Han-Joong Kim1, Jong-Min Kim1, Young-Seung Jo1,2, Suchit Kumar1, Seong-Dae Hong1, Chulhyun Lee2, and Chang-Hyun Lee1
1Electronics and Information Engineering, Korea University, Seoul, Korea, Republic of, 2The MRI Team, Korea Basic Science Institute, Cheongju, Korea, Republic of
Synopsis
Many reports
suggest that hyperthermia is very effective treatment for tumor therapy. In
this work, MR compatible RF hyperthermia system is presented for a 3.0 T
MRI. Phantom and animal experiments have been conducted and the results
compared with the simulations results for tumor and tissue model. They are in
very good coincidence with each other, which confirms the utility and feasibility
of the MR compatible RF hyperthermia system with capacitive
driving. Introduction
The tumorous tissues prone to have
higher electric conductivity than the normal tissue. When the RF electric field
is applied, the more electric current is drawn by the tumor cell resulting in
the increased temperature around the tumor [1]. This process can be carried out
more safely with accuracy if we can monitor the treatment process such as the
body temperature [2]. We have performed the phantom and animal experiments using
an MR compatible RF hyperthermia system developed for a 3.0 T MRI.
Methods
A. Phantom study
A tissue-mimic
phantom has been constructed with a simplified structure with liver and tumor
part. The dielectric properties of the tumor and normal liver tissues are
distinctly different, by the factors of 6-7.5 in the conductivity and 2-5 in
the permittivity at 10 to 20 MHz [3]. The liver mimic region (agar, 15 g/L;
NaCl, 2 g/L; CuSO4, 1 g/L) and tumor mimic region (agar, 15 g/L; NaCl, 16 g/L)
are constructed, where dielectric properties are measured using a DAK system
(SPEAG, Switzerland). The thermal conductivity and specific heat capacity are
calculated as in [4].
Simulation is
performed to calculate the effect of RF electric field and resulting heat
generation in the tissue mimic agar-water gel phantom. Using the FDTD method,
the SAR map in the phantom is calculated. This SAR information is used as a map
of thermal energy source. The power is adjusted to 100 W at 13.56 MHz. The
total simulation and experiment time was 2 hour. Electromagnetic and thermal
simulation were performed using Sim4Life V2.0 (SPEAG, Switzerland).
We have
designed, constructed, and tested experimentally the MR compatible RF
hyperthermia system working at 13.56 MHz without affecting MR image acquisition
at 128 MHz [4]. The mimetic diagram of the MR compatible RF hyperthermia system
is shown in Fig. 1 and the whole system arrangement is shown in Fig. 2. The
phantom in the MRI bore is properly heated as expected (13.56 MHz, 100 W) for 2
hours. And MR temperature images of the phantom were obtained every 20 minutes
using a 3.0 T Achieva MRI (Philips, Netherlands). PRFs methods (FFE sequence,
TE = 15 msec, TR = 300 msec) was used for MR thermometry [5].
B. Animal study
outside the MRI room
Prior to MRI
experiment, we validated the performance of hyperthermia system and temperature
rise is monitored. The pig (weight: 20 kg) is heated for 100 minutes (13.56
MHz, 100 W). The temperature is monitored and the sensor is placed on the top
and bottom surfaces of the abdominal part of the pig.
C. Animal study
with MR thermometry
The pig (weight:
20 kg) is properly heated as expected (13.56 MHz, 100 W, experiment time: 1 hour) using the installed hyperthermia system in the MRI bore. The breath-hold
pulse sequence is used to reduce the motion artifact. PRFs methods (FFE
sequence, TE = 10 msec, TR = 150 msec) was used for MR thermometry.
Results
A. Phantom study
Figure 3A shows
the thermal simulation result. In the tumor region, temperature rise is about 5
°C/hour and the difference in temperature between tumor and liver region goes
up to about 2 °C as the thermal simulation continues. The experimental result
based on MR thermometry measurements is shown in Fig. 3B. It can be seen that
the temperature rise and the temperature difference in MRI are in high
correlation with the simulation result.
B. Animal study
outside the MRI room
Figure 4 shows the temperature changes
of the pig skin when the RF field is applied. The initial temperature on the
top and bottom surfaces are 31.3 °C and 28.9 °C, respectively. The temperature
rise was about 10 °C during the heating.
C. Animal study
with MR thermometry
The experimental
results based on MR thermometry measurements are shown in Fig. 5. The initial
temperature of pig skin was 34 °C. In the skin and water bolus region, the
temperature rise is almost 4 °C.
Discussions and Conclusions
Phantom and animal experiments have
been conducted and the results compared with the simulations results for tumor
and tissue model. They are in very good coincidence with each other. The
simulation and experimental results confirm the utility and feasibility of the
MR compatible RF hyperthermia system with capacitive driving. A novel switching
circuits worked effectively for MR-compatible electrodes for hyperthermia. In
the animal experiment, breath-hold imaging technique was applied but motion
artifact still exist. New MR sequence are currently being developed to reduce
this problem.
Acknowledgements
This work was
supported by KEIT and MOTIE (project # 10047904) of Korea and Brain Korea 21
Plus Program through the National Research Foundation of Korea (NRF) funded by
the Ministry of Science, ICT and Future Planning.References
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