NORAS Immobilization and Biopsy System MR-BI320-PA ...
NORAS Immobilization and Biopsy System MR-BI320-PA ...
NORAS Immobilization and Biopsy System MR-BI320-PA ...
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Localization <strong>and</strong> <strong>Biopsy</strong><br />
Process<br />
For horizontal biopsies (no angulations, 0°) the h<strong>and</strong>ling of the <strong>NORAS</strong> Mammotome®<br />
TM adaptor is equal to the st<strong>and</strong>ard <strong>NORAS</strong> positioning devices.<br />
For angulated biopsies please note that the center of rotation varies from the<br />
st<strong>and</strong>ard <strong>NORAS</strong> positioning devices. The center is located 6 mm (not the usual<br />
22mm) behind the head of the pointer, which is visible in the <strong>MR</strong> image. In order<br />
to calculate the coordinates you have to subtract 6 mm from the position of the<br />
head of the pointers line.<br />
For angulations use, turn the adjustment screw at the front of the fiducial holder<br />
until you are able to change the angle. Anterior as well as posterior angulations<br />
are possible for 15° <strong>and</strong> 0°. After the angulations adjustment close the adjustment<br />
screw slowly until the new position of the fiducial holder is fixated.<br />
In case of a very anterior lesion position the guide fork (Ethicon) can be set on a<br />
higher position, which enables another 17mm anterior access. Please note that<br />
in this procedure the holster must be held upside down so that tissue samples<br />
will fall downwards.<br />
Horizontal <strong>and</strong> vertical<br />
Zero Position<br />
height <strong>and</strong> angle adjustment screw<br />
<strong>MR</strong> Targeting Set (Ethicon)<br />
Guide Fork (Ethicon)<br />
Lowest adjustable<br />
Position<br />
Targeting Set<br />
<strong>MR</strong>-<strong>BI320</strong>-<strong>PA</strong><br />
6<br />
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