Academic literature on the topic 'Interventional MRI'

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Journal articles on the topic "Interventional MRI"

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Kuroda, Kagayaki. "Interventional MRI." Journal of Japan Society of Computer Aided Surgery 6, no. 2 (2004): 75–78. http://dx.doi.org/10.5759/jscas1999.6.75.

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Henk, Christine B., Charles B. Higgins, and Maythem Saeed. "Endovascular interventional MRI." Journal of Magnetic Resonance Imaging 22, no. 4 (October 2005): 451–60. http://dx.doi.org/10.1002/jmri.20411.

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Lufkin, R. B., D. H. W. Gronemeyer, and R. M. M. Seibel. "Interventional MRI: update." European Radiology 7, S5 (November 27, 1997): S187—S200. http://dx.doi.org/10.1007/pl00006891.

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Jolesz, Ferenc, Thomas Kahn, and Robert Lufkin. "Genesis of interventional MRI." Journal of Magnetic Resonance Imaging 8, no. 1 (January 1998): 2. http://dx.doi.org/10.1002/jmri.1880080103.

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Sequeiros, Roberto Blanco, Juha-Jaakko Sinikumpu, Risto Ojala, Jyri Järvinen, and Jan Fritz. "Pediatric Musculoskeletal Interventional MRI." Topics in Magnetic Resonance Imaging 27, no. 1 (February 2018): 39–44. http://dx.doi.org/10.1097/rmr.0000000000000143.

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Siegmann, K. "MRI and interventional MRI in breast cancer." Journal de Radiologie 89, no. 10 (October 2008): 1387. http://dx.doi.org/10.1016/s0221-0363(08)76192-4.

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Barkhausen, Jörg, Thomas Kahn, Gabriele Krombach, Christiane Kuhl, Joachim Lotz, David Maintz, Jens Ricke, Stefan Schönberg, Thomas Vogl, and Frank Wacker. "White Paper: Interventional MRI: Current Status and Potential for Development Considering Economic Perspectives, Part 2: Liver and Other Applications in Oncology." RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren 189, no. 11 (September 1, 2017): 1047–54. http://dx.doi.org/10.1055/s-0043-112336.

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Background MRI is attractive for guiding and monitoring interventional procedures due to its high intrinsic soft tissue contrast and the possibility to measure flow and cardiac function. Methods Technical solutions have been developed for all procedural steps including imaging guidance, MR-safe catheters and instruments and patient monitoring. This has led to widening of the clinical applications. Interventional MRI is becoming increasingly important for the treatment of patients suffering from malignant diseases. The detectability of masses and consequently their accessibility for biopsy is higher, compared to other modalities, due to the high intrinsic soft tissue contrast of MRI. Temperature-dependent sequences allow for minimally invasive and tissue-sparing ablation (A-0 ablation). Conclusion Interventional MRI has become established in the clinical routine for a variety of indications, including biopsies and tumor ablation. Since the economic requirement of covering costs by reimbursement is met and interventional MRI decreases the mortality and morbidity of interventional procedures, broader application of interventional MRI can be expected in the clinical routine in the future. Key points Citation Format
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Guo, Wen Lan, Zhi Jia Huang, and Yun Zhang. "The Application of Medical Robotics in the MRI-Guided Invention." Advanced Materials Research 981 (July 2014): 538–41. http://dx.doi.org/10.4028/www.scientific.net/amr.981.538.

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This proposal focuses on the interventional MRI technology and the MRI compatible robots which are used to overcome some limitation of the MRI. In the introduction part, the development and the limitation of the current MRI interventions are introduced and a possible solution, MRI compatible robotic assistance, is proposed. In the design part, the specification of the MRI robot is discussed, including the MRI compatible material, the motor and encoder, the control unit and the combination of haptic sensor. Finally, the possible future application of the MRI compatible interventional robots is introduced.
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Tatli, Servet, Paul R. Morrison, Kemal Tuncali, and Stuart G. Silverman. "Interventional MRI for Oncologic Applications." Techniques in Vascular and Interventional Radiology 10, no. 2 (June 2007): 159–70. http://dx.doi.org/10.1053/j.tvir.2007.09.008.

