Reduction of electronic noise from radiofrequency generator during radiofrequency ablation in interventional MRI.

摘要

MRI has been used increasingly in the recent past for the guidance and monitoring of minimally invasive interventional procedures, using typically radiofrequency (RF) and laser energy, cryoablation, and percutaneous ethanol. RF energy has been used over the last 30 years for the ablation of tissues. Its use in conjunction with MRI for monitoring is limited, however, because of the electronic noise produced by the RF generators, which can significantly deteriorate image quality. The objective of this work was to devise methods by which this noise can be reduced to an acceptable level to allow simultaneous acquisition of MR images for monitoring purposes with the application of RF energy. Three different methods of noise reduction were investigated in a 0.2 T MR scanner: filtration using external hardware circuitry, MR scanner software-controlled filtration, and keyholing. The last two methods were unable by themselves to suppress the noise to an acceptable degree. Hardware filtration, however, provides excellent suppression of RF noise and is able to withstand up to 12 W of RF energy. When all the three approaches are combined, significant reduction of RF noise is achieved. The feasibility of creating an RF lesion of about 1.2 cm diameter in vivo in a porcine model simultaneously with temperature-sensitive MRI with adequate noise suppression is demonstrated.