Evidence map›Paper›PMID 18022851›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2007

Technology preview: X-ray fused with magnetic resonance during invasive cardiovascular procedures.

Luis F Gutiérrez, Ranil de Silva, Cengizhan Ozturk, Merdim Sonmez, Annette M Stine, Amish N Raval, Venkatesh K Raman, Vandana Sachdev, Ronnier J Aviles, Myron A Waclawiw and 2 more

2 registry-linked trialsOpen access · greenAbstract readCase Reports
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00965679 completednot on this mapstarted 2009, after this paper: background citation

X-ray Fluoroscopy Fused With Computed Tomography (XFC) Technical Development

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2009 to 2010Enrolled1ConditionsAortic Valve Stenosis
NCT02737579 nacompletednot on this mapstarted 2013, after this paper: background citation

XFM: (X-ray Fused With MRI) Guided Cardiac Catheterization

TypeinterventionalSponsorJoshua KanterRan2013 to 2022Enrolled27ConditionsCongenital Heart DefectArmsXFM guidance
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. X-ray fused with MRI guidance of pre-selected transcatheter congenital heart disease interventions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2019
    Article
  3. Review
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  5. Article
  6. Article
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  9. Roadmaps show the way: coregistration to enhance structural heart interventions.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2013
    Article
  10. Article
  11. Article
  12. Multimodality image fusion to guide peripheral artery chronic total arterial occlusion recanalization in a swine carotid artery occlusion model: unblinding the interventionalist.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2012
    Article
  13. Article
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  16. Article
  17. Review
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  19. Article
  20. Interventional cardiovascular magnetic resonance: still tantalizing.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2008
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Luis F GutiérrezLaboratory of Cardiac Energetics, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.
Ranil de Silva
Cengizhan Ozturk
Merdim Sonmez
Annette M Stine
Amish N Raval
Venkatesh K Raman
Vandana Sachdev
Ronnier J Aviles
Myron A Waclawiw
Elliot R McVeigh
Robert J Lederman
National Heart Lung and Blood Institute · USNational Institutes of Health · USBoğaziçi University · TRJohns Hopkins Medicine · US

Funding

Therapies enabled-cardiovascular interventional MRIZ01HL005062 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEDERMAN, ROBERT J · 2003 to 2008
$6.0M
ULTRA FAST MRI FOR CARDIOVASCULAR APPLICATIONSZ01HL004608 · NHLBI · HEART, LUNG, AND BLOOD INSTITUTE · PI MCVEIGH, ELLIOT R · 2000 to 2006
–
Intramural NIH HHS Z01 HL004608Intramural NIH HHS Z01 HL005062NHLBI NIH HHS Z01-HL004608-06NHLBI NIH HHS Z01-HL005062-04
6 · The paper itself

Abstract

backgroundWe have developed and validated a system for real-time X-ray fused with magnetic resonance imaging, MRI (XFM), to guide catheter procedures with high spatial precision. Our implementation overlays roadmaps-MRI-derived soft-tissue features of interest-onto conventional X-ray fluoroscopy. We report our initial clinical experience applying XFM, using external fiducial markers, electrocardiogram (ECG)- gating, and automated real-time correction for gantry and table movement.

methodsThis prospective case series for technical development was approved by the NHLBI Institutional Review Board and included 19 subjects. Multimodality external fiducial markers were affixed to patients' skin before MRI, which included contrast-enhanced, 3D T1-weighted, or breath-held and ECG-gated 2D steady state free precession imaging at 1.5T. MRI-derived roadmaps were manually segmented while patients were transferred to a calibrated X-ray fluoroscopy system. Image spaces were registered using the fiducial markers and thereafter permitted unrestricted gantry rotation, table panning, and magnification changes. Static and ECG-gated MRI data were transformed from 3D to 2D to correspond with gantry and table position and combined with live X-ray images.

resultsClinical procedures included graft coronary arteriography, right ventricular free-wall biopsy, and iliac and femoral artery recanalization and stenting. MRI roadmaps improved operator confidence, and in the biopsy cases, outperformed the best available alternative imaging modality. Registration errors were increased when external fiducial markers were affixed to more mobile skin positions, such as over the abdomen.

conclusionXFM using external fiducial markers is feasible during X-ray guided catheter treatments. Multimodality image fusion may prove a useful adjunct to invasive cardiovascular procedures.

Indexed as

AdultAgedAged, 80 and overCardiac CatheterizationCardiac Surgical ProceduresDiagnosis, DifferentialFluoroscopyHeart DiseasesHumansImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedMonitoring, IntraoperativeProspective StudiesReproducibility of Results

Identifiers

PMID18022851
PMCPMC2677196
OpenAlexW2067717292

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.