Egor Kretov1, Andre Kuehne2, Eva Oberacker1, Thomas Wilhelm Eigentler1, and Thoralf Niendorf1,2
1B.U.F.F., Berlin Ultrahigh Field Facility, Max-Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2MRI.TOOLS GmbH, Berlin, Germany
Synopsis
This work presents electrodynamic considerations and
an RF applicator concept that permit MR imaging and RF energy focusing inside
of the human brain using sub-nanosecond broadband electromagnetic pulses. Such
pulses can deposit RF energy in a small, focal area for thermal intervention. To
meet this goal proof-of-principle is provided through EMF simulations using a dual-mode
RF applicator that combines antipodal Vivaldi antennae with loop elements.
Introduction
Temperature is a physical parameter that has a
decisive influence on biological processes and its measurement and control are
very relevant in clinical practice. UHF-MR
employs higher radio frequencies (RF) than conventional MR and has a unique
potential to provide imaging with superb spatial resolution, temperature
monitoring using MR thermometry and controlled temperature manipulation,
denominated as Thermal Magnetic Resonance (ThermalMR). The main challenge
to unite MRI with RF induced thermal interventions is the compatibility and
integration of RF antennae into a single device. One of the solutions is employed
RF applicators comprising broadband antennae, that support operating
frequencies customized for imaging and RF heating1. With this multi-element
setup, it is common to apply a single RF frequency to generate focal heating using phase and amplitude optimization for
the RF applicator to control size, uniformity, and location of the RF energy
deposition in the target region with the focal point quality being governed by
the radiation pattern of the single RF transmit element, the RF channel count
and the thermal intervention radiofrequency of the RF applicator. The use of sub-nanosecond
broadband RF pulses2 provides a valuable alternative for thermal
intervention, which has spurred the development of antennae for RF pulse
radiation cancer treatment3,4. Focusing of sub-nanosecond RF pulses enhances
the focal point quality and simplifies calculations for hot spot position
planning. Recognizing these opportunities this work presents a dual-mode head RF
applicator that permits MRI at 7.0 T and sub-nanosecond pulsed RF heating.Methods
The RF array consists of 16 elements surrounding
a spherical water bolus (εr=78.4, σ=5.5e-6 S/m) which conforms to an average head (Figure 1).
Each element is a combination of two broadband antipodal Vivaldi antennae,
previously proposed for use in thermotherapy5,6. Additional
conductors between antenna lobes were used to form a magnetic loop, tuned to
the 1H frequency at 7T (297.3 MHz). All 16 loops are the imaging
channels, supporting TIAMO technology to compensate transmission field distortions7.
In the disclosure of the Vivaldi antennae, water in the form of an
exponential shape is integrated for better electromagnetic matching with the bolus
material. Every Vivaldi antenna has its fixed coordinates in the spherical
coordinate system, where it`s position is determined by the distance from the
origin r and two angles θ and φ (Figure 2). This information is necessary for
predicting the location of the RF pulse in space after it started to propagate out
of the antenna. The pulse wavefront’s collision point governs the position and
geometry of the RF heating area and can be controlled via time shift between
all antennae, which is in analogy with the phase shift in the conventional
approach. Electromagnetic simulations were performed in CST Microwave Studio’s
(CST Studio Suite 2018, CST – Computer Simulation Technology GmbH, Darmstadt,
Germany) for imaging and RF pulse mode. The imaging mode was simulated with a
frequency-domain solver and a uniform head model (εr=60.1, σ=0.61 S/m) placed inside the
bolus. Resulting B1+ fields was normalized to 1W of the accepted
power. The pulse mode was simulated with the time domain solver and the male voxel
model Duke8 for the SAR estimation. A triangle pulse (duration=0.5ns,
a rise/fall time=0.25ns) was employed as a reference signal.Results
EMF simulations using two-phase sets for the imaging
mode show good B1+ coverage of the brain when using the TIAMO
approach (Figure 3). For the sub-nanosecond pulse mode, propagation of the RF
pulses through the brain can be observed at different time moments by
calculating losses in tissues (Figure 4). Our results demonstrate that the
array of Vivaldi antennae creates a quasi-circle wavefront with the center at
the focus point. The size of the heated region around the focus point depends
on the profile of the RF pulses and its width. The use of a triangular pulse is
suitable for evaluating the performance of the positioning algorithms. Four
different positions of the focal point within the central XY-plane of the brain
of the human voxel model Duke were simulated with corresponding time-shifts
between each RF antenna. SAR distributions demonstrate the deliberate steering
of the SAR hot spot to an arbitrary and more peripheral position (Figure
5). Since the calculations were carried
out on healthy tissues, which, compared with the damaged tissue, do not differ
significantly in electrical conductivity, there is a significant surface SAR
taking place. Increasing the number of pulse channels as well as taking perfusion
into account in the EMF simulations can reduce this effect.Discussion and Conclusion
This work demonstrates the
concept of a hybrid RF applicator that permits MRI and thermal intervention
using sub-nanosecond broadband RF pulses in a single device. The ability to
control the position of the heating zone by changing the time-shifts between RF
pulse channels was shown. An underestimated hot point position was observed for
peripheral regions of the head. This phenomenon can be compensated by adding
non-linear properties to the time-shift calculating algorithm. The proposed RF
applicator is conceptually appealing to pursue Thermal MR including its
application for adjunct tumor therapy or controlled release of therapeutics
from thermoresponsive nano-carriers.Acknowledgements
This project has received funding from the European
Research Council (ERC) under the European Union's Horizon 2020 research and innovation
program under grant agreement No 743077 (ThermalMR).References
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