Centers for Biomedical Engineering, University of Science and Technology of China, Hefei, 230026, Anhui, China.
Biomed Eng Online. 2018 Apr 10;17(1):39. doi: 10.1186/s12938-018-0472-x.
Noninvasive magnetic resonance thermometry (MRT) at low-field using proton resonance frequency shift (PRFS) is a promising technique for monitoring ablation temperature, since low-field MR scanners with open-configuration are more suitable for interventional procedures than closed systems. In this study, phase-drift correction PRFS with first-order polynomial fitting method was proposed to investigate the feasibility and accuracy of quantitative MR thermography during hyperthermia procedures in a 0.35 T open MR scanner.
Unheated phantom and ex vivo porcine liver experiments were performed to evaluate the optimal polynomial order for phase-drift correction PRFS. The temperature estimation approach was tested in brain temperature experiments of three healthy volunteers at room temperature, and in ex vivo porcine liver microwave ablation experiments. The output power of the microwave generator was set at 40 W for 330 s. In the unheated experiments, the temperature root mean square error (RMSE) in the inner region of interest was calculated to assess the best-fitting order for polynomial fit. For ablation experiments, relative temperature difference profile measured by the phase-drift correction PRFS was compared with the temperature changes recorded by fiber optic temperature probe around the microwave ablation antenna within the target thermal region.
The phase-drift correction PRFS using first-order polynomial fitting could achieve the smallest temperature RMSE in unheated phantom, ex vivo porcine liver and in vivo human brain experiments. In the ex vivo porcine liver microwave ablation procedure, the temperature error between MRT and fiber optic probe of all but six temperature points were less than 2 °C. Overall, the RMSE of all temperature points was 1.49 °C.
Both in vivo and ex vivo experiments showed that MR thermometry based on the phase-drift correction PRFS with first-order polynomial fitting could be applied to monitor temperature changes during microwave ablation in a low-field open-configuration whole-body MR scanner.
利用质子共振频率偏移(PRFS)进行低场无创磁共振测温(MRT)是监测消融温度的一种很有前途的技术,因为与封闭系统相比,开放式配置的低场磁共振扫描仪更适合介入性手术。在这项研究中,提出了相位漂移校正 PRFS 与一阶多项式拟合方法,以研究在 0.35T 开放式磁共振扫描仪中进行高温治疗过程中定量磁共振热成像的可行性和准确性。
进行了未加热的体模和离体猪肝实验,以评估相位漂移校正 PRFS 的最佳多项式阶数。在室温下对 3 名健康志愿者的脑温实验、离体猪肝微波消融实验中测试了温度估计方法。微波发生器的输出功率设定为 40W,持续 330s。在未加热实验中,计算了感兴趣区域内部的温度均方根误差(RMSE),以评估多项式拟合的最佳拟合阶数。对于消融实验,通过相位漂移校正 PRFS 测量的相对温差分布与微波消融天线周围光纤温度探头记录的目标热区内的温度变化进行了比较。
在未加热的体模、离体猪肝和活体人脑实验中,使用一阶多项式拟合的相位漂移校正 PRFS 可以达到最小的温度 RMSE。在离体猪肝微波消融过程中,除 6 个温度点外,MRT 与微波消融天线周围光纤探头的温度误差均小于 2°C。总体而言,所有温度点的 RMSE 为 1.49°C。
体内和体外实验均表明,基于一阶多项式拟合的相位漂移校正 PRFS 的磁共振测温技术可应用于低场开放式全身磁共振扫描仪中微波消融过程中的温度变化监测。