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To develop and test in a clinical setting a double-echo segmented echo planar imaging (DEPI) pulse sequence for proton resonance frequency (PRF)-based temperature monitoring that is faster than conventional PRF thermometry pulse sequences and not affected by thermal changes in tissue conductivity. Four tumor patients underwent between one and nine magnetic resonance (MR)-guided regional hyperthermia treatments. During treatment, the DEPI sequence and a FLASH PRF sequence were run in an interleaved manner to compare the results from both sequences in the same patients and same settings. Temperature maps were calculated based on the phase data of both sequences. Temperature measurements of both techniques were compared using Passing and Bablok regression and the Bland–Altman method. The temperature results from the DEPI and FLASH sequences, on average, do not differ by more than ΔT = 1 °C. DEPI images showed typically more artifacts and approximately a twofold lower signal-to-noise ratio (SNR), but a sufficient temperature precision of 0.5°, which would theoretically allow for a fivefold higher frame rate. The results indicate that DEPI can replace slower temperature measurement techniques for PRF-based temperature monitoring during thermal treatments. The higher acquisition speed can be exploited for hot spot localization during regional hyperthermia as well as for temperature monitoring during fast thermal therapies.

Firn and polar ice cores enclosing trace gas species offer a unique archive to study changes in the past atmosphere and in terrestrial/marine source regions. Here we present a new online technique for ice core and air samples to measure a suite of isotope ratios and mixing ratios of trace gas species on a single sample. Isotope ratios are determined on methane, nitrous oxide and xenon with reproducibilities for ice core samples of 0.15‰ for δ13C–CH4, 0.22‰ for δ15N–N2O, 0.34‰ for δ18O–N2O, and 0.05‰ per mass difference for δ136Xe for typical concentrations of glacial ice. Mixing ratios are determined on methane, nitrous oxide, xenon, ethane, propane, methyl chloride and dichlorodifluoromethane with reproducibilities of 7 ppb for CH4, 3 ppb for N2O, 70 ppt for C2H6, 70 ppt for C3H8, 20 ppt for CH3Cl, and 2 ppt for CCl2F2. However, the blank contribution for C2H6 and C3H8 is large in view of the measured values for Antarctic ice samples. The system consists of a vacuum extraction device, a preconcentration unit and a gas chromatograph coupled to an isotope ratio mass spectrometer. CH4 is combusted to CO2 prior to detection while we bypass the oven for all other species. The highly automated system uses only ~ 160 g of ice, equivalent to ~ 16 mL air, which is less than previous methods. The measurement of this large suite of parameters on a single ice sample is new and key to understanding phase relationships of parameters which are usually not measured together. A multi-parameter data set is also key to understand in situ production processes of organic species in the ice, a critical issue observed in many organic trace gases. Novel is the determination of xenon isotope ratios using doubly charged Xe ions. The attained precision for δ136Xe is suitable to correct the isotopic ratios and mixing ratios for gravitational firn diffusion effects, with the benefit that this information is derived from the same sample. Lastly, anomalies in the Xe mixing ratio, δXe/air, can be used to detect melt layers.

Firn and polar ice cores offer the only direct palaeoatmospheric archive. Analyses of past greenhouse gas concentrations and their isotopic compositions in air bubbles in the ice can help to constrain changes in global biogeochemical cycles in the past. For the analysis of the hydrogen isotopic composition of methane (δD(CH4) or δ2H(CH4)) 0.5 to 1.5 kg of ice was hitherto used. Here we present a method to improve precision and reduce the sample amount for δD(CH4) measurements in (ice core) air. Pre-concentrated methane is focused in front of a high temperature oven (pre-pyrolysis trapping), and molecular hydrogen formed by pyrolysis is trapped afterwards (post-pyrolysis trapping), both on a carbon-PLOT capillary at −196 °C. Argon, oxygen, nitrogen, carbon monoxide, unpyrolysed methane and krypton are trapped together with H2 and must be separated using a second short, cooled chromatographic column to ensure accurate results. Pre- and post-pyrolysis trapping largely removes the isotopic fractionation induced during chromatographic separation and results in a narrow peak in the mass spectrometer. Air standards can be measured with a precision better than 1‰. For polar ice samples from glacial periods, we estimate a precision of 2.3‰ for 350 g of ice (or roughly 30 mL – at standard temperature and pressure (STP) – of air) with 350 ppb of methane. This corresponds to recent tropospheric air samples (about 1900 ppb CH4) of about 6 mL (STP) or about 500 pmol of pure CH4.

