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Syms RRA, Wadsworth CA, Kardoulaki E, Titapun A, Boonphongsathien W, Sa-Ngiamwibool P, Zhang S, Taylor-Robinson SD, Chamadol N, Loilome W. Intraductal magnetic resonance imaging of cholangiocarcinoma - a practical possibility. Front Oncol 2024; 14:1306242. [PMID: 38651146 PMCID: PMC11033360 DOI: 10.3389/fonc.2024.1306242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 03/26/2024] [Indexed: 04/25/2024] Open
Abstract
Intraductal T2 mapping based on a catheter receiver is proposed as a method of visualizing the extent of intraductal and periductal cholangiocarcinoma (CCA). Compared to external receivers, internal receivers provide locally enhanced signal-to-noise ratios by virtue of their lower field-of-view for body noise, allowing smaller voxels and higher resolution. However, inherent radial sensitivity variation and segmentation for patient safety both distort image brightness. We discuss simulated T2 weighted images and T2 maps, and in vitro images obtained using a thin film catheter receiver of a freshly resected liver specimen containing a polypoid intraductal tumor from a patient with CCA. T2 mapping provides a simple method of compensating non-uniform signal reception patterns of catheter receivers, allowing the visualization of tumor extent without contrast enhancement and potentially quantitative tissue characterization. Potential advantages and disadvantages of in vivo intraductal imaging are considered.
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Affiliation(s)
- Richard R. A. Syms
- Department of Electrical and Electronic Engineering, Imperial College London, London, United Kingdom
| | - Christopher A. Wadsworth
- Department of Surgery and Cancer at St Mary’s Hospital, Imperial College London, London, United Kingdom
| | - Evdokia Kardoulaki
- Department of Electrical and Electronic Engineering, Imperial College London, London, United Kingdom
| | - Attapol Titapun
- Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | | | | | - Shuo Zhang
- Health Systems, Clinical Science, Philips Healthcare Germany, Hamburg, Germany
| | - Simon D. Taylor-Robinson
- Department of Electrical and Electronic Engineering, Imperial College London, London, United Kingdom
- Department of Surgery and Cancer at St Mary’s Hospital, Imperial College London, London, United Kingdom
| | - Nittaya Chamadol
- Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Watcharin Loilome
- Cholangiocarcinoma Research Institute, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
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Khuntikeo N, Titapun A, Chamadol N, Boonphongsathien W, Sa-Ngiamwibool P, Taylor-Robinson SD, Wadsworth CA, Zhang S, Kardoulaki EM, Syms RRA. In Vitro Intraductal MRI and T2 Mapping of Cholangiocarcinoma Using Catheter Coils. Hepat Med 2020; 12:107-114. [PMID: 32801954 PMCID: PMC7397475 DOI: 10.2147/hmer.s266841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 07/09/2020] [Indexed: 01/03/2023] Open
Abstract
AIM Diagnostic imaging of early-stage cholangiocarcinoma is challenging. A previous in vitro study of fixed-tissue liver resection specimens investigated T2 mapping as a method of exploiting the locally increased signal-to-noise ratio (SNR) of duodenoscope coils for improved quantitative magnetic resonance imaging (MRI), despite their non-uniform sensitivity. This work applies similar methods to unfixed liver specimens using catheter-based receivers. METHODS Ex vivo intraductal MRI and T2 mapping were carried out at 3T on unfixed resection specimens obtained from cholangiocarcinoma patients immediately after surgery using a catheter coil based on a thin-film magneto-inductive waveguide, inserted directly into an intrahepatic duct. RESULTS Polypoid intraductal cholangiocarcinoma was imaged using fast spin-echo sequences. High-resolution T2 maps were extracted by fitting of data obtained at different echo times to mono-exponential models, and disease-induced changes were correlated with histopathology. An increase in T2 was found compared with fixed specimens and differences in T2 allowed the resolution of tumour tissue and malignant features such as polypoid morphology. CONCLUSION Despite their limited field of view, useful data can be obtained using catheter coils, and T2 mapping offers an effective method of exploiting their local SNR advantage without the need for image correction.