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Kahn, Thomas, Ferenc A. Jolesz, and Jonathan S. Lewin. "Special issue: Interventional MRI update." Journal of Magnetic Resonance Imaging 27, no. 2 (2008): 252. http://dx.doi.org/10.1002/jmri.21267.

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Dissertations / Theses on the topic "Interventional MRI"

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Wong, Eddy Yu Ping. "Optimization of Micro Antennas for Interventional / Intravascular MRI." online version, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1117225501.

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Patil, Sunil. "Passive tracking and system interfaces for interventional MRI /." [S.l.] : [s.n.], 2009. http://edoc.unibas.ch/diss/DissB_8742.

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Daga, P. "Towards efficient neurosurgery : image analysis for interventional MRI." Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/1449559/.

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Interventional magnetic resonance imaging (iMRI) is being increasingly used for performing imageguided neurosurgical procedures. Intermittent imaging through iMRI can help a neurosurgeon visualise the target and eloquent brain areas during neurosurgery and lead to better patient outcome. MRI plays an important role in planning and performing neurosurgical procedures because it can provide highresolution anatomical images that can be used to discriminate between healthy and diseased tissue, as well as identify location and extent of functional areas. This is of significant clinical utility as it helps the surgeons maximise target resection and avoid damage to functionally important brain areas. There is clinical interest in propagating the pre-operative surgical information to the intra-operative image space as this allows the surgeons to utilise the pre-operatively generated surgical plans during surgery. The current state of the art neuronavigation systems achieve this by performing rigid registration of pre-operative and intra-operative images. As the brain undergoes non-linear deformations after craniotomy (brain shift), the rigidly registered pre-operative images do not accurately align anymore with the intra-operative images acquired during surgery. This limits the accuracy of these neuronavigation systems and hampers the surgeon’s ability to perform more aggressive interventions. In addition, intra-operative images are typically of lower quality with susceptibility artefacts inducing severe geometric and intensity distortions around areas of resection in echo planar MRI images, significantly reducing their utility in the intraoperative setting. This thesis focuses on development of novel methods for an image processing workflow that aims to maximise the utility of iMRI in neurosurgery. I present a fast, non-rigid registration algorithm that can leverage information from both structural and diffusion weighted MRI images to localise target lesions and a critical white matter tract, the optic radiation, during surgical management of temporal lobe epilepsy. A novel method for correcting susceptibility artefacts in echo planar MRI images is also developed, which combines fieldmap and image registration based correction techniques. The work developed in this thesis has been validated and successfully integrated into the surgical workflow at the National Hospital for Neurology and Neurosurgery in London and is being clinically used to inform surgical decisions.
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Carvalho, Paulo A. "Advancing Technologies for Interventional MRI Robotics with Clinical Applications." Digital WPI, 2019. https://digitalcommons.wpi.edu/etd-dissertations/577.

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An MRI’s superior soft tissue contrast and ability to perform parametric scanning make it a powerful tool for use during medical procedures; from surgery to rehabilitation. However, the MRI’s strong static magnetic field, fast switching gradients and constrained space make accomplishing procedures within it difficult. Recent advances in the field of robotics have enabled the creation of devices capable of assisting medical practitioners in this environment. In this work, technologies to enable the use and control of robotic assistive devices for MRI interventions are presented. This includes a modular controller that is designed, built and used to control two surgical systems with minimal effect on image quality. Progressive improvements to an MRI conditional actuator including the construction of a first of a kind plastic piezoelectric resonant motor stator that improves the motor’s compatibility with the MRI is presented. Finally, control algorithms are evaluated for real-time functional MRI based control of a rehabilitation robot which includes the use of a robot for controlling brain activity of a subject in an online experiment.
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Carvalho, Paulo A. "Advancing Technologies for Interventional MRI Robotics with Clinical Applications." Digital WPI, 2020. https://digitalcommons.wpi.edu/etd-dissertations/616.

