MR thermometry near metallic devices using multispectral imaging

Magnetic resonance fingerprinting based thermometry (MRFT): application toex vivoimaging near DBS leads

The purpose of this study is to demonstrate the first work ofT1-based magnetic resonance thermometry using magnetic resonance fingerprinting (dubbed MRFT). We compared temperature estimation of MRFT with proton resonance frequency shift (PRFS) thermometry onex vivobovine muscle. We demonstrated MRFT's feasibility in predicting temperature onex vivobovine muscles with deep brain stimulation (DBS) lead.B0maps generated from MRFT were compared with gold standardB0maps near the DBS lead. MRFT and PRFS estimated temperatures were compared in the presence of motion. All experiments were performed on a 3 Tesla whole-body GE Premier system with a 21-channel receive head coil (GE Healthcare, Milwaukee, WI). Four fluoroptic probes were used to measure the temperature at the center of a cold muscle (probe 1), the room temperature water bottle (probe 2), and the center and periphery of the heated muscle (probes 3 and 4). We selected regions of interest (ROIs) around the location of the probes and used simple linear regression to generate the temperature sensitivity calibration equations that convertT1maps and Δsmaps to temperature maps. We then repeated the same setup and compared MRFT and PRFS thermometry temperature estimation with gold standard probe measurements. For the MRFT experiment on DBS lead, we taped the probe to the tip of the DBS lead and used a turbo spin echo sequence to induce heating near the lead. We selected ROIs around the tip of the lead to compare MRFT temperature estimation with probe measurements and compared with PRFS temperature estimation. Vendor-suppliedB0mapping sequence was acquired to compare with MRFT-generatedB0maps. We found strong linear relationships (R2> 0.958) betweenT1and temperature and Δsand temperatures in our temperature sensitivity calibration experiment. MRFT and PRFS thermometry both accurately predict temperature (RMSE < 1.55 °C) compared to probe measurements. MRFT estimated temperature near DBS lead has a similar trend as the probe temperature. BothB0maps show inhomogeneities around the lead. MRFT estimated temperature is less sensitive to motion.

Phase-independent thermometry by Z-spectrum MR imaging

PURPOSE

Z-spectrum imaging, defined as the consecutive collection of images after saturating over a range of frequency offsets, has been recently proposed as a method to measure the fat-water fraction by the simultaneous detection of fat and water resonances. By incorporating a binomial pulse irradiated at each offset before the readout, the spectral selectivity of the sequence can be further amplified, making it possible to monitor the subtle proton resonance frequency shift that follows a change in temperature.

METHODS

We tested the hypothesis in aqueous and cream phantoms and in healthy mice, all under thermal challenge. The binomial module consisted of 2 sinc-shaped pulses of opposite phase separated by a delay. Such a delay served to spread out off-resonance spins, with the resulting excitation profile being a periodic function of the delay and the chemical shift.

RESULTS

During heating experiments, the water resonance shifted downfield, and by fitting the curve to a sine function it was possible to quantify the change in temperature. Results from Z-spectrum imaging correlated linearly with data from conventional MRI techniques like T₁ mapping and phase differences from spoiled GRE.

CONCLUSION

Because the measurement is performed solely on magnitude images, the technique is independent of phase artifacts and is therefore applicable in mixed tissues (e.g., fat). We showed that Z-spectrum imaging can deliver reliable temperature change measurement in both muscular and fatty tissues.

New Insights into MR Safety for Implantable Medical Devices

Over the last two decades, the status of MR safety has dramatically changed. In particular, ever since the MR-conditional cardiac device was approved by the Food and Drug Administration (FDA) in 2008 and by the Pharmaceuticals and Medical Devices Agency (PMDA) in 2012, the safety of patients with an implantable medical device (IMD) has been one of the most important issues in terms of MR use. In conjunction with the regulatory approvals for various IMDs, standards, technical specifications, and guidelines have also been rapidly created and developed. Many invaluable papers investigating and reviewing the history and status of MR use in the presence of IMDs already exist. As such, this review paper seeks to bridge the gap between clinical practice and the information that is obtained by standard-based tests and provided by an IMD's package insert or instructions for use. Interpretation of the gradient of the magnetic flux density intensity of the static magnetic field with respect to the magnetic displacement force is discussed, along with the physical background of RF field. The relationship between specific absorption rate (SAR) and B1+RMS, and their effects on image quality are described. In addition, insofar as providing new directions for future research and practice, the feasibility of safety test methods for RF-induced heating of IMDs using MR thermometry, evaluation of tissue heat damage, and challenges in cardiac IMDs will be discussed.