PURPOSE Precise temperature measurements in the magnetic field are indispensable for MR safety studies and for temperature calibration during MR-guided thermotherapy. In this work, the interference of two commonly used fiber-optical temperature measurement systems with the static magnetic field B0 was determined. METHODS Two fiber-optical temperature measurement systems, a GaAs-semiconductor and a phosphorescent phosphor ceramic, were compared for temperature measurements in B0 . The probes and a glass thermometer for reference were placed in an MR-compatible tube phantom within a water bath. Temperature measurements were carried out at three different MR systems covering static magnetic fields up to B0 = 9.4T, and water temperatures were changed between 25°C and 65°C. RESULTS The GaAs-probe significantly underestimated absolute temperatures by an amount related to the square of B0 . A maximum difference of ΔT = -4.6°C was seen at 9.4T. No systematic temperature difference was found with the phosphor ceramic probe. For both systems, the measurements were not dependent on the orientation of the sensor to B0 . CONCLUSION Temperature measurements with the phosphor ceramic probe are immune to magnetic fields up to 9.4T, whereas the GaAs-probes either require a recalibration inside the MR system or a correction based on the square of B0 . Magn Reson Med, 2014. © 2014 Wiley Periodicals, Inc.

Der Beitrag schildert anhand deutscher Erfahrungen mehrere Aspekte der Vollzugsforschung und geht dabei zunachst auf Pravention und Empirie, auf den Gold-Standard und den telos der einschlagigen Gesetzesbestimmungen ein. Sodann gibt er einen Uberblick uber das Wiesbadener Verlaufsprojekt und die Verlaufs-Evaluation im allgemeinen.

A commercial three-dimensional (3D) monitor was modified for use inside the scanner room to provide stereoscopic real-time visualization during magnetic resonance (MR)-guided interventions, and tested in a catheter-tracking phantom experiment at 1.5 T. Brightness, uniformity, radio frequency (RF) emissions and MR image interferences were measured. Due to modifications, the center luminance of the 3D monitor was reduced by 14 %, and the addition of a Faraday shield further reduced the remaining luminance by 31 %. RF emissions could be effectively shielded; only a minor signal-to-noise ratio (SNR) decrease of 4.6 % was observed during imaging. During the tracking experiment, the 3D orientation of the catheter and vessel structures in the phantom could be visualized stereoscopically.

Purpose In this work, a passive tracking sequence employing a phase-only cross correlation (POCC) algorithm was studied with a focus on the in vivo applicability of the technique. Therefore, MR-guided needle interventions were performed in a phantom and two animal experiments. Methods The targeting accuracy was quantified in an agarose phantom with 15 fiducials. For each fiducial, the distance between needle trajectory and target point was measured. In a first animal experiment at 3 T, the prostate of a pig was punctured under POCC guidance. Second, POCC-based tracking was performed during a laser-induced thermal therapy procedure in peripheral porcine muscle tissue at 1.5 T. Results In the phantom experiment, the 15 fiducials were penetrated with a mean accuracy of 1.5 ± 0.9 mm (mean duration for one puncture about 2 min). In the first animal experiment, the center of the pig's right prostatic lobe was accurately punctured within 15 min. In the second, targeting and insertion of the needle could be performed within 5 min and a thermal lesion was successfully created. Conclusion Our initial experience with the POCC-based tracking sequence indicates that this technique has the potential as an accurate and versatile tool for in vivo MR-guided needle interventions.

To establish direct (17)O-magnetic resonance imaging (MRI) for metabolic imaging at a clinical field strength of 3 T.An experimental setup including a surface coil and transmit/receive switch was constructed. Natural abundance in vivo brain images of a volunteer were acquired with a radial three-dimensional (3D) sequence in the visual cortex and in the heart with electrocardiogram (ECG)-gating.In the brain, a signal-to-noise ratio of 36 was found at a nominal resolution of (5.6 mm)(3), and a transverse relaxation time of T(2)* = (1.9 ± 0.2) ms was obtained. In the heart (17)O images were acquired with a temporal resolution of 200 ms.Cerebral and cardiac (17)O-MRI at natural abundance is feasible at 3 T.

