Proton Resonance Frequency Method Research Articles

Proton resonance frequency-based thermometry for aqueous and adipose tissues.

The proton resonance frequency (PRF)-based thermometry uses heating-induced phase variations to reconstruct magnetic resonance (MR) temperature maps. However, the measurements of the phase differences may be corrupted by the presence of fat due to its phase being insensitive to heat. The work aims to reconstruct the PRF-based temperature maps for tissues containing fat. This work proposes a PRF-based method that eliminates the fat's phase contribution by estimating the temperature-insensitive fat vector. A vector in a complex domain represents a given voxel's magnetization from an acquired, complex MR image. In this method, a circle was fit to a time series of vectors acquired from a heated region during a heating experiment. The circle center served as the fat vector, which was then subtracted from the acquired vectors, leaving only the temperature-sensitive vectors for thermal mapping. This work was verified with the gel phantoms of 10%, 15%, and 20% fat content and the ex vivo phantom of porcine abdomen tissue during water-bath heating. It was also tested with an ex vivo porcine tissue during focused ultrasound (FUS) heating. A good agreement was found between the temperature measurements obtained from the proposed method and the optical fiber temperature probe in the verification experiments. In the gel phantoms, the linear regression provided a slope of 0.992 and an R2 of 0.994. The Bland-Altman analysis gave a bias of 0.49°C and a 95% confidence interval of ±1.60°C. In the ex vivo tissue, the results of the linear regression and Bland-Altman methods provided a slope of 0.979, an intercept of 0.353, an R2 of 0.947, and a 95% confidence interval of ±3.26°C with a bias of -0.14°C. In FUS tests, a temperature discrepancy of up to 28% was observed between the proposed and conventional PRF methods in ex vivo tissues containing fat. The proposed PRF-based method can improve the accuracy of the temperature measurements in tissues with fat, such as breast, abdomen, prostate, and bone marrow.

7T MR Thermometry technique for validation of system-predicted SAR with a home-built radiofrequency wrist coil.

A 7T magnetic resonance thermometry (MRT) technique was developed to validate the conversion factor between the system-measured transmitted radiofrequency (RF) power into a home-built RF wrist coil with the system-predicted SAR value. The conversion factor for a new RF coil developed for ultra high magnetic field MRI systems is used to ensure that regulatory limits on RF energy deposition in tissue, specifically the local 10g-averaged specific absorption rate (SAR10g ), are not exceeded. MRT can be used to validate this factor by ensuring that MRT-measured SAR values do not exceed those predicted by the system. A 14-cm diameter high-pass birdcage RF coil was built to image the wrist at 7T. A high spatial and temporal resolution dual-echo gradient echo MRT technique, incorporating quasi-simultaneous RF-induced heating and temperature change measurements using the proton resonance frequency method, was developed. The technique allowed for high-temperature resolution measurements (~±0.1°C) to be performed every 20s over a 4-min heating period, with high spatial resolution (2.56mm3 voxel size) and avoiding phase discontinuities arising from severe magnetic susceptibility-induced B0 inhomogeneities. Magnetic resonance thermometry was performed on a phantom made from polyvinylpyrrolidone to mimic the dielectric properties of muscle tissue at 297.2MHz. Temperature changes measured with MRT and four fiber optic temperature sensors embedded in the phantom were compared. Electromagnetic simulations of the coil and phantom were developed and validated via comparison of simulated and measured B1 + maps in the phantom. The position of maximum SAR within the coil was determined from simulations, and MRT was performed within a wrist-sized piece of meat positioned at that SAR hotspot location. MRT-measured and system-predicted SAR values for the phantom and meat were compared. Temperature change measurements from MRT matched closely to those from the fiber optic temperature sensors. The simulations were validated via close correlation between the simulated and MRT-measured B1 + and SAR maps. Using a coil conversion factor of 2kg-1 , MRT-measured point-SAR values did not exceed the system-predicted SAR10g in either the uniform phantom or in the piece of meat mimicking the wrist located at the SAR hotspot location. A highly accurate MRT technique with high spatial and temporal resolution was developed. This technique can be used to ensure that system-predicted SAR values are not exceeded in practice, thereby providing independent validation of SAR levels delivered by a newly built RF wrist coil. The MRT technique is readily generalizable to perform safety evaluations for other RF coils at 7T.