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An MRI’s superior soft tissue contrast and ability to perform parametric scanning make it a powerful tool for use during medical procedures; from surgery to rehabilitation. However, the MRI’s strong static magnetic field, fast switching gradients and constrained space make accomplishing procedures within it difficult. Recent advances in the field of robotics have enabled the creation of devices capable of assisting medical practitioners in this environment. In this work, technologies to enable the use and control of robotic assistive devices for MRI interventions are presented. This includes a modular controller that is designed, built and used to control two surgical systems with minimal effect on image quality. Progressive improvements to an MRI conditional actuator including the construction of a first of a kind plastic piezoelectric resonant motor stator that improves the motor’s compatibility with the MRI is presented. Finally, control algorithms are evaluated for real-time functional MRI based control of a rehabilitation robot which includes the use of a robot for controlling brain activity of a subject in an online experiment.
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Breen, Michael Scott. "TISSUE RESPONSE TO INTERVENTIONAL MRI-GUIDED THERMAL ABLATION THERAPY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=case1080938405.

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Saikus, Christina Elena. "Towards mri-guided cardiovascular interventions." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/44912.

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Imaging guidance may allow minimally invasive alternatives to open surgical exposure and help reduce procedure risk and morbidity. The inherent vascular and soft-tissue contrast of MRI make it an appealing imaging modality to guide cardiovascular interventional procedures. Advances in real-time MRI have made MRI-guided procedures a realistic possibility. The MR environment, however, introduces additional challenges to the development of compatible, conspicuous and safe devices. The overall goal of this work was to enable selected MRI-guided cardiovascular interventional procedures with clearly visible MR devices. In the first part of this work, we developed actively visualized devices for three distinct MRI-guided interventional procedures and techniques to assess their signal performance. We then investigated factors influencing complex device safety in the MR environment and evaluated a technique to better determine and monitor potential device heating. This input contributed to the development of a system to further improve device safety with continual device monitoring and dynamic scanner feedback control. In the final part of this work, we demonstrated the utility of MRI guidance and actively visualized devices to enable traditional and complex cardiovascular access. Together these provide important elements to bring MRI-guided cardiovascular interventional procedures closer to clinical implementation.
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Elgort, Daniel Robert. "Real-Time Catheter Tracking and Adaptive Imaging for Interventional Cardiovascular MRI." Case Western Reserve University School of Graduate Studies / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=case1111437062.

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Ahluwalia, Vishwadeep. "Optimization of Functional MRI methods for olfactory interventional studies at 3T." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1953.

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Functional MRI technique is vital in investigating the effect of an intervention on cortical activation in normal and patient population. In many such investigations, block stimulation paradigms are still the preferred method of inducing brain activation during functional imaging sessions because of the high BOLD response, ease in implementation and subject compliance especially in patient population. However, effect of an intervention can be validly interpreted only after reproducibility of a detectable BOLD response evoked by the stimulation paradigm is first verified in the absence of the intervention. Detecting a large BOLD response that is also reproducible is a difficult task particularly in olfactory Functional MRI studies due to the factors such as (a) susceptibility-induced signal loss in olfactory related brain areas and (b) desensitization to odors due to prolonged odor stimulation, which is typical when block paradigms are used. Therefore, when block paradigms are used in olfactory interventional Functional MRI studies, the effect of the intervention may not be easily interpretable due to the factors mentioned above. The first task of this thesis was to select a block stimulation paradigm that would produce a large and reproducible BOLD response. It was hypothesized that a BOLD response of this nature could be produced if within-block and across-session desensitization could be minimized and further, that desensitization could be minimized by reducing the amount of odor by pulsing the odor stimulus within a block instead of providing a continuous odor throughout the block duration. Once the best paradigm was selected, the second task of the thesis was to select the best model for use in general linear model (GLM) analysis of the functional data, so that robust activation is detected in olfactory related brain areas. Finally, the third task was to apply the paradigm and model that were selected as the best among the ones tested in this thesis, to an olfactory interventional Functional MRI study investigating the effect of food (bananas) eaten to satiety on the brain activation to the odor related to that food. The methods used in this thesis to ensure valid interpretation of an interventional effect, can serve as a template for the experimental design of future interventional Functional MRI studies.
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Johal, Parminder Singh. "Tibiofemoral movement : an in vivo study of knee kinematics using 'interventional' MRI." Thesis, Imperial College London, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440541.

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Books on the topic "Interventional MRI"

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Rösel, Peter. Tom Sawyer, der Teufel und seine Grossmutter: Intervention 34, 21. Januar-9. Mai 2004. Hannover [Germany]: Sprengel Museum, 2004.

