Microwave ablation requires high temperature measurement accuracy to monitor the curative effect of the lesions. PRFS-based MR thermometry is the most commonly used temperature monitoring technique. However, PRFS is hampered by temperature-dependent magnetic susceptibility changes. It has been proved in the Quantitative Susceptibility Mapping(QSM) that susceptibility can be measured from the phase changes ,which is derived from Maxwell’s Equation. In this work, we proposed a practical method to calculate the errors caused by temperature-induced susceptibility changes based on the method in QSM. Both Simulation studies and microwave heating experiments validated the accuracy of the method.
The main steps of the proposed method to correct the susceptibility error are shown in Fig.1.
Variable Flip Angle was utilized to simutaneously acquire temperature data in water and fat tissues. In principle, the disturbance caused by temperature-induced magnetic field changes in fat occurs in the whole heated volume. To reach high temporal resolution during thermal ablation, 3D temperature changes in heated areas is estimated by a Gaussian distribution model to estimate the 3D temperature-induced susceptibility changes. The measured PRFS temperature change in water can be calculated by adding the contribution from temperature-induced susceptibility changes, which is calculated as:
$$\Delta \phi _{sus} = (2\pi \gamma B_0 T_E )F^{-1}DF(\chi _{fat} + \frac{d\chi_{fat}}{dT}) - (2\pi \gamma B_0 T_E )F^{-1}DF(\chi _{fat})$$
$$ \Delta \phi_{real} = \Delta \phi_{PRF} + \Delta \phi _{sus} $$
$$\Delta T_{real} = \frac{\Delta \phi_{real}}{\gamma \alpha B_0 T_E}$$
where $$$\gamma$$$ is magnetogyric ratio, $$$D=(\frac{1}{3}-cos^2\beta)$$$ represents the Fourier transform of the convolution kernel that links the susceptibility and field, $$$chi$$$ the susceptibility, B0 the magnetic field strength, TE the echo time, $$$\alpha$$$ the thermal coefficient($$$\alpha=0.01ppm ^\circ C$$$) , $$$\Delta \phi _{sus} $$$ the temperature errors caused by susceptibility changes.
The phantom experiments with heating simulation were performed to investiage the accuracy of the our proposed method, and the data were acquired on a 3.0T Philips system (Philips Healthcare, Best, the Netherland) and in-plane resolution of all experiment is 2×2 mm2 .
Two phantom cooling experiments were conducted to validate the proposed correction algorithm. The phantom consisted of a rectangular water gel (150×150×60mm3, 1% agar) with a Perspex cylinder (outer radius = 22.5mm; inner radius = 20.5mm; length = 80mm) placed in the center, which contained liquid water and sunflower oil. The liquid in the center was heated to 60$$$^\circ C$$$ by water bath and cooling down during scanning. The 2D T1w GRE sequence was implemented. The scan parameters were: FOV = 160×160 mm2,TR/TE = 50/15 ms, flip angle = 30°, dynamic scan time = 9sec.
A lard oil cooling experiment was conducted to determine the temperature dependence of extracted lard oil. The lard oil was heated to 60$$$^\circ C$$$ by water bath and cooling down to 43.5$$$^\circ C$$$ during scanning. The Variable Flip Angle(VFA) sequence with three different flip angle was implemented. The scan parameters were: FOV = 160×160 mm2,TR/TE = 9/2.4 ms, flip angle = 4°/10°/20°, dynamic scan time = 5sec.
A phantom experiment was also conducted to validate the accuracy of fat temperature monitoring by VFA method. The phantom consisted of a rectangular water gel (150×150×60mm3, 1% agar) with four lard oil cylinder (radius = 8.5mm, length = 60mm) placed inside. The scan parameters were the same as the third experiment , except only two different flip angles 4°/20° were used.
The results of the first two phantom experiment are shown in Fig.2 and Fig.3. Large temperature errors up to 1.2$$$^\circ C$$$ and 3.8$$$^\circ C$$$ can be observed in the location of the optical fiber respectively in two experiments and the corrected temperature achieved better matching to the real temperature measured by optical fibers.
The results of the calibration experiment are shown in Fig.4. that although noisy, the T1 measurements displayed a linear temperature dependence in lard oil. The slope was found to be 1.982 $$$ms$$$/$$$^\circ C$$$.
The results of the phantom heating experiment are shown in Fig.5. After correction, the temperature changes in the areas near fat cylinder were much close to the simulated real temperature changes map.
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