Purpose To increase the signal-to-noise ratio (SNR) and to reduce artifacts in non-proton magnetic resonance imaging (MRI) by incorporation of a priori information from 1H MR data in an iterative reconstruction. Methods An iterative reconstruction algorithm for 3D projection reconstruction (3DPR) is presented that combines prior anatomical knowledge and image sparsity under a total variation (TV) constraint. A binary mask (BM) is used as an anatomical constraint to penalize non-zero signal intensities outside the object. The BM&TV method is evaluated in simulations and in MR measurements in volunteers. Results In simulated BM&TV brain data, the artifact level was reduced by 20% while structures were well preserved compared to gridding. SNR maps showed a spatially dependent SNR gain over gridding reconstruction, which was up to 100% for simulated data. Undersampled 3DPR 23Na MRI of the human brain revealed an SNR increase of 29 ± 7%. Small anatomical structures were reproduced with a mean contrast loss of 14%, whereas in TV-regularized iterative reconstructions a loss of 66% was found. Conclusion The BM&TV algorithm allows reconstructing images with increased SNR and reduced artifact level compared to gridding and performs superior to an iterative reconstruction using an unspecific TV constraint only. Magn Reson Med 71:1720–1732, 2014. © 2013 Wiley Periodicals, Inc.

Purpose To evaluate a novel imaging sequence termed crushed rephased orthogonal slice selection (CROSS) that uses the available time in long echo time (TE) gradient echo (GRE) imaging—as employed for proton resonance frequency (PRF) shift thermometry—to simultaneously acquire two orthogonal magnetic resonance imaging (MRI) temperature maps around the target region. Materials and Methods The CROSS sequence encodes a second orthogonal slice between excitation and data readout in long-TE imaging and applies dedicated crusher (CR) gradients to separate the signals from the two slices. Numerical simulations of the Bloch equations and phantom experiments were performed to analyze the MR signal. In phantom and in vivo experiments with two domestic pigs, the applicability of the CROSS sequence for temperature mapping of thermal therapies with focused ultrasound and laser was studied. Results A successful separation of the signals from the two slices was achieved for CR dephasing lengths approaching the in-plane resolution. In the two animal experiments, CROSS temperature mapping could be successfully demonstrated at a temporal resolution of 2–3 seconds and a temperature uncertainty of 3–4K. Conclusion At the expense of a reduced signal in the overlap of the two slices, the CROSS sequence achieves an improvement of temporal resolution by 50%, without requiring further acceleration techniques such as parallel imaging, over conventional sequential GRE sequences employing the same repetition time as the CROSS sequence acquires two slices within one repetition interval. J. Magn. Reson. Imaging 2013;38:1510–1520. © 2013 Wiley Periodicals, Inc.

The respiratory system is a central part of voice production, but for phonation neither the underlying functional relations between diaphragm (DPH) and rib cage (RC), nor differences to normal breathing are yet understood. This study aims to compare respiratory dynamics in phonation and breathing via dynamic MRI of the lung. Images of the breathing apparatus of 6 professional singers were captured in a 1.5T MRI system in supine position during vital capacity breathing and maximal long sustained phonation at 3 different pitches and loudness conditions. In a dynamic series of cross-sectional images of the lung, distances between characteristic anatomical landmarks were measured. During exhalation in normal breathing the diaphragm and rib cage moved synchronously to reduce lung volume, but during phonation different functional units could be identified, which support phonation by facilitating the control of subglottic pressure.

Optimization of timing parameters for MR-guided ARFI to achieve the highest displacement signal-to-noise ratio (SNRIn MR-guided ARFI the phase change induced by motion encoding gradients (MEGs) is measured to assess tissue displacement. The sensitivity of this encoding procedure depends on several timing parameters, such as the MEG duration and the offset time between ultrasound (US) and MEG. Furthermore, mechanical and MR tissue constants and MEG schemes (bipolar or three-lobed) influence SNRFor the considered ranges of tissue constants, optimal timing parameters provide only 6% higher SNRBoth bipolar and three-lobed MEGs can yield approximately the same SNR