Minimal artifact actively shimmed metallic needles in MRI

PURPOSE

Signal voids caused by metallic needles pose visualization and monitoring challenges in many MRI applications. In this work, we explore a solution to this problem in the form of an active shim insert that fits inside a needle and corrects the field disturbance (ΔB₀ ) caused by the needle outside of it.

METHODS

The ΔB₀ induced by a 4 mm outside-diameter titanium needle at 3T is modeled and a two-coil orthogonal shim set is designed and fabricated to shim the ΔB₀ . Signal recovery around the needle is assessed in multiple orientations in a water phantom with four different pulse sequences. Phase stability around the needle is assessed in an ex-vivo porcine tissue dynamic gradient echo experiment with and without shimming. Additionally, heating of the shim insert is assessed under 8 min of continuous operation with 1A current and concurrent imaging.

RESULTS

An average recovery of ~63% of lost signal around the needle across orientations is shown with active shimming with a maximum current of 1.172 A. Signal recovery and correction of the underlying ΔB₀ is shown to be independent of imaging sequence. Needle-induced phase gradients outside the perceptible signal void are also minimized with active shimming. Temperature rise of up to 0.9° Celsius is noted over 8 min of continuous 1A active shimming operation.

CONCLUSION

A sequence independent method for minimization of metallic needle induced signal loss using an active shim insert is presented. The method has potential benefits in a range of qualitative and quantitative interventional MRI applications.

Investigation of Artifacts and Optimization in Proton Resonance Frequency Thermometry Towards Heating Risk Monitoring of Implantable Medical Devices in Magnetic Resonance Imaging

OBJECTIVE

Artifacts limit the application of proton resonance frequency (PRF) thermometry for on-site, individualized heating evaluations of implantable medical devices such as deep brain stimulation (DBS) for use in magnetic resonance imaging (MRI). Its properties are unclear and the research on how to choose an unaffected measurement region is insufficient.

METHODS

The properties of PRF signals around the metallic DBS electrode were investigated through simulations and phantom experiments considering electromagnetic interferences from material susceptibility and the radio frequency (RF) interactions. A threshold method on phase difference Δϕ was used to define a measurement area to estimate heating at the electrode surface. Its performance was compared to that of the Bayesian magnitude method and probe measurements.

RESULTS

The B₀ magnetic field inhomogeneity due to the electrode susceptibility was the main influencing factor on PRF compared to the RF artifact. Δϕ around the electrode followed normal distribution but was distorted. Underestimation occurred at places with high temperature rises. The noise was increased and could be well estimated from magnitude images using a modified NEMA method. The Δϕ-threshold method based on this knowledge outperformed the Bayesian magnitude method by more than 42% in estimation error of the electrode heating.

CONCLUSION

The findings favor the use of PRF with the proposed approach as a reliable method for electrode heating estimation.

SIGNIFICANCE

This study clarified the influence of device artifacts and could improve the performance of PRF thermometry for individualized heating assessments of patients with implants under MRI.

A fast MR-thermometry method for quantitative assessment of temperature increase near an implanted wire

PURPOSE

To propose a MR-thermometry method and associated data processing technique to predict the maximal RF-induced temperature increase near an implanted wire for any other MRI sequence.

METHODS

A dynamic single shot echo planar imaging sequence was implemented that interleaves acquisition of several slices every second and an energy deposition module with adjustable parameters. Temperature images were processed in real time and compared to invasive fiber-optic measurements to assess accuracy of the method. The standard deviation of temperature was measured in gel and in vivo in the human brain of a volunteer. Temperature increases were measured for different RF exposure levels in a phantom containing an inserted wire and then a MR-conditional pacemaker lead. These calibration data set were fitted to a semi-empirical model allowing estimation of temperature increase of other acquisition sequences.

RESULTS

The precision of the measurement obtained after filtering with a 1.6x1.6 mm2 in plane resolution was 0.2°C in gel, as well as in the human brain. A high correspondence was observed with invasive temperature measurements during RF-induced heating (0.5°C RMSE for a 11.5°C temperature increase). Temperature rises of 32.4°C and 6.5°C were reached at the tip of a wire and of a pacemaker lead, respectively. After successful fitting of temperature curves of the calibration data set, temperature rise predicted by the model was in good agreement (around 5% difference) with measured temperature by a fiber optic probe, for three other MRI sequences.

CONCLUSION

This method proposes a rapid and reliable quantification of the temperature rise near an implanted wire. Calibration data set and resulting fitting coefficients can be used to estimate temperature increase for any MRI sequence as function of its power and duration.

