The interventional magnetic resonance imaging suite: Experience in the design, development, and implementation in a pre-existing radiology space and review of concepts.
Open Access
- 19 June 2019
- journal article
- review article
- Published by Scientific Scholar in Surgical Neurology International
- Vol. 10, 101
- https://doi.org/10.25259/SNI-209-2019
Abstract
Intraoperative magnetic resonance imaging (ioMRI) has led to significant advancements in neurosurgery with improved accuracy, assessment of the extent of resection, less invasive surgical alternatives, and real-time confirmation of targeting as well delivery of therapies. The costs associated with developing ioMRI units in the surgical suite have been obstacles to the expansion of their use. More recently, the development of hybrid interventional MRI (iMRI) units has become a viable alternative. The process of designing, developing, and implementing operations for these units requires the careful integration of environmental, technical, and safety elements of both surgical and MR practices. There is a paucity of published literature providing guidance for institutions looking to develop a hybrid iMRI unit, especially with a limited footprint in the radiology department. The experience of designing, developing, and implementing an iMRI in a preexisting space for neurosurgical procedures at a single institution in light of available options and the literature is described. The development of the unit was accomplished through the engagement of a multidisciplinary team of stakeholders who utilized existing guidelines and recommendations and their own professional experience to address issues including physical layout, equipment selection, operations planning, infection control, and oversight/review, among others. Successful creation of an iMRI program requires multidisciplinary collaboration in integrating surgical and MR practice. The authors' aim is that the experience described in this article will serve as an example for facilities or neurosurgical departments looking to navigate the same process.This publication has 22 references indexed in Scilit:
- Practice Advisory on Anesthetic Care for Magnetic Resonance ImagingAnesthesiology, 2015
- Better object recognition and naming outcome with MRI‐guided stereotactic laser amygdalohippocampotomy for temporal lobe epilepsyEpilepsia, 2014
- Real-Time Magnetic Resonance-Guided Stereotactic Laser Amygdalohippocampotomy for Mesial Temporal Lobe EpilepsyNeurosurgery, 2014
- Design, Operation, and Safety of Single‐Room Interventional MRI Suites: Practical Experience From Two CentersJournal of Magnetic Resonance Imaging, 2014
- Magnetic Resonance Imaging-Guided Focused Laser Interstitial Thermal Therapy for Intracranial LesionsNeurosurgery, 2013
- ACR guidance document on MR safe practices: 2013Journal of Magnetic Resonance Imaging, 2013
- An Optimized System for Interventional Magnetic Resonance Imaging-Guided Stereotactic SurgeryOperative Neurosurgery, 2012
- Origins of Intraoperative MRINeurosurgery Clinics of North America, 2009
- Costs and Benefits of Intraoperative MR-Guided Brain Tumor ResectionActa neurochirurgica. Supplement, 2003
- Interventional and Intraoperative Magnetic Resonance ImagingAnnual Review of Biomedical Engineering, 2000