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3D MR thermometry of frozen tissue: Feasibility and accuracy during cryoablation at 3T
Author(s) -
Overduin Christiaan G.,
Fütterer Jurgen J.,
Scheenen Tom W.J.
Publication year - 2016
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.25301
Subject(s) - cryoablation , magnetic resonance imaging , nuclear medicine , limits of agreement , echo time , scanner , biomedical engineering , materials science , nuclear magnetic resonance , medicine , radiology , physics , ablation , optics
Purpose To assess the feasibility and accuracy of 3D ultrashort echo time (UTE) magnetic resonance (MR) thermometry of frozen tissue during cryoablation on a clinical 3T MR system. Materials and Methods Ex vivo porcine muscle specimens ( n = 4) were imaged during two cycles of 10:3 minutes freeze‐thaw on a 3T clinical MR scanner. Continuous MR monitoring was performed using a 3D radial ramp‐sampled UTE sequence with a shortest TE of 70 μs. Fiber optic sensors were used for temperature reference. Data of three experiments were used as reference sets. Signal intensity values were normalized to baseline before cooling and related to temperature. Data for subzero temperatures were fit to a monoexponential function. In the separate validation set, the obtained fit was used to generate 3D MR temperature maps of frozen tissue at each imaging timepoint. Statistical analysis was performed to assess accuracy of the MR temperature maps. Results With 3D UTE imaging, MR signal was measured from frozen tissue down to temperatures as low as –40°C. Temperatures predicted from the MR temperature maps strongly correlated with sensor recorded values ( r = 0.977, P < 0.001). Bland–Altman analysis demonstrated a mean difference between MR‐estimated temperatures and sensor readings of –1.2 ± 2.7°C with upper and lower limits of agreement of +4.1 and –6.5°C, respectively. Conclusion 3D MR thermometry of frozen tissue using UTE signal intensity was feasible during cryoablation on a clinical 3T MR system. Down to temperatures as low as –40°C, accuracy of the MR temperature maps was within clinically acceptable limits. J. Magn. Reson. Imaging 2016;44:1572–1579.