Contactless Thermometry by MRI and MRS: Advanced Methods for Thermotherapy and Biomaterials

Control of temperature variation is of primordial importance in particular areas of biomedicine. In this context, medical treatments such as hyperthermia and cryotherapy, and also the development and use of hydrogel-based biomaterials, are of particular concern. To enable accurate temperature measurement without perturbing or even destroying the biological tissue or material to be monitored, contactless thermometry methods are preferred. Among these, the most suitable are based on magnetic resonance imaging and spectroscopy (MRI, MRS). Here, we address the latest developments in this field as well as their current and anticipated practical applications. We highlight recent progress aimed at rendering MR thermometry faster and more reproducible, versatile, and sophisticated and provide our perspective on how these new techniques broaden the range of applications in medical treatments and biomaterial development by enabling insight into finer details of thermal behavior. Thus, these methods facilitate optimization of clinical and industrial heating and cooling protocols.

An unbiased method for PRF-shift temperature measurements in convective heat transfer systems with functional parts made of metal

The purpose of this study is to provide a PRF-shift method for fluid temperature measurements in convective heat transfer systems, which contain functional parts made of metal. Such measurements are extremely useful to examine and design convective cooling systems for industrial devices. Metals like copper seem inevitable for such applications because no commonly available non-metallic material reaches the same level of thermal conductivity as for example copper. In MRI, electrically conductive parts embedded in the measured sample are known to produce various kinds of errors including errors in the image phase caused by eddy currents. Two methods are compared that can be used to remove the eddy currents induced phase: via the phase difference of two readouts at different echo times and via the sum of the phase of two acquisitions with reverse gradient polarity and same echo time. The latter method, termed Rot-Echo, provides a better measurement efficiency because of higher temperature sensitivity. Also, this technique is able to directly measure the eddy currents induced phase map. After verification in a stationary water experiment, the Rot-Echo method was applied to time-averaged temperature measurements in a Pin Fin heat exchanger, comprised of water flow that is heated by an array of copper pins. The temperature fields acquired in the Pin Fin heat exchanger under stable thermal-hydraulic conditions agreed well with data from temperature sensors. No eddy currents effects were visible in any of the data sets in the vicinity of the copper rods. In conclusion, this study shows that unbiased PRF-shift temperature measurements are feasible in complex flow systems even if metallic material is used for the functional parts.

A numerical and experimental study of RF shimming in the presence of hip prostheses using adaptive SAR at 3 T

PURPOSE

Parallel transmission techniques in MRI have the potential to improve the image quality near metal implants at 3 T. However, current testing of implants only evaluates the risk of radiofrequency (RF) heating in phantoms in circularly polarized mode. We investigate the influence of changing the transmission settings in a 2-channel body coil on the peak temperature near 2 CoCrMo hip prostheses, using adaptive specific absorption rate (SAR) as an estimate of RF heating.

METHODS

Adaptive SAR is a SAR averaging method that is optimized to correlate with thermal simulations and limit the temperature to 39°C near hip implants. The simulated peak temperature was compared when using whole-body SAR, SAR_10g , and adaptive SAR as a constraint for the maximum allowed input power. Adaptive SAR was used as a fast estimate of temperature to evaluate the trade-off between good image quality and low heating near the hip implants. Electromagnetic simulations were validated by simulating and measuring B₁ maps and electric fields in a phantom at 3 T.

RESULTS

Simulations and measurements showed excellent agreement. Limiting whole-body SAR to 2 W/kg and SAR_10g to 10 W/kg resulted in temperatures up to 49.3°C and 40.7°C near the hip implants after 30 minutes of RF exposure, respectively. Predictions based on adaptive SAR limited the temperature to 39°C, and allowed to improve the B₁ field distribution while preventing peak temperatures near the hip implants.

CONCLUSION

Significant RF heating can occur at 3 T near hip implants when parallel transmission is used. Adaptive SAR can be integrated in RF shimming algorithms to improve the uniformity and reduce heating.

Artifact-reduced imaging of biopsy needles with 2D multispectral imaging

PURPOSE

Magnetic resonance (MR) guidance for biopsy procedures requires high intrinsic soft-tissue contrast. However, artifacts induced by the metallic needle can reduce its localization and require low-susceptibility needle materials with poorer cutting performance. In a proof of concept, we demonstrate the feasibility of 2D multispectral imaging (2DMSI) for both needle tracking and for needle artifact reduction for more precise needle localization and to enable the usage of needle materials with higher susceptibility.

