Kwon Oh In, Chauhan Munish, Kim Hyung Joong, Jeong Woo Chul, Wi Hun, Oh Tong In, Woo Eung Je
Department of Mathematics, Konkuk University , Seoul , Korea and.
Int J Hyperthermia. 2014 Nov;30(7):447-55. doi: 10.3109/02656736.2014.966337. Epub 2014 Oct 20.
This study shows the potential of magnetic resonance electrical impedance tomography (MREIT) as a non-invasive RF ablation monitoring technique.
We prepared bovine muscle tissue with a pair of needle electrodes for RF ablation, a temperature sensor, and two pairs of surface electrodes for conductivity image reconstructions. We used the injected current non-linear encoding with multi-echo gradient recalled echo (ICNE-MGRE) pulse sequence in a series of MREIT scans for conductivity imaging. We acquired magnetic flux density data induced by externally injected currents, while suppressing other phase artefacts. We used an 8-channel RF head coil and 8 echoes to improve the signal-to-noise ratio (SNR) in measured magnetic flux density data. Using the measured data, we reconstructed a time series of 180 conductivity images at every 10.24 s during and after RF ablation.
Tissue conductivity values in the lesion increased with temperature during RF ablation. After reaching 60 °C, a steep increase in tissue conductivity values occurred with relatively little temperature increase. After RF ablation, tissue conductivity values in the lesion decreased with temperature, but to values different from those before ablation due to permanent structural changes of tissue by RF ablation.
We could monitor temperature and also structural changes in tissue during RF ablation by producing spatio-temporal maps of tissue conductivity values using a fast MREIT conductivity imaging method. We expect that the new monitoring method could be used to estimate lesions during RF ablation and improve the efficacy of the treatment.
本研究展示了磁共振电阻抗断层成像(MREIT)作为一种非侵入性射频消融监测技术的潜力。
我们准备了牛肌肉组织,配备一对用于射频消融的针电极、一个温度传感器以及两对用于电导率图像重建的表面电极。在一系列MREIT扫描中,我们使用注入电流非线性编码与多回波梯度回波(ICNE - MGRE)脉冲序列进行电导率成像。我们采集了由外部注入电流感应产生的磁通密度数据,同时抑制其他相位伪影。我们使用8通道射频头线圈和8个回波来提高测量磁通密度数据中的信噪比(SNR)。利用测量数据,我们在射频消融期间及之后每隔10.24秒重建了一系列180张电导率图像的时间序列。
射频消融期间,病变组织的电导率值随温度升高而增加。达到60°C后,组织电导率值急剧增加,而温度升高相对较小。射频消融后,病变组织的电导率值随温度降低,但由于射频消融导致组织永久性结构变化,其值与消融前不同。
通过使用快速MREIT电导率成像方法生成组织电导率值的时空图,我们能够在射频消融期间监测组织温度以及结构变化。我们期望这种新的监测方法可用于估计射频消融期间的病变并提高治疗效果。