title: Near-real-time feedback control system for liver thermal ablations based on self-referenced temperature imaging.
abstract: Our challenge was to design and implement a dedicated temperature imaging feedback control system to guide and assist in a thermal liver ablation procedure in a double-donut 0.5T open MR scanner. This system has near-real-time feedback capability based on a newly developed "self-referenced" temperature imaging method using "moving-slab" and complex-field-fitting techniques. Two phantom validation studies and one ex vivo experiment were performed to compare the newly developed self-referenced method with the conventional subtraction method and evaluate the ability of the feedback control system in the same MR scanner. The near-real-time feedback system was achieved by integrating the following primary functions: (1) imaging of the moving organ temperature; (2) on-line needle tip tracking; (3) automatic turn-on/off the heating devices; (4) a Windows operating system-based novel user-interfaces. In the first part of the validation studies, microwave heating was applied in an agar phantom using a fast spoiled gradient recalled echo in a steady state sequence. In the second part of the validation and ex vivo study, target visualization, treatment planning and monitoring, and temperature and thermal dose visualization with the graphical user interface of the thermal ablation software were demonstrated. Furthermore, MR imaging with the "self-referenced" temperature imaging method has the ability to localize the hot spot in the heated region and measure temperature elevation during the experiment. In conclusion, we have demonstrated an interactively controllable feedback control system that offers a new method for the guidance of liver thermal ablation procedures, as well as improving the ability to assist ablation procedures in an open MR scanner.
authors.affiliation: GE Healthcare, Imaging Application Tech. Center, Integrated Software Group, 4-7-127 Asahigaoka, Hino-shi, Tokyo, Japan. bilgin.keserci@gemsa.med.ge.com
authors.forename: Bilgin M
authors.initials: BM
authors.lastname: Keserci
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kokuryo
authors.forename: Kyohei
authors.initials: K
authors.lastname: Suzuki
authors.forename: Etsuko
authors.initials: E
authors.lastname: Kumamoto
authors.forename: Atsuya
authors.initials: A
authors.lastname: Okada
authors.forename: Azzam A
authors.initials: AA
authors.lastname: Khankan
authors.forename: Kagayaki
authors.initials: K
authors.lastname: Kuroda
mesh_terms: D000465:Algorithms; D000818:Animals; D017115:Catheter Ablation / Q000379:methods*; D005246:Feedback; D006361:Heating; D008099:Liver / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D019047:Phantoms, Imaging; D012016:Reference Values; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D013552:Swine; D013696:Temperature