Unit of Measurements and Biomedical Instrumentation, Center for Integrated Research, Università Campus Bio-Medico di Roma, Via Álvaro del Portillo, 21, I-00128, Rome, Italy.
Phys Med Biol. 2013 Aug 21;58(16):5705-16. doi: 10.1088/0031-9155/58/16/5705. Epub 2013 Jul 31.
Laser interstitial thermotherapy (LITT) is employed to destroy tumors in organs, and its outcome strongly depends on the temperature distribution inside the treated tissue. The recent introduction of computed tomography (CT) scan thermometry, based on the CT number dependence of the tissue with temperature, overcomes the invasiveness of other techniques used to monitor temperature during LITT. The averaged CT number (ROI = 0.02 cm(2)) of an ex vivo swine pancreas is monitored during LITT (Nd:YAG laser power of 3 W, treatment time: 120 s) at different distances from the applicator (from 4 to 30 mm). The averaged CT number shows a clear decrease during treatment: it is highest at 4 mm from the applicator (mean variation in the whole treatment of -0.256 HU s(-1)) and negligible at 30 mm, since the highest temperature increase is present close to the applicator (i.e., 45 °C at 4 mm and 25 °C at 6 mm). To obtain the relationship between CT numbers and pancreas temperature, the reference temperature was measured by 12 fiber Bragg grating sensors. The CT number decreases as a function of temperature, showing a nonlinear trend with a mean thermal sensitivity of -0.50 HU °C(-1). Results here reported are the first assessment of pancreatic CT number dependence on temperature, at the best of our knowledge. Findings can be useful to further investigate CT scan thermometry during LITT on the pancreas.
激光间质热疗(LITT)用于破坏器官中的肿瘤,其结果强烈取决于治疗组织内的温度分布。最近引入的基于组织与温度的 CT 数依赖性的计算机断层扫描(CT)扫描测温技术克服了用于监测 LITT 期间温度的其他技术的侵入性。在不同距离(从 4 到 30 毫米)从施源器监测离体猪胰腺的平均 CT 数(ROI = 0.02 cm²)在 LITT 期间(Nd:YAG 激光功率 3 W,治疗时间:120 s)。在治疗过程中,平均 CT 数显示出明显下降:在距施源器 4 毫米处最高(整个治疗过程中的平均变化为-0.256 HU s(-1)),在 30 毫米处可忽略不计,因为最高温度升高接近施源器(即 45°C 在 4 毫米处,25°C 在 6 毫米处)。为了获得 CT 数与胰腺温度之间的关系,通过 12 个光纤布拉格光栅传感器测量参考温度。CT 数随温度降低,表现出非线性趋势,平均热灵敏度为-0.50 HU °C(-1)。据我们所知,这里报道的结果是首次评估胰腺 CT 数对温度的依赖性。这些发现可用于进一步研究胰腺 LITT 期间的 CT 扫描测温。