In this initial work, the in vivo degradation of

Triclosan, an antimicrobial compound found in consumer products, may be introduced into the aquatic environment via residual concentrations in municipal wastewater treatment effluent. We conducted an aquatic risk assessment that incorporated the available measured triclosan data from Minnesota lakes and rivers. Although only data reported from Minnesota were considered in the risk assessment, the developed toxicity benchmarks can be applied to other environments. The data were evaluated using a series of environmental fate models to ensure the data were internally consistent and to fill any data gaps. Triclosan was not detected in over 75% of the 567 surface water and sediment samples. Measured environmental data were used to model the predicted environmental exposures to triclosan in surface water, surface sediment, and biota tissues. Toxicity benchmarks based on fatty acid synthesis inhibition and narcosis were determined for aquatic organisms based, in part, on a species sensitivity distribution of chronic toxicity thresholds from the available literature. Predicted and measured environmental concentrations for surface water, sediment, and tissue were below the effects benchmarks, indicating that exposure to triclosan in Minnesota lakes and rivers would not pose an unacceptable risk to aquatic organisms.

Currently, the gold standard for dental imaging is projection radiography or cone-beam computed tomography (CBCT). These methods are fast and cost-efficient, but exhibit poor soft tissue contrast and expose the patient to ionizing radiation (X-rays). The need for an alternative imaging modality e.g. for soft tissue management has stimulated a rising interest in dental magnetic resonance imaging (MRI) which provides superior soft tissue contrast. Compared to X-ray imaging, however, so far the spatial resolution of MRI is lower and the scan time is longer. In this contribution, we describe wireless, inductively-coupled intraoral coils whose local sensitivity enables high resolution MRI of dental soft tissue. In comparison to CBCT, a similar image quality with complementary contrast was obtained ex vivo. In-vivo, a voxel size of the order of 250∙250∙500 μm3 was achieved in 4 min only. Compared to dental MRI acquired with clinical equipment, the quality of the images was superior in the sensitive volume of the coils and is expected to improve the planning of interventions and monitoring thereafter. This method may enable a more accurate dental diagnosis and avoid unnecessary interventions, improving patient welfare and bringing MRI a step closer to becoming a radiation-free alternative for dental imaging.

PURPOSE: To compare the three different short-echo time (TE) pulse sequences ultrashort echo time (UTE), point-wise encoding time reduction with radial acquisition (PETRA), and single point imaging (SPI) for MRI of ancient remains. METHODS: MRI of mummies is challenging due to the extremely low water content and the very short transverse relaxation times T2 *. To overcome the signal loss associated with the short T2 *, three pulse sequences with very short TEs were compared. MR images of an ancient mummified human hand were acquired at field strengths of 1.5 Tesla (T) and 3T using home-made solenoid Tx/Rx radiofrequency (RF) coils. RESULTS: In all MR images, tissues could be differentiated and anatomical structures such as bones and tendons were clearly identified. Skin with embalming resin was hyperintense in MRI, whereas it appeared iso-intense in computed tomography. PETRA has the highest signal to noise ratio. With UTE, short scan times and a homogeneous RF excitation can be achieved, and blurring is less pronounced than with PETRA. SPI shows no blurring artifacts; however, it requires long scan times. CONCLUSION: This work provided an initial analysis for the optimization of imaging protocols for paleoradiology studies with MRI, and, ultimately, for MRI of tissue with extremely short T2 *.

Der Beitrag behandelt die aktuellen gesellschaftlichen Veranderungen der Zweiten Moderne, die von hoher kriminologischer Relevanz sind, weil sie die biografischen Risiken erhohen, aus denen Kriminalitat entstehen kann. Im Bezugsrahmen des speziellen diagnostischen und prognostischen Programms der „Angewandten Kriminologie“ ergibt sich daraus die Notwendigkeit, die bewahrten Kriterien zu uberdenken und v. a. auch eine neue biografische Verlaufsform einer „Kriminalitat in Krisen“ zu entwickeln, die diesen Entwicklungen Rechnung tragt und damit die Systematik der Angewandten Kriminologie wieder komplettiert. Eine Schlusselrolle zur Beurteilung der neuen Verlaufsform „Kriminalitat in Krisen“ kommt hierbei den Relevanzbezugen und der Wertorientierung zu.

