Title
3-D Visualization of Acute RF Ablation Lesions Using MRI for the Simultaneous Determination of the Patterns of Necrosis and Edema.
Abstract
Catheter ablation using RF energy is a common treatment for atrial arrhythmias. Although this treatment provides a potential cure, currently, there remains a high proportion of patients returning for repeat ablations. Electrophysiologists have little information to verify that a lesion has been created in the myocardium. Temporary electrical block can be created from edema, which will subside. MRI can visualize acute and chronic ablation lesions using delayed-enhancement techniques. However, the ablation patterns cannot be determined from 2-D images alone. Using the combination of T-2-weighted and delayed-enhancement MRI, ablation lesions can be characterized in terms of necrosis and edema. A novel 3-D visualization technique is presented that projects the image intensity due the lesions onto a 3-D cardiac surface, allowing the complete, simultaneous visualization of the delayed-enhancement and T-2-weighted ablation patterns. Results show successful visualization of ablation patterns in 18 patients, and an application of this technique is presented in which electroanatomical mapping systems can be validated by overlaying the acquired ablation points onto the cardiac surfaces and assessing the correlation with the lesion maps.
Year
DOI
Venue
2010
10.1109/TBME.2009.2038791
IEEE Trans. Biomed. Engineering
Keywords
Field
DocType
radio frequency,mri,heart,visualization,necrosis,biomedical imaging,algorithms,magnetic resonance imaging,radiation therapy
Atrial fibrillation,Lesion,Medical imaging,Edema,Ablation,Catheter ablation,Radiology,Atrial flutter,Medicine,Magnetic resonance imaging
Journal
Volume
Issue
ISSN
57
6
0018-9294
Citations 
PageRank 
References 
23
1.84
5
Authors
9
Name
Order
Citations
PageRank
Benjamin R. Knowles1393.59
Dennis Caulfield2665.73
Michael Cooklin3273.66
C. Aldo Rinaldi422821.98
Jaswinder Gill5858.47
Julian Bostock6242.57
Reza Razavi792994.25
Tobias Schaeffter847251.54
Kawal S. Rhode975978.72