A
system and method for using
magnetic resonance imaging to increase the accuracy of electrophysiologic procedures is disclosed. The
system in its preferred embodiment provides an invasive combined
electrophysiology and imaging antenna
catheter which includes an RF antenna for receiving magnetic
resonance signals and diagnostic electrodes for receiving electrical potentials. The combined
electrophysiology and imaging antenna
catheter is used in combination with a
magnetic resonance imaging scanner to guide and provide
visualization during electrophysiologic diagnostic or therapeutic procedures. The invention is particularly applicable to
catheter ablation, e.g.,
ablation of
atrial fibrillation. In embodiments which are useful for
catheter ablation, the combined
electrophysiology and imaging antenna catheter may further include an
ablation tip, and such embodiment may be used as an intracardiac device to both deliver energy to selected areas of tissue and visualize the resulting ablation lesions, thereby greatly simplifying production of continuous linear lesions. The invention further includes embodiments useful for guiding electrophysiologic diagnostic and therapeutic procedures other than ablation. Imaging of ablation lesions may be further enhanced by use of
MR contrast agents. The antenna utilized in the combined electrophysiology and imaging catheter for receiving MR signals is preferably of the coaxial or “loopless” type. High-resolution images from the antenna may be combined with low-resolution images from surface coils of the MR
scanner to produce a composite image. The invention further provides a
system for eliminating the
pickup of RF energy in which intracardiac wires are detuned by filtering so that they become very inefficient antennas. An RF filtering system is provided for suppressing the
MR imaging signal while not attenuating the RF ablative current. Steering means may be provided for steering the invasive catheter under MR guidance. Other ablative methods can be used such as
laser,
ultrasound, and low temperatures.