METHOD

We applied 2DMSI for imaging of MR-compatible biopsy needles, conventional stainless-steel needles, and mixed-material needles and compared it to conventional techniques. In addition, we exploited intrinsic off-resonance information for passive needle tracking.

RESULTS

2DMSI achieved a stronger reduction of the needle artifact compared to conventional techniques. For the mixed-material needles, the artifact was reduced to a level below that for MR-compatible needles with conventional imaging. The passive tracking also improved the ability to pinpoint the needle.

CONCLUSION

2DMSI is promising for both needle tracking and artifact-reduced imaging of biopsy needles for a more precise needle localization. 2DMSI may be particularly promising for needles inducing large distortions or for targeting of small lesions. In addition, it may enable the use of needle materials with higher susceptibility and potentially better sampling performance. Magn Reson Med 80:655-661, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

MRI monitoring of focused ultrasound sonications near metallic hardware

PURPOSE

To explore the temperature-induced signal change in two-dimensional multi-spectral imaging (2DMSI) for fast thermometry near metallic hardware to enable MR-guided focused ultrasound surgery (MRgFUS) in patients with implanted metallic hardware.

METHOD

2DMSI was optimized for temperature sensitivity and applied to monitor focus ultrasound surgery (FUS) sonications near metallic hardware in phantoms and ex vivo porcine muscle tissue. Further, we evaluated its temperature sensitivity for in vivo muscle in patients without metallic hardware. In addition, we performed a comparison of temperature sensitivity between 2DMSI and conventional proton-resonance-frequency-shift (PRFS) thermometry at different distances from metal devices and different signal-to-noise ratios (SNR).

RESULTS

2DMSI thermometry enabled visualization of short ultrasound sonications near metallic hardware. Calibration using in vivo muscle yielded a constant temperature sensitivity for temperatures below 43 °C. For an off-resonance coverage of ± 6 kHz, we achieved a temperature sensitivity of 1.45%/K, resulting in a minimum detectable temperature change of ∼2.5 K for an SNR of 100 with a temporal resolution of 6 s per frame.

CONCLUSION

The proposed 2DMSI thermometry has the potential to allow MR-guided FUS treatments of patients with metallic hardware and therefore expand its reach to a larger patient population. Magn Reson Med 80:259-271, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

Dual-echo Z-shimmed proton resonance frequency-shift magnetic resonance thermometry near metallic ablation probes: Technique and temperature precision

PURPOSE

To improve the precision of proton resonance frequency-shift magnetic resonance thermometry near ablation probes by recovering near-probe image signals that are typically lost due to magnetic susceptibility-induced field distortions.

METHODS

A dual-echo gradient-recalled echo sequence was implemented, in which the first echo was under- or over-refocused in the slice dimension to recover image signal and temperature precision near a probe, and the second echo was fully refocused to obtain image signal everywhere else in the slice. A penalized maximum likelihood algorithm was implemented to estimate a single temperature map from both echoes. Agar phantom and ex vivo experiments with and without microwave heating at 3 T evaluated how much temperature precision was improved near a microwave ablator compared to a conventional single-echo scan as a function of slice and needle orientation in the magnet.

RESULTS

The number of near-probe voxels with temperature standard deviation σ>1°C was decreased by 51% in the phantom experiment, averaged across orientations, and by 31% in the pork. Temperature maps near the probe were more smoother and more complete in all orientations.

CONCLUSION

Dual-echo z-shimmed temperature imaging can recover image signal for more precise temperature mapping near metallic ablation probes. Magn Reson Med 78:2299-2306, 2017. © 2017 International Society for Magnetic Resonance in Medicine.

Ferromagnetic particles as magnetic resonance imaging temperature sensors

Magnetic resonance imaging is an important technique for identifying different types of tissues in a body or spatial information about composite materials. Because temperature is a fundamental parameter reflecting the biological status of the body and individual tissues, it would be helpful to have temperature maps superimposed on spatial maps. Here we show that small ferromagnetic particles with a strong temperature-dependent magnetization, can be used to produce temperature-dependent images in magnetic resonance imaging with an accuracy of about 1 °C. This technique, when further developed, could be used to identify inflammation or tumours, or to obtain spatial maps of temperature in various medical interventional procedures such as hyperthermia and thermal ablation. This method could also be used to determine temperature profiles inside nonmetallic composite materials.

Magnetic resonance imaging can distinguish between different tissue types by measuring the proton distribution in a living sample. Here, the authors demonstrate how this technique can be extended to provide temperature information by using ferromagnetic particles with temperature-dependent magnetization.