Magnetic Resonance Mediated Radiofrequency Ablation.

To introduce magnetic resonance mediated radiofrequency ablation (MR-RFA), in which the MRI scanner uniquely serves both diagnostic and therapeutic roles. In MR-RFA scanner-induced RF heating is channeled to the ablation site via a Larmor frequency RF pickup device and needle system, and controlled via the pulse sequence. MR-RFA was evaluated with simulation of electric and magnetic fields to predict the increase in local specific-absorption-rate (SAR). Temperature-time profiles were measured for different configurations of the device in agar phantoms and ex vivo bovine liver in a 1.5 T scanner. Temperature rise in MR-RFA was imaged using the proton resonance frequency method validated with fiber-optic thermometry. MR-RFA was performed on the livers of two healthy live pigs. Simulations indicated a near tenfold increase in SAR at the RFA needle tip. Temperature-time profiles depended significantly on the physical parameters of the device although both configurations tested yielded temperature increases sufficient for ablation. Resected livers from live ablations exhibited clear thermal lesions. MR-RFA holds potential for integrating RF ablation tumor therapy with MRI scanning. MR-RFA may add value to MRI with the addition of a potentially disposable ablation device, while retaining MRI's ability to provide real time procedure guidance and measurement of tissue temperature, perfusion, and coagulation.

Towards MRI temperature mapping in real time—the proton resonance frequency method with undersampled radial MRI and nonlinear inverse reconstruction

Optimal control of minimally invasive interventions by hyperthermia requires dynamic temperature mapping at high temporal resolution. Based on the temperature-dependent shift of the proton resonance frequency (PRF), this work developed a method for real-time MRI thermometry which relies on highly undersampled radial FLASH MRI sequences with iterative image reconstruction by regularized nonlinear inversion (NLINV). As a first step, the method was validated with use of a temperature phantom and ex vivo organs (swine kidney) subjected to heating by warm water or a pulsed laser source. The temperature maps obtained by real-time PRF MRI demonstrate good accuracy as independently controlled by fiber-optic temperature sensors. Moreover, the dynamic results demonstrate both excellent sensitivity to single laser pulses (20 ms duration, 6 J energy output) and high temporal resolution, i.e., 200 ms acquisition times per temperature map corresponding to a rate of 5 frames per second. In addition, future extensions to in vivo applications were prepared by addressing the breathing-related motion problem by a pre-recorded library of reference images representative of all respiratory states. The proposed method for real-time MRI thermometry now warrants further developments towards in vivo MRI monitoring of thermal interventions in animals.

Evaluation of MR thermometry with proton resonance frequency method at 7T.

Quantitative and non-invasive temperature mapping using magnetic resonance imaging (MRI) provides a unique way to measure temperature evolution inside biological tissues. The method is widely used in thermal ablation procedures with magnetic fields at or below 3T. In this paper, the sensitivity of the MRI thermometry at 7T was studied using a proton resonance frequency (PRF)-based technique. We first used an agarose gel phantom with MR-compatible thermometry to calibrate the temperature coefficient, and then this temperature coefficient was employed to measure the internal temperature in both ex vivo (beef muscle) and in vivo (rat) experiments using focused ultrasound heating. The temperature coefficient calibrated by the phantom was 0.0095 ppm/°C, and both the ex vivo and in vivo experiments exhibited clear temperature evolution. This quantitative study confirmed the sensitivity (<1 °C) of MR temperature mapping at 7T.

