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体素磁共振引导高强度聚焦超声无创、活体测定组织热导率:在猪模型中的初步经验。

Volumetric MRI-guided high-intensity focused ultrasound for noninvasive, in vivo determination of tissue thermal conductivity: initial experience in a pig model.

机构信息

Physics Department and Texas Center for Superconductivity at the University of Houston, Houston, Texas, USA.

出版信息

J Magn Reson Imaging. 2013 Apr;37(4):950-7. doi: 10.1002/jmri.23878. Epub 2012 Dec 13.

Abstract

PURPOSE

To estimate the local thermal conductivity of porcine thigh muscle at temperatures required for magnetic resonance imaging (MRI)-guided high-intensity focused ultrasound (MRgHIFU) surgery (60-90°C).

MATERIALS AND METHODS

Using MRgHIFU, we performed 40 volumetric ablations in the thigh muscles of four pigs. Thirty-five of the sonications were successful. We used MRI to monitor the resulting temperature increase. We then determined local thermal conductivity by analyzing the spatiotemporal spread of temperature during the cooling period.

RESULTS

The thermal conductivity of MRgHIFU-treated porcine thigh muscle fell within a narrow range (0.52 ± 0.05 W/[mK]), which is within the range reported for porcine thigh muscle at temperatures of <40°C (0.52 to 0.62 W/[mK]). Thus, there was little change in the thermal conductivity of porcine thigh muscle at temperatures required for MRgHIFU surgery compared to lower temperatures.

CONCLUSION

Our MRgHIFU-based approach allowed us to estimate, with good reproducibility, the local thermal conductivity of in vivo deep tissue in real time at temperatures of 60°C to 90°C. Therefore, our method provides a valuable tool for quantifying the influence of thermal conductivity on temperature distribution in tissues and for optimizing thermal dose delivery during thermal ablation with clinical MRgHIFU.

摘要

目的

评估猪大腿肌肉在磁共振引导高强度聚焦超声(MRgHIFU)手术所需温度(60-90°C)下的局部导热系数。

材料与方法

使用 MRgHIFU,我们在四只猪的大腿肌肉中进行了 40 次容积消融。其中 35 次超声治疗成功。我们使用 MRI 监测由此产生的温度升高。然后,我们通过分析冷却期间温度的时空扩展来确定局部导热系数。

结果

MRgHIFU 处理的猪大腿肌肉的导热系数在一个狭窄的范围内(0.52 ± 0.05 W/[mK]),这与<40°C 时猪大腿肌肉的导热系数范围(0.52 至 0.62 W/[mK])一致。因此,与较低温度相比,MRgHIFU 手术所需温度下猪大腿肌肉的导热系数几乎没有变化。

结论

我们基于 MRgHIFU 的方法能够以良好的可重复性实时估计 60°C 至 90°C 时体内深部组织的局部导热系数。因此,我们的方法为量化导热系数对组织中温度分布的影响以及优化临床 MRgHIFU 热消融中的热剂量输送提供了有价值的工具。

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