Pranav Bhagirath

124 Chapter 6 Not only the required technical advances for the devices needed to conduct an EP or ablation procedures safely in an MRI environment will be crucial, but also improved patient selection and therapy stratification. Integrating non-invasively obtained anatomical information with tissue characteristics and electrical properties will remain a challenging field of research and development. CONCLUSION iCMR is an emerging technology and may play an important role in the future for the treatment of complex arrhythmias. The last decade has seen tremendous progress made in this field with relatively simple EP procedures being performed successfully in humans. However, there are still a few major challenges to overcome prior to performing complex ablation procedures in the MRI environment; 1) MRI compatible equipment (12 lead ECG, catheters and ablation systems) with regulatory approval is needed, and 2) emergency strategies especially regarding defibrillation inside the MRI have to be established. The coming years should be targeted at resolving these issues in order to expedite the clinical transition of ablation procedures towards iCMR. Finally, the complete integration of non-invasively obtained anatomical data with tissue characteristics and its electrical behavior will demonstrate the full strength of such an iCMR approach.