P., Flury, R., Schönenberger, A., Debatin, J. F., Uhlschmid, G., Largiadèr, F.
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container_end_page 345
container_issue 6
container_start_page 340
container_title Computer aided surgery (New York, N.Y.)
container_volume 2
creator Klotz, H. P.
Flury, R.
Schönenberger, A.
Debatin, J. F.
Uhlschmid, G.
Largiadèr, F.
description The feasibility and the advantages of magnetic resonance (MR)-guided interstitial cryosurgery of the liver in an 0.5 Tesla open MR system have been evaluated. Cryosurgery was performed using an Erbocryo PS system with a nonmagnetic cryoprobe of 6 mm diameter. The probe was inserted into the liver parenchyma under real-time MR control. Using continuous MR imaging two freezing cycles of 12 min each were applied. After conventional and dynamic gadolinium-enhanced MR imaging, the animals were sacrificed after 30 min, 3 hr, 24 hr, 7 days, and 21 days. Each lesion was analyzed using light microscopy. A total of seven cryolesions were made in five animals without any complications from cryosurgery. During real-time imaging, cryolesions appeared as a hemispherical growing signal loss with a mean volume of 16.4 cm3. Macroscopic volumes of the lesions showed a good correlation with dynamic enhanced MR images during follow-up, whereas real-time images usually showed an underestimation of the lesion volumes. Cryosurgery of the liver in an open-configuration MR system is a feasible and safe method. MR imaging allows the guidance and the follow-up of cryolesions of the liver with good.
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During real-time imaging, cryolesions appeared as a hemispherical growing signal loss with a mean volume of 16.4 cm3. Macroscopic volumes of the lesions showed a good correlation with dynamic enhanced MR images during follow-up, whereas real-time images usually showed an underestimation of the lesion volumes. Cryosurgery of the liver in an open-configuration MR system is a feasible and safe method. 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P.</creatorcontrib><creatorcontrib>Flury, R.</creatorcontrib><creatorcontrib>Schönenberger, A.</creatorcontrib><creatorcontrib>Debatin, J. F.</creatorcontrib><creatorcontrib>Uhlschmid, G.</creatorcontrib><creatorcontrib>Largiadèr, F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Computer aided surgery (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klotz, H. P.</au><au>Flury, R.</au><au>Schönenberger, A.</au><au>Debatin, J. F.</au><au>Uhlschmid, G.</au><au>Largiadèr, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experimental Cryosurgery of the Liver Under Magnetic Resonance Guidance</atitle><jtitle>Computer aided surgery (New York, N.Y.)</jtitle><addtitle>Comput Aided Surg</addtitle><date>1997</date><risdate>1997</risdate><volume>2</volume><issue>6</issue><spage>340</spage><epage>345</epage><pages>340-345</pages><issn>1092-9088</issn><eissn>1097-0150</eissn><abstract>The feasibility and the advantages of magnetic resonance (MR)-guided interstitial cryosurgery of the liver in an 0.5 Tesla open MR system have been evaluated. Cryosurgery was performed using an Erbocryo PS system with a nonmagnetic cryoprobe of 6 mm diameter. The probe was inserted into the liver parenchyma under real-time MR control. Using continuous MR imaging two freezing cycles of 12 min each were applied. 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source MEDLINE; Access via Wiley Online Library; Alma/SFX Local Collection
subjects Animals
Cryosurgery - instrumentation
Feasibility Studies
Female
Image Processing, Computer-Assisted - instrumentation
interstitial cryosurgery of the liver
Liver - pathology
Liver - surgery
liver metastases
magnetic resonance imaging
Magnetic Resonance Imaging - instrumentation
open-configuration magnetic resonance system
Swine
title Experimental Cryosurgery of the Liver Under Magnetic Resonance Guidance
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