Cerebral three-dimensional time of flight (TOF) angiography significantly benefits from ultrahigh fields, mainly due to higher signal-to-noise ratio and to longer T1 relaxation time of static brain tissues; however, specific absorption rate (SAR) significantly increases with B0. Thus, additional radiofrequency pulses commonly used at lower field strengths to improve TOF contrast such as saturation of venous signal and improved background suppression by magnetization transfer typically cannot be used at higher fields. In this work, we aimed at reducing SAR for each radiofrequency pulse category in a TOF sequence. We use the variable-rate selective excitation principle for the slab selective TOF excitation as well as the venous saturation radiofrequency pulses. In addition, magnetization transfer pulses are implemented by sparsely applying the pulses only during acquisition of the central k-space lines to limit their SAR contribution. Image quality, angiographic contrast, and SAR reduction were investigated as a function of variable-rate selective excitation parameters and of the total number of magnetization transfer pulses applied. Based on these results, a TOF protocol was generated that increases the angiographic contrast by more than 50% and reduces subcutaneous fat signal while keeping the resulting SAR within regulatory limits. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.

As ultrahigh-field MR imaging systems suffer from the standing wave problems of conventional coil designs, the use of antenna systems that generate travelling waves was suggested. As a modification to the original approach, we propose the use of a coaxial waveguide configuration with interrupted inner conductor. This concept can focus the radiofrequency energy to the desired imaging region in the human body and can operate at different Larmor frequencies without hardware modifications, as it is not limited by a lower cut-off frequency. We assessed the potential of the method with a hardware prototype setup that was loaded with a tissue equivalent phantom and operated with imaging areas of different size. Signal and flip angle distributions within the phantom were analyzed, and imaging at different Larmor frequencies was performed. Results were compared to a finite difference time domain simulation of the setup that additionally provides information on the spatial distribution of the specific absorption rate load. Furthermore, simulation results with a human model (virtual family) are presented. It was found that the proposed method can be used for MRI at multiple frequencies, achieving transmission efficiencies similar to other travelling wave approaches but still suffers from several limitations due to the used mode of wave propagation. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.

An efficient breathing system was designed for direct 17O MRI to perform oxygen metabolism studies of the human brain. The breathing system consists of a demand oxygen delivery device for 17O2 supply and a custom-built re-breathing circuit with pneumatic switching valve. To efficiently deliver the 17O gas to the alveoli of the lungs, the system applies short gas pulses upon an inspiration trigger via a nasal cannula. During and after 17O2 administration, the exhaled gas volumes are stored and filtered in the re-breathing section to make the most efficient use of the rare 17O gas. In an inhalation experiment, 2.2 ± 0.1 L of 70%-enriched 17O2 were administered to a healthy volunteer and direct 17O MRI was performed for a total imaging time of 38 min with a temporal resolution of 50 s per 3D data set. Mapping of the maximum signal increase was carried out showing regional variations of oxygen concentration of up to 30% over the natural abundance of 17O water. Magn Reson Med, 2011. © 2011 Wiley-Liss, Inc.

Proton resonance frequency shift thermometry is sensitive to breathing motion that leads to incorrect phase differences. In this work, a novel velocity-sensitive navigator technique for triggering MR thermometry image acquisition is presented.A segmented echo planar imaging pulse sequence was modified for velocity-triggered temperature mapping. Trigger events were generated when the estimated velocity value was less than 0.2 cm/s during the slowdown phase in parallel to the velocity-encoding direction. To remove remaining high-frequency spikes from pulsation in real time, a Kalman filter was applied to the velocity navigator data. A phantom experiment with heating and an initial volunteer experiment without heating were performed to show the applicability of this technique. Additionally, a breath-hold experiment was conducted for comparison.A temperature rise of ΔT = +37.3°C was seen in the phantom experiment, and a root mean square error (RMSE) outside the heated region of 2.3°C could be obtained for periodic motion. In the volunteer experiment, a RMSE of 2.7°C/2.9°C (triggered vs. breath hold) was measured.A novel velocity navigator with Kalman filter postprocessing in real time significantly improves the temperature accuracy over non-triggered acquisitions and suggests being comparable to a breath-held acquisition. The proposed technique might be clinically applied for monitoring of thermal ablations in abdominal organs.

