16.11.2012 Views

NORAS Immobilization and Biopsy System MR-BI320-PA ...

NORAS Immobilization and Biopsy System MR-BI320-PA ...

NORAS Immobilization and Biopsy System MR-BI320-PA ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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 />

41

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!