Institute for Biological and Medical Imaging (IBMI), Helmholtz Center Munich, Neuherberg, Germany.
Faculty of Medicine, Technical University of Munich, Munich, Germany.
Sci Rep. 2017 Aug 29;7(1):9695. doi: 10.1038/s41598-017-09069-5.
Photothermal therapy and ablation are commonplace medical procedures employed for treatment of tumors, vascular and brain abnormalities as well as other disorders that require selective destruction of tissues. Yet, accurate mapping of the dynamic temperature field distribution in the treated region represents an unmet clinical need, strongly affecting the clinical outcome of these interventions. We introduce a fast three-dimensional temperature mapping method based on real-time optoacoustic sensing of the treated region coupled with a thermal-diffusion-based model of heat distribution in tissues. Deviations of the optoacoustic temperature readings provided at 40 ms intervals remained below 10% in tissue-mimicking phantom experiments for temperature elevations above 3 °C, as validated by simultaneous thermocouple measurements. Performance of the new method to dynamically estimate the volumetric temperature distribution was further showcased in post-mortem mouse imaging experiments. The newly discovered capacity to non-invasively measure the temperature map in an entire treated volume with both high spatial and temporal resolutions holds potential for improving safety and efficacy of light-based therapeutic interventions.
光热治疗和消融是常见的医学程序,用于治疗肿瘤、血管和脑异常以及其他需要选择性破坏组织的疾病。然而,准确绘制治疗区域的动态温度场分布是未满足的临床需求,这会强烈影响这些干预措施的临床效果。我们引入了一种快速的三维温度映射方法,该方法基于实时光声感应治疗区域,并结合组织中热扩散模型来分布热量。在组织模拟体模实验中,当温度升高超过 3°C 时,每隔 40 毫秒提供的光声温度读数的偏差低于 10%,这通过同时进行的热电偶测量得到了验证。新方法在死后小鼠成像实验中动态估计体积温度分布的性能也得到了展示。新发现的以高空间和时间分辨率无创测量整个治疗体积的温度图的能力,有可能提高基于光的治疗干预的安全性和有效性。