Real Time MR Thermometry Using Tm-DOTMA

We present results of real-time and sensitive MR Thermometry (MRT) using a paramagnetic lanthanide complex thulium 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetramethyl-1,4,7,10-tetraa-cetate (Tm-DOTMA) to study radio frequency (RF) heating induced by a copper wire and a titanium bone screw in an agarose gel phantom. The temperature dependent chemical shift coefficient (TDCSC) of the methyl resonance was found to be 0.7 ± 0.03 ppm/°;C in agarose gel. The methyl protons of Tm-DOTMA were imaged using 2D chemical shift imaging (CSI) and 3D phase mapping methods (PMM), approximately 7 sec long, and compared with conventional water proton resonance frequency (PRF) method. Two RF-induced heating approaches were tested: 1) using a prescan before the MRT; or 2) using the heating caused by the imaging pulse during continuous imaging. Both approaches allowed detection of temperature changes which are less than 1°;C and continuously mapping temperature changes around the copper wire. Using a heating pre-scan, the Tm-DOTMA 2D-CSI allowed better qualitative visualization of the temperature changes around the titanium screw compared with water phase shift thermometry. Numerical electromagnetic field simulations were also conducted for the evaluation of orientation dependency using the copper wire in 4.7 T (200 MHz). Thermometry approach using Tm-DOTMA can detect smaller temperature changes with decreased scanning time resulting in real-time and sensitive temperature mapping.

MR thermometry analysis program for laser- or high-intensity focused ultrasound (HIFU)-induced heating at a clinical MR scanner

Magnetic resonance (MR) thermometry is a noninvasive method for monitoring local temperature change during thermal therapy. In this study, a MR temperature analysis program was established for a laser with gold nanorods (GNRs) and high-intensity focused ultrasound (HIFU)-induced heating MR thermometry. The MR temperature map was reconstructed using the water proton resonance frequency (PRF) method. The temperature-sensitive phase difference was acquired by using complex number subtraction instead of direct phase subtraction in order to avoid another phase unwrapping process. A temperature map-analyzing program was developed and implemented in IDL (Interactive Data Language) for effective temperature monitoring. This one program was applied to two different heating devices at a clinical MR scanner. All images were acquired with the fast spoiled gradient echo (fSPGR) pulse sequence on a 3.0 T GE Discovery MR750 scanner with an 8-channel knee array coil or with a home-built small surface coil. The analyzed temperature values were confirmed by using values simultaneously measured with an optical temperature probe (R2 = 0.996). The temperature change in small samples induced by a laser or by HIFU was analyzed by using a raw data, that consisted of complex numbers. This study shows that our MR thermometry analysis program can be used for thermal therapy study with a laser or HIFU at a clinical MR scanner. It can also be applied to temperature monitoring for any other thermal therapy based on the PRF method.

Real-time MRI-controlled ultrasound hyperthermia system for superficial tumor treatment

Ultrasound hyperthermia is one of the most important methods in tumor treatment and characterized by non-invasiveness. Magnetic resonance imaging (MRI)-based temperature mapping techniques are safe compared with invasive methods and have been applied to detect temperature changes for a variety of applications. Among these techniques, the proton resonance frequency (PRF) method is relatively advanced. With a temperature measuring experiment, the effectiveness of PRF method has been proved, because the outcome temperature curve and the real temperature curve fit well. After that, an experiment has been conducted on tumors inside rabbit legs and the result indicates that this system is able to performance hyperthermia at targets based on PRF method in temperature mapping.

Validation of structural effects mediated by MR-guided focused ultrasound on animal kidney ex vivo model

