Abstract

BackgroundNoninvasive magnetic resonance thermometry (MRT) at low-field using proton resonance frequency shift (PRFS) is a promising technique for monitoring ablation temperature, since low-field MR scanners with open-configuration are more suitable for interventional procedures than closed systems. In this study, phase-drift correction PRFS with first-order polynomial fitting method was proposed to investigate the feasibility and accuracy of quantitative MR thermography during hyperthermia procedures in a 0.35 T open MR scanner.MethodsUnheated phantom and ex vivo porcine liver experiments were performed to evaluate the optimal polynomial order for phase-drift correction PRFS. The temperature estimation approach was tested in brain temperature experiments of three healthy volunteers at room temperature, and in ex vivo porcine liver microwave ablation experiments. The output power of the microwave generator was set at 40 W for 330 s. In the unheated experiments, the temperature root mean square error (RMSE) in the inner region of interest was calculated to assess the best-fitting order for polynomial fit. For ablation experiments, relative temperature difference profile measured by the phase-drift correction PRFS was compared with the temperature changes recorded by fiber optic temperature probe around the microwave ablation antenna within the target thermal region.ResultsThe phase-drift correction PRFS using first-order polynomial fitting could achieve the smallest temperature RMSE in unheated phantom, ex vivo porcine liver and in vivo human brain experiments. In the ex vivo porcine liver microwave ablation procedure, the temperature error between MRT and fiber optic probe of all but six temperature points were less than 2 °C. Overall, the RMSE of all temperature points was 1.49 °C.ConclusionsBoth in vivo and ex vivo experiments showed that MR thermometry based on the phase-drift correction PRFS with first-order polynomial fitting could be applied to monitor temperature changes during microwave ablation in a low-field open-configuration whole-body MR scanner.

Highlights

  • Noninvasive magnetic resonance thermometry (MRT) at low-field using proton resonance frequency shift (PRFS) is a promising technique for monitoring ablation temperature, since low-field MR scanners with open-configuration are more suitable for interventional procedures than closed systems

  • Unheated ex vivo porcine liver experimental results The mean and SD of the temperature root mean square error (RMSE) in the inner region of interest (ROI) for three different size of ROIs, which were calculated by conventional PRFS and phase-drift correction PRFS with first-to sixth-order polynomial fitting (Fig. 4b)

  • In the case of three different ROIs selection, the temperature RMSE calculated by phase-drift correction PRFS with firstorder polynomial fitting had an obvious advantages over high-order polynomial fitting and the original PRF methods, and its mean RMSEs were 1.22, 1.49 and 1.52 °C for RS1, RS2 and RS3, respectively

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Summary

Introduction

Noninvasive magnetic resonance thermometry (MRT) at low-field using proton resonance frequency shift (PRFS) is a promising technique for monitoring ablation temperature, since low-field MR scanners with open-configuration are more suitable for interventional procedures than closed systems. Magnetic resonance thermometry (MRT) is a non-invasive technique for monitoring tissue temperature during tumor thermotherapeutic procedures [1, 2]. PRFS has acceptable linearity and it is near independent with regards to tissue type except adipose tissue, which makes it a good choice for monitoring temperature changes [8, 10]. And/or non-invasive thermal therapies ensure localized damage to pathological tissues, while at the same time having good healthy tissue-sparing capabilities. MRT is widely used to guide and monitor thermal therapy procedures because it is able to provide fast temperature mapping within the target ablation tissue with acceptable spatial resolution

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