PURPOSE: To evaluate real-time biplanar tracking of a specially design
ed needle with magnetic resonance (MR) imaging guidance. MATERIALS AND
METHODS: The needle is made of polyetheretherketone and has a miniatu
re radio-frequency coil incorporated into the tip. Tracking software o
n two workstations is used to compute three-dimensional coordinates of
the coil and to display the position as a moving symbol in two imagin
g planes. Validation of needle tracking was performed in a harvested h
uman liver. T2-weighted fast spin-echo images were used to target a 1-
cm cyst. Success of needle placement was confirmed with aspiration and
with updated gradient-recalled-echo images. RESULTS: The cyst was suc
cessfully targeted from different approaches. Tracking procedures were
monitored in real time simultaneously on two separate images. CONCLUS
ION: Real-time biplanar needle tracking may prove to be useful for bot
h diagnostic and therapeutic interventional MR imaging procedures.