Introduction: MR-guided Focused Ultrasound (MRgFUS) has attracted the attention of researchers and clinicians as a potential modality for cancer treatment over the last decades. Despite recent progress, the real application of MRgFUS still remains a challenge due to problems with the optimization of ultrasound parameters and standardization of clinical protocol. In this study, we utilized an ex vivo animal model in order to elucidate the effect of focused acoustic energy on kidney tissue. Material & Methods: The explanted porcine kidney was sonicated under MR-guidance by using a clinical Focused Ultrasound (FUS) system (ExAblate 2000 Body system, InSightec, Haifa, Israel). The study employed MR-based temperature mapping (Proton Resonance Frequency method) for control of the ablation. The data of temperature measurement has been compared to histological analysis of treated tissues. Results: The temperature mapping data demonstrated a rise of temperature at the focal point up to 44 0 C (SD±1), which was thought to be sufficient enough to trigger hyperthermia effects. Histopathological analysis showed tissue destruction as a result of massive cavitation in treated tissues. The signs of mechanical damage were more pronounced in a place that was treated 240 seconds compared with the first location (sonicated 120 seconds). Conclusions: The effect of FUS on the tissues of animal kidney was investigated. The achieved level of temperature rise in the focal point was high enough to induce hyperthermia suggesting possible clinical application. Histology of treated tissue indicated that its therapeutic effect was mediated by focused ultrasound. The correlation between duration of sonication and tissue damage was demonstrated.

Magnetic Resonance Temperature Imaging of Laser-Induced Thermotherapy: Assessment of Fast Sequences in Ex Vivo Porcine Liver

To evaluate magnetic resonance sequences for T(1) and proton resonance frequency (PRF) thermometry during laser-induced thermotherapy (LITT) in liver tissue. During LITT (1064 nm; 30 W; 3-cm diffuser; 2-3 min) in ex vivo porcine liver, temperature was measured (25-70°C) utilizing a fiberoptic thermometer and MRI was performed with a 1.5-T scanner through the following sequences: segmented echo planar imaging (seg-EPI) for the PRF method; fast low-angle shot (FLASH), inversion-recovery turbo FLASH (IRTF), saturation-recovery turbo FLASH (SRTF) and true-fast imaging (TRUFI) for the T(1) method. Phase angle and signal amplitude (regarding PRF/T(1)) was recorded in regions of interest, on images under fiberoptic probe tips. Sequences' thermal coefficients were determined by calibrating phase angle and signal amplitude against temperature and subsequently validated. Coefficients of -0.0089 ± 0.0003 ppm °C(-1) (seg-EPI) and -0.917 ± 0.046, -1.166 ± 0.058, -1.038 ± 0.054 and -1.443 ± 0.118°C(-1) (FLASH, IRTF, SRTF and TRUFI, respectively) were obtained. Precisions of 0.71, 1.34, 2.07, 2.44 and 3.21°C and, through Bland-Altman analysis, accuracies of -0.67, 0.79, 1.65, 1.57 and 2.13°C (seg-EPI, FLASH, IRTF, SRTF and TRUFI, respectively) were determined. The PRF method with seg-EPI sequence is preferred for thermometry during LITT owing to higher precision and accuracy. Among T(1)-method sequences, FLASH showed higher accuracy and robustness.

The influence of Nd:YAG laser irradiation on Fluoroptic® temperature measurement: an experimental evaluation

The aim of this study was to experimentally evaluate temperature monitoring with a Fluoroptic® temperature probe in the presence of laser irradiation from a Nd:YAG laser, which is mainly used for clinical MR-guided laser-induced interstitial thermotherapy. Temperature measurements were performed using a Fluoroptic® probe in comparison to a thermocouple probe in a gel phantom and an ex vivo pig liver at distances of 6.5 to 14 mm to the laser applicator (laser energy of 30.8 W). To evaluate the artifacts in the temperature measurement, the laser was turned on and off three times during the entire experiment. A comparison of the fiber-optic measurements with MR thermometry was also performed in pig liver by means of the proton resonance frequency method at a distance of 6 mm. Depending on the distance, the temperature measured by the fiber-optic probe deviated from the thermocouple probe temperature. The phantom deviations of 0.4 to 34.3 % were observed. The differences in the liver were smaller and ranged from 1.6 to 5.2 %. The Bland-Altman mean of differences between MR and fiber-optic temperature measurements was 0.02 °C and the 95 % limits of agreement value was ± 2.25°C. During laser application, considerable artifacts occurred in the Fluoroptic® measurements in short distances which was induced by laser energy absorption by the probe coating. No artifacts were verifiable at a distance of 14 mm in both mediums. The good conformity with MR thermometry resulted from the shorter turn-on times of the laser since the laser irradiation had only a minor effect on the measurements.

