Possible MR guided interventions are breast MRI, liver and bone biopsies. Open MRI is advantageous to guide interventional procedures because this type of MRI scanner provides a better patient access.
Before the MRI guided biopsy is started, all the necessary precautions ensuring normal sterile and safe conditions for an intervention have to be performed. This includes the special safety issues concerning MRI surroundings and special equipment, like non-magnetic biopsy needles, localization tools (e.g. wires to mark lesions prior to surgery with breast MRI guidance) etc.

See also 5 Gauss Line, Contraindications, Low Field MRI, MR Compatibility, Magnetic Resonance Guided Focused Ultrasound and Computer Aided Detection.

From Aurora Imaging Technology, Inc.;
The Aurora® 1.5T Dedicated Breast MRI System with Bilateral SpiralRODEO™ is the first and only FDA approved MRI device designed specifically for breast imaging. The Aurora System, which is already in clinical use at a growing number of leading breast care centers in the US, Europe, got in December 2006 also the approval from the State Food and Drug Administration of the People's Republic of China (SFDA).
'Some of the proprietary and distinguishing features of the Aurora System include: 1) an ellipsoid magnetic shim that provides coverage of both breasts, the chest wall and bilateral axillary lymph nodes; 2) a precision gradient coil with the high linearity required for high resolution spiral reconstruction;; 3) a patient-handling table that provides patient comfort and procedural utility; 4) a fully integrated Interventional System for MRI guided biopsy and localization; and 5) the user-friendly AuroraCAD™ computer-aided image display system designed to improve the accuracy and efficiency of diagnostic interpretations.'

From Philips Medical Systems;
the Intera-family offers with this member a wide range of possibilities, efficiency and a ergonomic and intuitive serving-platform. Also available as Intera CV for cardiac and Intera I/T for interventional MR procedures.
The scanners are also equipped with SENSE technology, which is essential for high-quality contrast enhanced magnetic resonance angiography, interactive cardiac MR and diffusion tensor imaging (DTI) fiber tracking.
The increased accuracy and clarity of MR scans obtained with this technology allow for faster and more accurate diagnosis of potential problems like patient friendliness and expands the breadth of applications including cardiology, oncology and interventional MR.

A means for optimizing the tuning and matching of RF coils under different loading conditions without operator intervention. For large high-power coils such as body coils, autotuning involves the adjustment of variable capacitors using electric or hydraulic motors. For low power coils, the tuning elements are most often variable capacitance diodes (varactors) fed by a computer-generated variable voltage.

MRI guided biopsies are usually performed for lesions that are found on for example liver or breast MRI procedures and that are not seen on computed tomography, ultrasonography or mammography. The identification of cancer on breast MRI is dependent on uptake of intravenous contrast agents.
First an MRI scan, using a dedicated breast coil and biopsy guidance system is performed to found the lesion. After skin disinfection and local anesthesia, the biopsy procedure starts. Possible MR guided interventions include fine needle aspiration, core needle biopsy and vacuum-assisted biopsy (VABB) to sample tissue from the lesion; or wire localization prior to surgery for lesions that are not palpable.

See also Breast MRI.