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Andrieu, Gilbert. Les sportifs français dans la grande guerre: D'après les interventions du colloque historique de Verdun de mai 2007. Mont-en-Montois: Fantascope, 2010.

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Andrieu, Gilbert. Les sportifs français dans la grande guerre: D'après les interventions du colloque historique de Verdun de mai 2007. Mont-en-Montois: Fantascope, 2010.

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Tagung, der ASP (1987 Trier Germany). Sportpsychologische Diagnostik, Intervention und Verantwortung: Bericht über die Tagung der ASP vom 28. bis 30. Mai 1987 in Trier. Köln: BPS-Verlag, 1988.

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France. Conseil économique et social. Les interventions de l'Etat en faveur des salariés licenciés âgés de plus de cinquante-cinq ans: Séance du 27 mai 1997. Paris: Direction des journaux officiels, 1997.

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France)) Rencontres historiques d'Île-Rousse ((3rd 2012 L'Ile-Rousse. Du roi Théodore à la première intervention française, 1736-1741: Actes des 3es rencontres historiques d'Île-Rousse (18-20 mai 2012). Ajaccio: Albiana, 2013.

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Faculté de droit, d'économie et de gestion de l'Université d'Angers. LARAJ. Implications de la guerre d'Irak: Colloque international, 12 et 13 mai 2004 ; dir. Rahim Kherad. Paris: Pédone, 2005.

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Conférence internationale sur la santé cardiovasculaire (4e 2001 Osaka, Japon). Déclaration d'Osaka: Une intervention au niveau sanitaire, économique et politique : endiguer la lame de fond planétaire des maladies cardiovasculaires : déclaration du Comité consultatif de la quatrième Conférence internationale sur la santé cardiovasculaire, Osaka, Japon, mai 2001. Ottawa, Ont: Santé Canada, 2001.

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Darzi. INTERVENTIONAL MRI. Routledge, 2004.

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B, Lufkin Robert, ed. Interventional MRI. St. Louis: Mosby, 1999.

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Book chapters on the topic "Interventional MRI"

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Desai, Milind Y., Albert C. Lardo, and Joao A. C. Lima. "Interventional Cardiovascular MRI." In Interventional Cardiology, 405–23. Totowa, NJ: Humana Press, 2005. http://dx.doi.org/10.1385/1-59259-898-6:405.

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Rogers, Toby, and Robert J. Lederman. "Interventional Cardiovascular MRI." In Contemporary Cardiology, 419–37. New York, NY: Springer New York, 2019. http://dx.doi.org/10.1007/978-1-4939-8841-9_23.

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Lederman, Robert J. "Interventional Cardiovascular MRI." In Cardiovascular Magnetic Resonance Imaging, 711–33. Totowa, NJ: Humana Press, 2008. http://dx.doi.org/10.1007/978-1-59745-306-6_32.

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Wildermuth, S., T. Pfammatter, and J. F. Debatin. "Interventional Cardiovascular MRI." In Medical Radiology, 263–72. Berlin, Heidelberg: Springer Berlin Heidelberg, 2000. http://dx.doi.org/10.1007/978-3-642-60252-8_14.

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Vorwerk, D., and R. W. Günther. "Interventional Radiology and Interventional MRI." In Interventional Magnetic Resonance Imaging, 297–302. Berlin, Heidelberg: Springer Berlin Heidelberg, 1998. http://dx.doi.org/10.1007/978-3-642-60272-6_35.

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Zimmermann, G. G., H. H. Quick, G. K. von Schulthess, and J. F. Debatin. "Intravascular MRI." In Interventional Magnetic Resonance Imaging, 283–93. Berlin, Heidelberg: Springer Berlin Heidelberg, 1998. http://dx.doi.org/10.1007/978-3-642-60272-6_34.

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Seely, Jean M. "MRI-Guided Biopsy Procedures." In Interventional Breast Procedures, 85–146. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-13402-0_5.

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Hushek, Stephen G. "Systems for Interventional MRI." In Interventional Magnetic Resonance Imaging, 3–15. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/174_2011_437.

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Morikawa, Shigehiro, Shigeyuki Naka, Hiroyuki Murayama, Yoshimasa Kurumi, Tohru Tani, and Hasnine A. Haque. "MRI-Guided Microwave Ablation." In Interventional Magnetic Resonance Imaging, 389–402. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/174_2011_365.