Hybrid proton resonance frequency/T1 technique for simultaneous temperature monitoring in adipose and aqueous tissues

AbstractThermal therapy procedures being carried out under MR guidance would be safer if temperature changes could be accurately monitored in both water‐based and fat‐based tissues. To this end, we present a hybrid proton resonance frequency (PRF)/T1 approach for simultaneously measuring PRF shift temperatures in water‐based tissues and T1 changes in fat‐based tissues. The hybrid PRF/T1 sequence is a standard radiofrequency spoiled gradient echo sequence executed in a dynamic mode with two flip angles alternating every time frame. The PRF information is extracted every time frame using the image phase in the standard approach, and the T1 information is extracted every two time frames using a variable flip angle approach. Simulation studies, ex vivo high intensity focused ultrasound heating experiments, and in vivo stability experiments were performed to test the feasibility of the approach. The results indicate that the hybrid PRF/T1 approach provides PRF temperature maps of the same quality as those obtained by traditional PRF methods while simultaneously being able to track T1 changes in fat‐based tissues. Although several potential error sources exist for the T1 measurements, the approach is a promising start toward realizing quantitative temperature measurements in both water‐based and fat‐based tissues. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.

Towards fast and accurate temperature mapping with proton resonance frequency-based MR thermometry.

The capability to image temperature is a very attractive feature of MRI and has been actively exploited for guiding minimally-invasive thermal therapies. Among many MR-based temperature-sensitive approaches, proton resonance frequency (PRF) thermometry provides the advantage of excellent linearity of signal with temperature over a large temperature range. Furthermore, the PRF shift has been shown to be fairly independent of tissue type and thermal history. For these reasons, PRF method has evolved into the most widely used MR-based thermometry method. In the present paper, the basic principles of PRF-based temperature mapping will be reviewed, along with associated pulse sequence designs. Technical advancements aimed at increasing the imaging speed and/or temperature accuracy of PRF-based thermometry sequences, such as image acceleration, fat suppression, reduced field-of-view imaging, as well as motion tracking and correction, will be discussed. The development of accurate MR thermometry methods applicable to moving organs with non-negligible fat content represents a very challenging goal, but recent developments suggest that this goal may be achieved. If so, MR-guided thermal therapies may be expected to play an increasingly-important therapeutic and palliative role, as a minimally-invasive alternative to surgery.

Evaluation of the keyhole technique applied to the proton resonance frequency method for magnetic resonance temperature imaging

To evaluate the temporal and spatial resolution of magnetic resonance (MR) temperature imaging when using the proton resonance frequency (PRF) method combined with the keyhole technique. Tissue-mimicking phantom and swine muscle tissue were microwave-heated by a coaxial slot antenna. For the sake of MR hardware safety, MR images were sequentially acquired after heating the subjects using a spoiled gradient (SPGR) pulse sequence. Reference raw (k-space) data were collected before heating the subjects. Keyhole temperature images were reconstructed from full k-space data synthesized by combining the peripheral phase-encoding part of the reference raw data and the center phase-encoding keyhole part of the time sequential raw data. Each keyhole image was analyzed with thermal error, and the signal-to-noise ratio (SNR) was compared with the self-reference (nonkeyhole) images according to the number of keyhole phase-encoding (keyhole-data size) portions. In applied keyhole temperature images, smaller keyhole-data sizes led to more temperature error increases, but the SNR did not decreased comparably. Additionally, keyhole images with a keyhole-data size of <16 had significantly different temperatures compared with fully phase-encoded self-reference images (P < 0.05). The keyhole technique combined with the PRF method improves temporal resolution and SNR in the measurement of the temperature in the deeper parts of body in real time.

