Department of Diagnostic and Interventional Radiology, Division of Medical Physics, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Department of Diagnostic and Interventional Radiology, Division of Medical Physics, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Department of Diagnostic and Interventional Radiology, Division of Medical Physics, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Andreas Reichert
Department of Diagnostic and Interventional Radiology, Division of Medical Physics, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Thomas Lottner
Department of Diagnostic and Interventional Radiology, Division of Medical Physics, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Srdjan Milosavljevic
Interventional Systems GmbH, Kitzbühel, Austria
Michael Vogele
Interventional Systems GmbH, Kitzbühel, Austria
Wibke Uller
Department of Diagnostic and Interventional Radiology, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
Department of Diagnostic and Interventional Radiology, Division of Medical Physics, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany
In closed-bore MRI units, assistance systems play a crucial role in overcoming patient access limitations during percutaneous interventions. In this work, we present eGantryMate, a piezo-motor-driven assistance system specifically designed for MR-guided needle interventions in high-field MRI systems. eGantryMate consists of an instrument positioning unit and a control unit equipped with piezo motors, radiofrequency filters, and shielding. Paired with a real-time tracking sequence for automatic marker detection and projection of the instrument trajectory onto the MR image, eGantryMate enables precise and efficient needle interventions. Targeting experiments were performed by inserting a biopsy needle into a series of fiducial targets in a phantom, and usability experiments were conducted in vivo without needle insertion. The results show artifact-free MR imaging, minimal temperature rise on the instrument positioning unit, and precise targeting capabilities. These findings demonstrate eGantryMate’s ability to perform real-time needle alignments and insertions within the magnet bore, highlighting its potential to enhance the acceptability and efficacy of MR-guided interventions.