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Haque, Hasnine A., Shigehiro Morikawa, Shigeyuki Naka, Yoshimasa Kurumi, Hiroyuki Murayama, Tohru Tani, and Tetsuji Tsukamoto. "Simultaneous Endoscopy and MRI Acquisition." In Interventional Magnetic Resonance Imaging, 471–79. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/174_2011_366.

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Conference papers on the topic "Interventional MRI"

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Kaiser, Mandy, Johannes Krug, and Georg Rose. "Interventional MRI: Minimal-invasive Surgery under MR guidance." In 2011 IEEE/MTT-S International Microwave Symposium - MTT 2011. IEEE, 2011. http://dx.doi.org/10.1109/mwsym.2011.5972988.

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Kaiser, M., J. Krug, and G. H. Rose. "Interventional MRI: Minimal-invasive surgery under MR guidance." In 2011 IEEE/MTT-S International Microwave Symposium - MTT 2011. IEEE, 2011. http://dx.doi.org/10.1109/mwsym.2011.5973360.

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Greenwood, Bernadette M., Meliha R. Behluli, John F. Feller, Stuart T. May, Robert Princenthal, Alex Winkel, and David B. Kaminsky. "Trans-rectal interventional MRI: initial prostate biopsy experience." In SPIE Medical Imaging. SPIE, 2010. http://dx.doi.org/10.1117/12.847045.

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Babacan, S. Derin, Fan Lam, Xi Peng, Minh N. Do, and Zhi-Pei Liang. "Interventional MRI with sparse sampling using union-of-subspaces." In 2012 IEEE 9th International Symposium on Biomedical Imaging (ISBI 2012). IEEE, 2012. http://dx.doi.org/10.1109/isbi.2012.6235547.

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Ying Dong, Zheng Chang, and Jim Ji. "Imaging and localizing interventional devices by susceptibility mapping using MRI." In 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2014. http://dx.doi.org/10.1109/embc.2014.6943896.

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Fei, Baowei, Kristin Frinkley, and David L. Wilson. "Registration algorithms for interventional MRI-guided treatment of the prostate." In Medical Imaging 2003, edited by Robert L. Galloway, Jr. SPIE, 2003. http://dx.doi.org/10.1117/12.479696.

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Eslahi, Samira Vafay, Pranav Vaidik Dhulipala, Caiyun Shi, Guoxi Xie, and Jim X. Ji. "Parallel compressive sensing in a hybrid space: Application in interventional MRI." In 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2017. http://dx.doi.org/10.1109/embc.2017.8037552.

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Fei, Baowei, Andrew Wheaton, Zhenghong Lee, Kenichi Nagano, Jeffrey L. Duerk, and David L. Wilson. "Robust registration method for interventional MRI-guided thermal ablation of prostate cancer." In Medical Imaging 2001, edited by Seong K. Mun. SPIE, 2001. http://dx.doi.org/10.1117/12.428092.

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Lazebnik, Roee S., Michael S. Breen, Tanya L. Lancaster, Sherif G. Nour, Jonathan S. Lewin, and David L. Wilson. "Volume registration of interventional MRI data using needle paths and point landmarks." In Medical Imaging 2002, edited by Seong K. Mun. SPIE, 2002. http://dx.doi.org/10.1117/12.466956.

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Larson, Blake T., Arthur G. Erdman, and Nikolaos V. Tsekos. "An MRI-Compatible Probe Exchanger for Early Diagnosis and Treatment of Breast Cancer." In ASME 2004 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2004. http://dx.doi.org/10.1115/detc2004-57047.

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The objective of this project is to develop a device to exchange interventional probes such as biopsy needles, local anesthesia, ablation tools, and lesion removal devices to perform multiple procedures for breast cancer diagnosis and treatment during single session in the MR scanner. Used as a supplement to an existing five degree-of-freedom (DOF) interventional probe positioning device, the apparatus is fitted with two additional DOF for the selection and exchange of interventional probes to be used in an automated probe positioning device. The entire system is constructed of MR compatible materials, i.e. non-magnetic and non-conductive, to eliminate artifacts and distortion of the MR images. The apparatus is remotely controlled by means of ultrasonic piezoelectric motors and a graphical user interface, providing MRI-guided planning and monitoring of the procedure while it is in progress. Based on a timing analysis, the device can quickly exchange a probe (48 seconds), thereby reducing the complexity and cost of the overall procedure.
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Reports on the topic "Interventional MRI"

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Menard, Cynthia. Integration of Diagnostic and Interventional MRI for the Study of Persistent Prostate Cancer after External Beam Radiotherapy. Fort Belvoir, VA: Defense Technical Information Center, October 2006. http://dx.doi.org/10.21236/ada484277.