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Affiliation(s)
- Narong Khuntikeo
- Department. of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Attapol Titapun
- Department. of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
| | - Nittaya Chamadol
- Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen40002, Thailand
| | | | - Prakasit Sa-Ngiamwibool
- Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen40002, Thailand
| | | | | | - Shuo Zhang
- Philips Healthcare Germany, Health Systems, Clinical Science, Hamburg, Germany
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A Micro Saddle Coil with Switchable Sensitivity for Local High-Resolution Imaging of Luminal Tissue. MICROMACHINES 2016; 7:mi7040067. [PMID: 30407445 PMCID: PMC6190024 DOI: 10.3390/mi7040067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Revised: 03/31/2016] [Accepted: 04/11/2016] [Indexed: 11/20/2022]
Abstract
This paper reports on a micro saddle coil for local high-resolution magnetic resonance imaging (MRI) fabricated by embedding a flexible coil pattern into a polydimethyilsiloxane (PDMS) tube. We can change the sensitivity of the micro coil by deforming the shape of the coil from a saddle-shaped mode to a planar-shaped mode. The inductance, the resistance, and the Q-factor of the coil in the saddle-shaped mode were 2.45 μH, 3.31 Ω, and 39.9, respectively. Those of the planar-shaped mode were 3.07 μH, 3.92 Ω, and 42.9, respectively. In MRI acquired in saddle-shaped mode, a large visible area existed around the coil. Although the sensitive area was considerably reduced in the planar-shaped mode, clear MRI images were obtained. The signal-to-noise ratios (SNR) of the saddle-shaped and planar-shaped modes were 194.9 and 505.9, respectively, at voxel size of 2.0 × 2.0 × 2.0 mm3 and 11.7 and 37.4, respectively, at voxel size of 0.5 × 0.5 × 1.0 mm3. The sensitivity of the saddle-shaped and the planar-shaped modes were about 3 times and 10 times higher, respectively, than those of the medical head coil at both voxel sizes. Thus, the micro saddle coil enabled large-area imaging and highly sensitive imaging by switching the shape of the coil.
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Dorez H, Sablong R, Canaple L, Saint-Jalmes H, Gaillard S, Moussata D, Beuf O. Endoluminal high-resolution MR imaging protocol for colon walls analysis in a mouse model of colitis. MAGNETIC RESONANCE MATERIALS IN PHYSICS BIOLOGY AND MEDICINE 2016; 29:657-69. [PMID: 26965510 DOI: 10.1007/s10334-016-0539-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 02/03/2016] [Accepted: 02/18/2016] [Indexed: 12/13/2022]
Abstract
OBJECTIVE An endoluminal magnetic resonance (MR) imaging protocol including the design of an endoluminal coil (EC) was defined for high-spatial-resolution MR imaging of mice gastrointestinal walls at 4.7 T. MATERIALS AND METHODS A receive-only radiofrequency single-loop coil was developed for mice colon wall imaging. Combined with a specific protocol, the prototype was first characterized in vitro on phantoms and on vegetables. Signal-to-noise ratio (SNR) profiles were compared with a quadrature volume birdcage coil (QVBC). Endoluminal MR imaging protocol combined with the EC was assessed in vivo on mice. RESULTS The SNR measured close to the coil is significantly higher (10 times and up to 3 mm of the EC center) than the SNR measured with the QVBC. The gain in SNR can be used to reduce the in-plane pixel size up to 39 × 39 µm(2) (234 µm slice thickness) without time penalty. The different colon wall layers can only be distinguished on images acquired with the EC. CONCLUSION Dedicated EC provides suitable images for the assessment of mice colon wall layers. This proof of concept provides gains in spatial resolution and leads to adequate protocols for the assessment of human colorectal cancer, and can now be used as a new imaging tool for a better understanding of the pathology.
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Affiliation(s)
- Hugo Dorez
- Université de Lyon, CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Université Lyon 1, Villeurbanne, France.
| | - Raphaël Sablong
- Université de Lyon, CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Université Lyon 1, Villeurbanne, France
| | - Laurence Canaple
- Institut de Génomique Fonctionnelle de Lyon, Université de Lyon 1, UMR 5242 CNRS, Ecole Normale Supérieure de Lyon, Lyon, France
| | - Hervé Saint-Jalmes
- LTSI, INSERM U642, Université Rennes 1, Rennes, France.,CRLCC, Centre Eugène Marquis, Rennes, France
| | - Sophie Gaillard
- Université de Lyon, CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Université Lyon 1, Villeurbanne, France
| | - Driffa Moussata
- Université de Lyon, CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Université Lyon 1, Villeurbanne, France.,Hôpital Régional Universitaire de Tours-Service Hépato-Gastroentérologie, Tours, France
| | - Olivier Beuf
- Université de Lyon, CREATIS, CNRS UMR 5220, INSERM U1044, INSA-Lyon, Université Lyon 1, Villeurbanne, France
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