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Early experience with X-ray magnetic resonance fusion for low-flow vascular malformations in the pediatric interventional radiology suite

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Abstract

This technical innovation describes our experience using an X-ray magnetic resonance fusion (XMRF) software program to overlay 3-D MR images on real-time fluoroscopic images during sclerotherapy procedures for vascular malformations at a large pediatric institution. Five cases have been selected to illustrate the application and various clinical utilities of XMRF during sclerotherapy procedures as well as the technical limitations of this technique. The cases demonstrate how to use XMRF in the interventional suite to derive additional information to improve therapeutic confidence with regards to the extent of lesion filling and to guide clinical management in terms of intraprocedural interventional measures.

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Authors and Affiliations

  1. Department of Radiology, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Tiffany J. Hwang, Sphoorti Shellikeri, Arastoo Vossough, Victor Ho-Fung & Anne Marie Cahill

  2. Keck School of Medicine of the University of Southern California, 1975 Zonal Ave., Los Angeles, CA, 90033, USA

    Tiffany J. Hwang

  3. Corporate Technology, Siemens Corporation, Princeton, NJ, USA

    Erin Girard

  4. Siemens Medical Solutions USA, Inc., Hoffman Estates, IL, USA

    Randolph Setser

Authors
  1. Tiffany J. Hwang
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  2. Erin Girard
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  3. Sphoorti Shellikeri
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  4. Randolph Setser
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  5. Arastoo Vossough
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  6. Victor Ho-Fung
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  7. Anne Marie Cahill
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Corresponding author

Correspondence to Tiffany J. Hwang.

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Conflicts of interest

E. Girard, PhD, is an employee of Siemens Corporation, Corporate Technology, and R. Setser, PhD, is an employee of Siemens Medical Solutions, USA, Inc.

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Hwang, T.J., Girard, E., Shellikeri, S. et al. Early experience with X-ray magnetic resonance fusion for low-flow vascular malformations in the pediatric interventional radiology suite. Pediatr Radiol 46, 413–421 (2016). https://doi.org/10.1007/s00247-015-3485-7

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  • DOI: https://doi.org/10.1007/s00247-015-3485-7

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