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. 2016 Aug 29;1(5):376–383. doi: 10.1016/j.jacbts.2016.05.007

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This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Real-Time MRI-Guided Endomyocardial Biopsy

(A) Rapid frame-rate real-time magnetic resonance imaging (MRI) during navigation of the active visualization MRI bioptome within the left ventricle to the target endocardial surface. The jaws appear as a passive artifact (arrow). (B) After systemic gadolinium contrast administration, the lesion is visible using inversion-recovery real-time MRI (arrows). Real-time MRI-guided biopsy specimens viewed under (C) transmitted light and (D) ultraviolet light. X-ray fluoroscopy–guided biopsy specimens viewed under (E) transmitted light and (F) ultraviolet light. Also see Video 1.

graphic file with name grv1.jpg — Real-Time MRI-Guided Endomyocardial Biopsy

(A) Rapid frame-rate real-time magnetic resonance imaging (MRI) during navigation of the active visualization MRI bioptome within the left ventricle to the target endocardial surface. The jaws appear as a passive artifact (arrow). (B) After systemic gadolinium contrast administration, the lesion is visible using inversion-recovery real-time MRI (arrows). Real-time MRI-guided biopsy specimens viewed under (C) transmitted light and (D) ultraviolet light. X-ray fluoroscopy–guided biopsy specimens viewed under (E) transmitted light and (F) ultraviolet light. Also see Video 1.