Minimally invasive procedures are increasingly combined with radiologi
c imaging to optimise access and treatment techniques. While endoscopy
has become a standard technique in the surgical field for diagnosis a
nd therapy, tomographic guidance is new. Combining both modalities, th
e transparency of computed tomography and of ultrafast electron beam t
omography, together with magnetic resonance imaging (MRI), will optimi
se both guidance and therapy. By using tomographic scanners for precis
e instrument positioning, the diameter of instruments [mechanical, las
er, radiofrequency (RF), endoscopes etc.] can be minimised. Also elect
ronic equipment, for visualisation and therapy should be integrated in
to a tomographic work-station. Instruments and electronic equipment ar
e sensitive to MRI and ferromagnetic alloys, and electric impulses cau
se artifacts in imaging. These problems have to be solved for future t
herapeutic workstations.