Magnetic resonance-guided percutaneous interventions with needles require fast pulse sequences with acquisition times less than 1 s to image the needle trajectory within moving organs. To guide the movement of a rigid instrument with high sampling rate, an magnetic resonance imaging method was developed that reduces the acquisition time down to a few hundred milliseconds by restricting the field of view to a small stripe around the instrument trajectory. To maintain the dynamic steady state, saturation pulses for outer volume suppression were inserted into additional repetition time-intervals. These saturation intervals were combined with three sequence variants: a spoiled gradient echo sequence, an echo-shifted steady state free precession and a balanced steady state free precession sequence. The magnetization dynamics were analyzed by means of numerical optimized simulations. Results were compared with phantom experiments and an average signal-to-suppression-ratio of 15.5 could be achieved. With a field of view reduction of up to 12.5% an update rate of six images per second could be achieved. Finally, animal experiments demonstrated the fast and reliable needle tip visualization during percutaneous magnetic resonance-guided interventions with the help of a robotic assistance system.

An inductively coupled coil concept is presented, which improves the compensation of physiological motion by the self-gating (SG) technique. The animal is positioned in a conventional volume coil encompassing the whole animal. A small, resonant surface coil (SG-coil) is placed on the thorax so that its sensitive region includes the heart. Via inductive coupling the SG-coil amplifies selectively the MR signal of the beating heart. With an optical detuning mechanism, this coupling can be switched off during acquisition of the MR image information, whereas it is active during SG data sampling to provide the physiological information. In vivo experiments on a mouse show an amplification of the SG signal by at least 40%. Magn Reson Med, 2011. © 2010 Wiley-Liss, Inc.

Variable-rate selective excitation RF pulses modulate the slice selection gradients during RF transmission, especially to reduce the total RF power. Amplitude-modulated slice selection gradients can lead to increased gradient noise, in particular in high-field MRI where variable-rate selective excitation techniques are often used. In this work, an algorithm is presented that calculates a variable-rate selective excitation pulse modulation from given RF pulses with constant slice selection gradient. The algorithm avoids the known acoustic resonance frequencies of the gradient system to minimize sound pressure levels. It was tested with four different slice-selective RF pulse shapes (Sinc, Gaussian, and two Shinnar-LeRoux). Sound measurements revealed a reduction of the mean sound pressure level by up to 13 dB, and simultaneously, the specific absorption rate was reduced by 55%.

To develop an intravascular catheter with ferromagnetic components that is navigated with MR gradient forces and imaged with dedicated MR sequences in real time.The orientation of a device with ferromagnetic components can be controlled by gradient forces. In this work, a 3D input device for interactive real-time control of the force gradient was combined with a dedicated real-time MR pulse sequence. The pulse sequence offered acquisition of FLASH images, force gradient and localization of the ferromagnetic tip with three projections. The technique for localization is a combination of off-set resonance excitation and gradient rephasing. According to the position of the ferromagnetic components from the projections, the imaging slice is automatically aligned with the ferromagnetic component. The navigation methods and localization techniques were assessed in phantom and animal studies.At a reaction time of 24 ms and a frame rate of one image per second, the orientation of a ferromagnetic catheter could be navigated in a complex vascular phantom. The magnetic force generated by a gradient of 28 mT/m could reach up to 100+/-20 microN. The localization of the ferromagnetic tip could be performed with an uncertainty of 1 mm in phantom studies and 4 mm in animal studies.The use of a deflectable catheter with a ferromagnetic tip to target the blood vessels and localize the position of device provides a novel method to use the MR system to image the anatomy and steer an interventional device which helps to increase the precision and speed of endovascular procedures.

A new method to localize and track medical devices in air-filled body cavities is proposed that uses active microcoils with a semisolid filling. In air spaces, e.g., the lung, microcoils require an independent signal source, which should be made of a biocompatible, solid and sterilizable material with a long shelf time. In a measurement of the T(1) and T*(2) and the relative spin density of several semisolid materials, latex was identified as a suitable material from which a prototype catheter was constructed with a microcoil at its tip. In a dual-echo tracking pulse sequence, the very short T*(2) of the rubber material allowed suppressing the background signal from surrounding tissue with a subtraction technique and additional dephasing gradients. With a roadmapping reconstruction, the microcoil's trajectory could be visualized on a previously acquired reference image set with a tracking rate of up to 60 Hz at a spatial resolution of better than 2mm. In a real-time tracking implementation, an image update rate of 4 Hz was achieved by combining the tracking with a fast real-time imaging sequence. Both methods were successfully applied in vivo to track the catheter in the lung of a pig.