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DC MRI Presentation

DC MRI Presentation


Interventional/Intraoperative MRI: Advancing Precision in Surgical Procedures

Learning Objectives:

  1. Understand the concept of Interventional/Intraoperative MRI (iMRI) and its significance in medical procedures.
  2. Learn about the technological advancements enabling iMRI and its integration into surgical workflows.
  3. Explore the clinical applications and benefits of iMRI in various surgical specialties.
  4. Recognize the challenges and considerations associated with iMRI implementation.
  5. Appreciate the potential future developments and contributions of iMRI to patient outcomes and research.

Introduction: Interventional/Intraoperative MRI (iMRI) is an innovative and dynamic imaging technique that seamlessly integrates magnetic resonance imaging (MRI) technology into surgical procedures. Unlike traditional MRI, which requires patients to be transported to the imaging suite, iMRI brings the MRI scanner to the operating room, enabling real-time imaging during surgery. This synergy between surgery and imaging has revolutionized surgical precision and patient outcomes.

Technological Advancements: The successful implementation of iMRI depends on several technological advancements:

  • Magnet Design: iMRI systems require specialized magnets that can function in the presence of surgical equipment and instruments while providing high-quality imaging.
  • Surgical Table and Imaging System Integration: Surgical tables are equipped with integrated imaging systems, allowing seamless patient movement between surgery and imaging.
  • Real-time Imaging Software: Advanced software processes MRI data in real-time, providing immediate feedback to surgeons during procedures.

Clinical Applications: iMRI finds application in a variety of surgical specialties:

  • Neurosurgery: iMRI aids in precise tumor resections, navigation, and monitoring during brain surgeries.
  • Orthopedics: It assists in accurate placement of implants and navigation during joint surgeries.
  • Cardiovascular Surgery: iMRI provides real-time imaging during minimally invasive heart procedures, enhancing safety and accuracy.
  • Oncology: iMRI facilitates targeted biopsies, ablations, and monitoring of tumor responses during cancer surgeries.
  • Functional Neurosurgery: It aids in mapping brain function during procedures like deep brain stimulation.


  • Precision: iMRI enables surgeons to make real-time decisions based on updated imaging, reducing the risk of incomplete procedures.
  • Safety: By minimizing patient transfers between surgery and imaging, iMRI reduces infection risk and anesthesia exposure.
  • Minimally Invasive Procedures: iMRI enables more accurate navigation during minimally invasive surgeries, improving patient recovery times.
  • Reduced Reoperation Rates: iMRI-guided surgeries have shown lower rates of reoperations due to incomplete resections or misplaced implants.

Challenges and Considerations:

  • Cost: iMRI systems are expensive to purchase, install, and maintain.
  • Space: Operating rooms need to be designed or modified to accommodate the iMRI system.
  • Workflow Integration: Surgeons and radiologists need to collaborate effectively to utilize iMRI to its full potential.
  • Training: Both surgeons and imaging technicians require specialized training to operate iMRI systems.

Future Developments:

  • Advanced Imaging Sequences: Further advancements in imaging sequences could enhance real-time visualization of different tissue types.
  • Robotics Integration: Integration with robotic surgical systems could automate certain tasks during surgery.
  • Artificial Intelligence: AI algorithms could assist surgeons in interpreting iMRI data and predicting surgical outcomes.

Conclusion: Interventional/Intraoperative MRI is a remarkable advancement that synergizes surgery and imaging, revolutionizing various medical specialties. Its integration into surgical workflows enhances precision, safety, and patient outcomes, albeit with challenges that require careful consideration. The continuous evolution of iMRI technology holds the promise of further transforming surgical practices and improving patient care.

DC MRI Presentation



Present key information concerning Interventional/Intraoperative MRI, establishing learning objectives and why this is important or how it relates to MRI.  Be detailed and present information that had not already been presented in class, or that can not be easily obtained with a simple online search.

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