Feasibility of fast MR‐thermometry during cardiac radiofrequency ablation

Online MR temperature monitoring during radiofrequency (RF) ablation of cardiac arrhythmias may improve the efficacy and safety of the treatment. MR thermometry at 1.5 T using the proton resonance frequency (PRF) method was assessed in 10 healthy volunteers under normal breathing conditions, using a multi-slice, ECG-gated, echo planar imaging (EPI) sequence in combination with slice tracking. Temperature images were post-processed to remove residual motion-related artifacts. Using an MR-compatible steerable catheter and electromagnetic noise filter, RF ablation was performed in the ventricles of two sheep in vivo. The standard deviation of the temperature evolution in time (TSD) was computed. Temperature mapping of the left ventricle was achieved at an update rate of approximately 1 Hz with a mean TSD of 3.6 ± 0.9 °C. TSD measurements at the septum showed a higher precision (2.8 ± 0.9 °C) than at the myocardial regions at the heart-lung and heart-liver interfaces (4.1 ± 0.9 °C). Temperature rose maximally by 9 °C and 16 °C during 5 W and 10 W RF applications, respectively, for 60 s each. Tissue temperature can be monitored at an update rate of approximately 1 Hz in five slices. Typical temperature changes observed during clinical RF application can be monitored with an acceptable level of precision.

Clinical evaluation of MR temperature monitoring of laser‐induced thermotherapy in human liver using the proton‐resonance‐frequency method and predictive models of cell death

To assess the feasibility, precision, and accuracy of real-time temperature mapping (TMap) during laser-induced thermotherapy (LITT) for clinical practice in patients liver with a gradient echo (GRE) sequence using the proton resonance frequency (PRF) method. LITT was performed on 34 lesions in 18 patients with simultaneous real-time visualization of relative temperature changes. Correlative contrast-enhanced T1-weighted magnetic resonance (MR) images of the liver were acquired after treatment using the same slice positions and angulations as TMap images acquired during LITT. For each slice, TMap and follow-up images were registered for comparison. Afterwards, segmentation based on temperature (T) >52°C on TMap and based on necrosis seen on follow-up images was performed. These segmented structures were overlaid and divided into zones where the TMap was found to either over- or underestimate necrosis on the postcontrast images. Regions with T>52°C after 20 minutes were defined as necrotic tissue based on data received from two different thermal dose models. The average intersecting region of TMap and necrotic zone was 87% ± 5%, the overestimated 13% ± 4%, and the underestimated 13% ± 5%. This study demonstrates that MR temperature mapping appears reasonably capable of predicting tissue necrosis on the basis of indicating regions having greater temperatures than 52°C and could be used to monitor and adjust the thermal therapy appropriately during treatment.

Assessment of thermal effects of interstitial laser phototherapy on mammary tumors using proton resonance frequency method

Laser immunotherapy (LIT) uses a synergistic approach to treat cancer systemically through local laser irradiation and immunological stimulation. Currently, LIT utilizes dye-assisted noninvasive laser irradiation to achieve selective photothermal interaction. However, LIT faces difficulties treating deeper tumors or tumors with heavily pigmented overlying skin. To circumvent these barriers, we use interstitial laser irradiation to induce the desired photothermal effects. The purpose of this study is to analyze the thermal effects of interstitial irradiation using proton resonance frequency (PRF). An 805-nm near-infrared laser with an interstitial cylindrical diffuser was used to treat rat mammary tumors. Different power settings (1.0, 1.25, and 1.5 W) were applied with an irradiation duration of 10 min. The temperature distributions of the treated tumors were measured by a 7 T magnetic resonance imager using PRF. We found that temperature distributions in tissue depended on both laser power and time settings, and that variance in tissue composition has a major influence in temperature elevation. The temperature elevations measured during interstitial laser irradiation by PRF and thermocouple were consistent, with some variations due to tissue composition and the positioning of the thermocouple's needle probes. Our results indicated that, for a tissue irradiation of 10 min, the elevation of rat tumor temperature ranged from 8 to 11°C for 1 W and 8 to 15°C for 1.5 W. This is the first time a 7 T magnetic resonance imager has been used to monitor interstitial laser irradiation via PRF. Our work provides a basic understanding of the photothermal interaction needed to control the thermal damage inside a tumor using interstitial laser treatment. Our work may lead to an optimal protocol for future cancer treatment using interstitial phototherapy in conjunction with immunotherapy.