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Menard, Cynthia. Integration of Diagnostic and Interventional MRI for the Study of Persistent Prostate Cancer after External Beam Radiotherapy. Fort Belvoir, VA: Defense Technical Information Center, October 2009. http://dx.doi.org/10.21236/ada517390.

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Menard, Cynthia. Integration of Diagnostic and Interventional MRI for the Study of Persistent Prostate Cancer After External Beam Radiotherapy. Fort Belvoir, VA: Defense Technical Information Center, October 2008. http://dx.doi.org/10.21236/ada506560.

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Menard, Cynthia. Integration of Diagnostic and Interventional MRI for the Study of Persistent Prostate Cancer After External Beam Radiotherapy. Fort Belvoir, VA: Defense Technical Information Center, October 2007. http://dx.doi.org/10.21236/ada477393.

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Huang, Xiuxiu, Xiaoyan Zhao, Bei Li, and Qiaoqin Wan. Biomarkers for evaluating the effects of exercise interventions in people with MCI or dementia: A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2020. http://dx.doi.org/10.37766/inplasy2020.4.0198.

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Chandrasekhar, C. P. The Long Search for Stability: Financial Cooperation to Address Global Risks in the East Asian Region. Institute for New Economic Thinking Working Paper Series, March 2021. http://dx.doi.org/10.36687/inetwp153.

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Abstract:
Forced by the 1997 Southeast Asian crisis to recognize the external vulnerabilities that openness to volatile capital flows result in and upset over the post-crisis policy responses imposed by the IMF, countries in the sub-region saw the need for a regional financial safety net that can pre-empt or mitigate future crises. At the outset, the aim of the initiative, then led by Japan, was to create a facility or design a mechanism that was independent of the United States and the IMF, since the former was less concerned with vulnerabilities in Asia than it was in Latin America and that the latter’s recommendations proved damaging for countries in the region. But US opposition and inherited geopolitical tensions in the region blocked Japan’s initial proposal to establish an Asian Monetary Fund, a kind of regional IMF. As an alternative, the ASEAN+3 grouping (ASEAN members plus China, Japan and South Korea) opted for more flexible arrangements, at the core of which was a network of multilateral and bilateral central bank swap agreements. While central bank swap agreements have played a role in crisis management, the effort to make them the central instruments of a cooperatively established regional safety net, the Chiang Mai Initiative, failed. During the crises of 2008 and 2020 countries covered by the Initiative chose not to rely on the facility, preferring to turn to multilateral institutions such as the ADB, World Bank and IMF or enter into bilateral agreements within and outside the region for assistance. The fundamental problem was that because of an effort to appease the US and the IMF and the use of the IMF as a foil against the dominance of a regional power like Japan, the regional arrangement was not a real alternative to traditional sources of balance of payments support. In particular, access to significant financial assistance under the arrangement required a country to be supported first by an IMF program and be subject to the IMF’s conditions and surveillance. The failure of the multilateral effort meant that a specifically Asian safety net independent of the US and the IMF had to be one constructed by a regional power involving support for a network of bilateral agreements. Japan was the first regional power to seek to build such a network through it post-1997 Miyazawa Initiative. But its own complex relationship with the US meant that its intervention could not be sustained, more so because of the crisis that engulfed Japan in 1990. But the prospect of regional independence in crisis resolution has revived with the rise of China as a regional and global power. This time both economics and China’s independence from the US seem to improve prospects of successful regional cooperation to address financial vulnerability. A history of tensions between China and its neighbours and the fear of Chinese dominance may yet lead to one more failure. But, as of now, the Belt and Road Initiative, China’s support for a large number of bilateral swap arrangements and its participation in the Regional Comprehensive Economic Partnership seem to suggest that Asian countries may finally come into their own.
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