Paul de Bruin1, Wouter Teeuwisse1, Andrew Webb1, and Rolf Hut2
1Leiden University Medical Centre, Leiden, Netherlands, 2Technical University Delft, Delft, Netherlands
Synopsis
A new method of monitoring
temperature non-invasively within an MRI scanner is introduced. This method is
based on Raman backscattering, with the sensor consisting of a long length of
thin optical fibre which can be arranged in any desired geometry. The major
advantage over existing techniques is that a wide area of surface temperatures
can be monitored simultaneously. Preliminary feasibility of the approach is
shown here for localized and global temperature measurements.Introduction
Measurement of patient temperature during
MRI scanning is becoming increasingly important as patient heating may occur
even when FDA/IEC limits are followed
1,2. Unlike the case of highly
localized heating (relevant in for example MRI-monitored HIFU), temperature
measurements to monitor surface SAR do not need to have a very high spatial
resolution, but should ideally be obtained from all over the surface of the
body. Typical MRI-compatible temperature sensors are fluorescent-based, and can
only cover a very small number of specific locations. MRI-based methods such as
the proton reference frequency (PRF) method are not well-suited to measuring
surface temperatures. Here we introduce a new method of large volume distributed
surface temperature measurement based on Raman spectroscopy. Both the peak
position and the peak width of the Raman spectra are affected by changes in
temperature, due to the anharmonic nature of vibrational modes.
Methods
A Silixa iDAS system was connected to ~50 metres
of optical fibre. The fibre first passes through an ice-bath, then is formed
into a rectangular spiral to cover an area of ~60 x 90 cm, as shown in Figure
1, before passing back through the ice-bath and back to the data acquisition
system. The ice-bath is used to calibrate the system and length of optical
fibre. The time resolution of the system corresponds to a spatial point spread
function with FWHM of ~12.5 cm.
Temperature measurements in phantoms were
performed by placing a small vial of saline onto one length of the optical
fibre, as shown in Figure 1. A small surface coil was deliberately driven at
high power levels in order to induce heating. This experiment was performed on
a 7 T scanner for the ease of interfacing custom-built transmit/receive RF
coils. In the second experiment, a volunteer lay on top of the fibre-bed in a 3
Tesla scanner order to illustrate the whole body coverage of the temperature
measurements.
Results
Figure 2(top) shows a van De Giesen Plot (length
along cable on the horizontal axis, time on the vertical and color representing
temperature) for the small hot water phantom placed on the bed, followed by the
RF excitation. The localized increase in
temperature can clearly be seen. The two dark blue areas correspond to the ice
bath calibrations. Figure 2(bottom) shows a plot of temperature vs time, showing the
rapid temporal response to the increase in temperature. There is a small
additional heating induced by the RF coil, shown as a slight increase in the
slope of the graph. After RF heating the water vial is removed from the coil
and the temperature decreases sharply.
Figure 3 shows results of a volunteer lying
on top of the mat in the whole body 3T scanner. There is a clear increase in
temperature all over the fibre optic. The plot shows that, for the clinical
protocol scans used (which lies within FDA guidelines), there is minimal
surface heating of the subject.
Discussion
This works shows a new technique for
non-invasive surface measurements within an MRI system. The principle is based
on Raman backscattering of light, and since a simple fibre-optic is used to
sense the temperature there is no interference in the thermal measurements from
either RF or gradients. The great advantage over current techniques is that the
measurements are distributed over a very large volume. The intrinsic resolution
is currently on the order of 12.5 cm, but this can easily be increased by using
a criss-cross pattern of overlapping fibres and reconstruction methods based on
Anger logic or more sophisticated algorithms. In addition to monitoring patient
heating, the technique can also potentially be used to monitor the temperature
within the RF coil, or the magnetic field gradient coils.
Acknowledgements
No acknowledgement found.References
1. J.Wang. Issues with
radiofrequency heating in MRI. J Appl Clin Med Phys. 2014 8;15(5):5064. 2. P.Bottomley, Turning up the
heat on MRI. J Am Coll Radiol. 2008;5(7):853-5.