Validation of a drift-corrected 3D MR temperature imaging sequence for breast MR-guided focused ultrasound treatments

Magn Reson Imaging. 2023 Feb:96:126-134. doi: 10.1016/j.mri.2022.12.006. Epub 2022 Dec 7.

Abstract

Real-time temperature monitoring is critical to the success of thermally ablative therapies. This work validates a 3D thermometry sequence with k-space field drift correction designed for use in magnetic resonance-guided focused ultrasound treatments for breast cancer. Fiberoptic probes were embedded in tissue-mimicking phantoms, and temperature change measurements from the probes were compared with the magnetic resonance temperature imaging measurements following heating with focused ultrasound. Precision and accuracy of measurements were also evaluated in free-breathing healthy volunteers (N = 3) under a non-heating condition. MR temperature measurements agreed closely with those of fiberoptic probes, with a 95% confidence interval of measurement difference from -2.0 °C to 1.4 °C. Field drift-corrected measurements in vivo had a precision of 1.1 ± 0.7 °C and were accurate within 1.3 ± 0.9 °C across the three volunteers. The field drift correction method improved precision and accuracy by an average of 46 and 42%, respectively, when compared to the uncorrected data. This temperature imaging sequence can provide accurate measurements of temperature change in aqueous tissues in the breast and support the use of this sequence in clinical investigations of focused ultrasound treatments for breast cancer.

Keywords: Breast cancer; Drift correction; Magnetic resonance guided focused ultrasound; Magnetic resonance thermometry.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Breast / diagnostic imaging
  • Breast Neoplasms* / diagnostic imaging
  • Breast Neoplasms* / therapy
  • Female
  • High-Intensity Focused Ultrasound Ablation* / methods
  • Humans
  • Magnetic Resonance Imaging / methods
  • Phantoms, Imaging
  • Temperature
  • Thermometry* / methods