Accuracy of real-time MR temperature mapping in the brain: A comparison of fast sequences

Purpose To compare magnetic resonance (MR) thermometry based on the proton resonance frequency (PRF) method using a single shot echoplanar imaging (ss EPI) sequence to both of the standard sequences, gradient echo (GRE) and segmented echoplanar imaging (seg EPI) in the in vivo human brain, at 1.5T and 3T. Material and methods Repetitive MR thermometry was performed on the brain of six volunteers using GRE, seg EPI, and ss EPI sequences on whole-body 1.5T and 3T clinical systems using comparable acquisition parameters. Phase stability and temperature data precision in the human head were determined over 12 min for the three sequences at both field strengths. An ex-vivo swine skeletal muscle model was used to evaluate temperature accuracy of the ss EPI sequence during heating by high intensity focused ultrasound (HIFU). Results In-vivo examinations of brain revealed an average temperature precision of 0.37 °C/0.39 °C/0.16 °C at 3T for the GRE/seg EPI/ss EPI sequences. At 1.5T, a precision of 0.58 °C/0.63 °C/0.21 °C was achieved. In the ex-vivo swine model, a strong correlation of temperature data derived using ss EPI and GRE sequences was found with a temperature deviation <1 °C. Conclusion The ss EPI sequence was the fastest and the most precise sequence for MR thermometry, with significantly higher accuracy compared to GRE.

MR temperature monitoring applying the proton resonance frequency method in liver and kidney at 0.2 and 1.5 T: segment-specific attainable precision and breathing influence

The objective of this study was to evaluate breathing influence on precision in temperature determination by using the proton resonance frequency (PRF) shift method depending on the location in abdominal organs at 0.2 and 1.5 T. Phase images were acquired with gradient echo sequences in a total of 12 volunteers at 1.5 and 0.2 T. Different examination protocols were performed (each 8 measurements with (1) in-/expiration, (2) free breathing, (3) under breathhold, (4) with breathing belt triggering, and (5) with navigator triggering (integrated in MR signal acquisition). Regions of interest were placed on liver and kidneys, and the resulting phase differences between the measurements were transformed into corresponding temperature differences. Precision significantly varied depending on the liver segment or location in the kidney. Gating techniques were found better than breathhold techniques and clearly better than non-gated examinations. The most precise approach reached a standard deviation of 2.0 degrees C under continuous breathing when navigator gating was used at 1.5 T. PRF temperature measurement is feasible even for moving organs in the abdomen at 0.2 and 1.5 T. The location of the target region and the required precision of the measurements should direct the choice of examination mode.

MR thermometry

Minimally invasive thermal therapy as local treatment of benign and malignant diseases has received increasing interest in recent years. Safety and efficacy of the treatment require accurate temperature measurement throughout the thermal procedure. Noninvasive temperature monitoring is feasible with magnetic resonance (MR) imaging based on temperature-sensitive MR parameters such as the proton resonance frequency (PRF), the diffusion coefficient (D), T1 and T2 relaxation times, magnetization transfer, the proton density, as well as temperature-sensitive contrast agents. In this article the principles of temperature measurements with these methods are reviewed and their usefulness for monitoring in vivo procedures is discussed. Whereas most measurements give a temperature change relative to a baseline condition, temperature-sensitive contrast agents and spectroscopic imaging can provide absolute temperature measurements. The excellent linearity and temperature dependence of the PRF and its near independence of tissue type have made PRF-based phase mapping methods the preferred choice for many in vivo applications. Accelerated MRI imaging techniques for real-time monitoring with the PRF method are discussed. Special attention is paid to acquisition and reconstruction methods for reducing temperature measurement artifacts introduced by tissue motion, which is often unavoidable during in vivo applications.