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Spatially-segmented undersampled MRI temperature reconstruction for transcranial MR-guided focused ultrasound.

Authors: Gaur P, Werner B, Feng X, Fielden SW, Meyer CH, Grissom WA

Volumetric thermometry with fine spatiotemporal resolution is desirable to monitor MR-guided focused ultrasound (MRgFUS) procedures in the brain, but requires some form of accelerated imaging. Accelerated MR temperature imaging methods have been developed that undersample k-space and leverage signal correlations over time to suppress the resulting undersampling artifacts. However, in transcranial MRgFUS treatments, the water bath surrounding the skull creates signal variations that do not follow those correlations, leading to temperature errors in the brain due to signal aliasing. To eliminate temperature errors due to the water bath, a spatially-segmented iterative reconstruction method was developed. The method fits a k-space hybrid signal model to reconstruct temperature changes in the brain, and a conventional MR signal model in the water bath. It was evaluated using single-channel 2DFT Cartesian, golden angle radial, and spiral data from gel phantom heating, and in vivo 8-channel 2DFT data from a FUS thalamotomy. Water bath signal intensity in phantom heating images was scaled between 0-100% to investigate its effect on temperature error. Temperature reconstructions of retrospectively undersampled data were performed using the spatially-segmented method, and compared to conventional whole-image k-space hybrid (phantom) and SENSE (in vivo) reconstructions. At 100% water bath signal intensity, 3 ×-undersampled spatially-segmented temperature reconstruction error was nearly 5-fold lower than the whole-image k-space hybrid method. Temperature root-mean square error in the hot spot was reduced on average by 27 × (2DFT), 5 × (radial), and 12 × (spiral) using the proposed method. It reduced in vivo error 2 × in the brain for all acceleration factors, and between 2 × and 3 × in the temperature hot spot for 2-4 × undersampling compared to SENSE. Separate reconstruction of brain and water bath signals enables accelerated MR temperature imaging during MRgFUS procedures with low errors due to undersampling using Cartesian and non-Cartesian trajectories. The spatially-segmented method benefits from multiple coils, and reconstructs temperature with lower error compared to measurements from SENSE-reconstructed images. The acceleration can be applied to increase volumetric coverage and spatiotemporal resolution.

Introduction

Purpose Other
Study Objective Develop and evaluate a spatially-segmented reconstruction method that separately models brain and water-bath signals to enable accelerated MR thermometry with reduced temperature errors during transcranial MR-guided focused ultrasound.
Animal model / Human subject Human (Homo sapiens), strain: N/A, age: not specified, sex: not specified
Disease model Chronic neuropathic pain (MRgFUS thalamotomy)
MRI or image guidance method MR-guided focused ultrasound (MRgFUS) using an Insightec ExAblate Neuro transcranial system integrated with a 3T MRI (GE Signa/MR750); targeting and monitoring were performed with MR thermometry using 2D gradient-echo (2DFT) imaging and phase-difference temperature mapping.
Targeted brain region(s) Thalamus
Target coordinates not reported
Cargo name and characteristics Not specified in the provided text.
Route of administration Not applicable — no drug or cargo was administered

Outcomes and Safety

Summary of Outcomes A spatially-segmented reconstruction that separately models brain and water-bath signals substantially reduces temperature-mapping errors during accelerated MR-guided focused ultrasound in the brain, improving accuracy across Cartesian and non-Cartesian trajectories and coil configurations.
Duration of biological effect 110 s
Safety-related matter The authors raise safety concerns about modifying the water bath: deuterated water (D2O) can negatively affect cell function and structure, and adding gadolinium (to reduce MR signal) is potentially toxic—although chelated forms (e.g., Gd-DTPA) are used clinically, high concentrations may cause local magnetic field inhomogeneity that could impair safety monitoring near the skull and the effects on chelate integrity, ultrasound propagation, and RF conduction should be investigated.

Brain Region

Ultrasound Parameters

Ultrasound instrument Insightec ExAblate Neuro 4000 (Insightec Ltd., Haifa, Israel); transducer aperture/diameter not reported in text
FUS Frequency Not specified in the provided text
FUS Intensity Not reported in the provided text
FUS Pressure Not reported
FUS Mode continuous
Pulse duration Not reported in provided text
Duration of a single FUS session Not reported in the provided text.
Focal Characteristics Not specified in the paper
Treatment frequency Single

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