MRI-Guided Cardiac RF Ablation for Comparing MRI Characteristics of Acute Lesions and Associated Electrophysiologic Voltage Reductions
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IEEE Transactions on Biomedical Engineering (TBME)
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This study characterizes permanent and transient injury caused by cardiac RF ablation in a preclinical model. Native-contrast MRI features of ablation were investigated in relation to catheter-based electrophysiologic (EP) signals inherently co-registered within the same coordinate frame, and histologically validated. Specifically, we show that bipolar voltage was reduced in the presence of both the permanent T1-derived RF lesion and transient T2-derived edema. These results suggest that these regions are distinct in native-contrast MRI, but not differentiable using bipolar voltage. Intraprocedural MRI visualization distinguishing transient and permanent injury could guide creation of more complete durable RF ablations, reducing arrhythmia recurrence.
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