Rademaker Guido, Jenne Jürgen W, Rastert Ralf, Röder Daniel, Schad Lothar
Abteilung Biophysik und Medizinische Strahlenphysik, Deutsches Krebsforschungszentrum (DKFZ) Heidelberg.
Z Med Phys. 2003;13(3):183-7. doi: 10.1078/0939-3889-00166.
Novel methods for hyperthermia tumor therapy, such as high-intensity focused ultrasound (HIFU) or laser-induced thermotherapy (LITT), require accurate non-invasive temperature monitoring. Non-invasive temperature measurement using magnetic resonance imaging (MRI) is based on the analysis of changes in longitudinal relaxation time (T1), diffusion coefficient (D), or water proton resonance frequency (PRF). The purpose of this study was the development and comparative analysis of the three different approaches of MRI temperature monitoring (T1, D, and PRF). Measurements in phantoms (e.g., ultrasound gel) resulted in the following percent changes: T1-relaxation time: 1.98%/degree C; diffusion coefficient: 2.22%/degree C; and PRF: -0.0101 ppm/degree C. All measurements were in good agreement with the literature. Temperature resolutions could also be measured from the inverse correlation of the data over the whole calibration range: T1: 2.1 +/- 0.6 degrees C; D: 0.93 +/- 0.2 degree C; and PRF: 1.4 +/- 0.3 degrees C. The diffusion and PRF methods were not applicable in fatty tissue. The use of the diffusion method was restricted due to prolonged echo time and anisotropic diffusion in tissue. Initial tests with rabbit muscle tissue in vivo indicated that MR thermometry via T1 and PRF procedures is feasible to monitor the local heating process induced by HIFU. The ultrasound applicators in the MR scanner did not substantially interfere with image quality.
用于热疗肿瘤治疗的新方法,如高强度聚焦超声(HIFU)或激光诱导热疗(LITT),需要精确的非侵入性温度监测。使用磁共振成像(MRI)进行非侵入性温度测量是基于对纵向弛豫时间(T1)、扩散系数(D)或水质子共振频率(PRF)变化的分析。本研究的目的是开发和比较MRI温度监测的三种不同方法(T1、D和PRF)。在体模(如超声凝胶)中的测量结果导致了以下百分比变化:T1弛豫时间:1.98%/℃;扩散系数:2.22%/℃;PRF:-0.0101 ppm/℃。所有测量结果与文献一致。温度分辨率也可以通过整个校准范围内数据的反相关来测量:T1:2.1±0.6℃;D:0.93±0.2℃;PRF:1.4±0.3℃。扩散和PRF方法不适用于脂肪组织。由于组织中回波时间延长和各向异性扩散,扩散方法的使用受到限制。在兔肌肉组织体内的初步测试表明,通过T1和PRF程序进行MR测温对于监测HIFU诱导的局部加热过程是可行的。MR扫描仪中的超声换能器对图像质量没有实质性干扰。