Quantitative MR temperature monitoring of high-intensity focused ultrasound therapy.

A new quantitative method has been developed for real-time mapping of temperature changes induced by high intensity focused ultrasound (HIFU). It is based on the temperature dependence of the T1 relaxation time and the equilibrium magnetization. To calibrate the temperature measurement, the functional relationship between T1 and temperature was examined in different samples of porcine muscle and fatty tissue. The method was validated by a comparison of calculated temperature maps with fiber-optic measurements in heated muscle tissue. The experiment showed that the accuracy of the MR method for temperature measurements is better than 1 degree C. Since the acquisition time of the employed MR sequence takes only 3 s per slice and the calculation of the temperature map can be performed within seconds, the imaging technique works nearly in real-time. The temperature measurement could be realized during HIFU showing no disturbances by ultrasound sonication. In comparison to other MR approaches, the advantages of the introduced method lie in a sufficient accuracy and time resolution combined with a reasonable robustness against motion as well as the feasibility for temperature monitoring in fatty tissues.

[1]  F. Fry,et al.  Tumor irradiation with intense ultrasound. , 1978, Ultrasound in medicine & biology.

[2]  J. MacFall,et al.  Temperature dependence of canine brain tissue diffusion coefficient measured in vivo with magnetic resonance echo-planar imaging. , 1995, International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group.

[3]  K. Hynynen,et al.  Optimization of spoiled gradient‐echo phase imaging for in vivo localization of a focused ultrasound beam , 1996, Magnetic resonance in medicine.

[4]  P Wust,et al.  Three‐dimensional monitoring of small temperature changes for therapeutic hyperthermia using MR , 1998, Journal of magnetic resonance imaging : JMRI.

[5]  R. Turner,et al.  Echo‐planar imaging of diffusion and perfusion , 1991, Magnetic resonance in medicine.

[6]  F. Fry,et al.  High-intensity focused ultrasound in the treatment of experimental liver cancer. , 1991, Archives of surgery.

[7]  John De Poorter,et al.  Noninvasive MRI thermometry with the proton resonance frequency method: Study of susceptibility effects , 1995 .

[8]  A. S. Hall,et al.  Measurement of changes in tissue temperature using MR imaging. , 1986, Journal of computer assisted tomography.

[9]  William H. Press,et al.  Numerical recipes , 1990 .

[10]  F A Jolesz,et al.  Invited. Calibration of water proton chemical shift with temperature for noninvasive temperature imaging during focused ultrasound surgery , 1998, Journal of magnetic resonance imaging : JMRI.

[11]  K. Hynynen,et al.  MRI-guided noninvasive ultrasound surgery. , 1993, Medical physics.

[12]  K. Hynynen,et al.  Temperature monitoring of ultrasonically heated muscle with RARE chemical shift imaging. , 1997, Medical physics.

[13]  W. J. Lorenz,et al.  Pharmacokinetic Mapping of the Breast: A New Method for Dynamic MR Mammography , 1995, Magnetic resonance in medicine.

[14]  Kullervo Hynynen,et al.  MR temperature mapping of focused ultrasound surgery , 1994, Magnetic resonance in medicine.

[15]  H C Charles,et al.  1H MRI phase thermometry in vivo in canine brain, muscle, and tumor tissue. , 1996, Medical physics.

[16]  M. Mack,et al.  Erste klinische Erfahrungen zur MR-gesteuerten laserinduzierten Thermotherapie (LITT) von Lebermetastasen im präoperativen Einsatz , 1996 .

[17]  W. J. Lorenz,et al.  Temperature monitoring of focused ultrasound therapy by MRI , 1994, 1994 Proceedings of IEEE Ultrasonics Symposium.

[18]  D Le Bihan,et al.  Temperature mapping with MR imaging of molecular diffusion: application to hyperthermia. , 1989, Radiology.

[19]  T. Kahn,et al.  Invited. In vivo MRI thermometry using a phase‐sensitive sequence: Preliminary experience during MRI‐guided laser‐induced interstitial thermotherapy of brain tumors , 1998 .

[20]  K. Kuroda,et al.  A precise and fast temperature mapping using water proton chemical shift , 1995, Magnetic resonance in medicine.

[21]  C R Hill,et al.  Review article: high intensity focused ultrasound--potential for cancer treatment. , 1995, The British journal of radiology.

[22]  W. J. Lorenz,et al.  Temperature mapping for high energy US-therapy , 1994, 1994 Proceedings of IEEE Ultrasonics Symposium.