Purpose:To evaluate the error of MR temperature assessment based on the temperature-dependent Larmor frequency shift of water protons, which can result from susceptibility effects caused by the radiofrequency (RF) applicator.
Materials and Methods:Local frequency shifts due to RF applicator displacements were simulated numerically by means of a three-dimensional elementary dipole model. Experimental examinations using a water tank phantom equipped with a high-precision screw thread were applied to examine temperature and movement effects for five commercially available, MR-compatible RF applicators. Measurements were performed at 1.5 Tesla.Results: For single-needle electrodes perpendicular to the external field, a distortion of 0.1 ppm and 0.2 ppm was recorded at a distance of 17.5 mm and 12.5 mm, respectively, to the needle shaft. Cluster applicators and umbrella-shaped applicators caused distortions of 0.1 ppm up to distances of 36 mm. Sinusoidal dependence on applicator orientation was found with the highest values for perpendicular orientation and the lowest values for orientation parallel to the magnetic field. With a single electrode oriented perpendicular to the field at a distance of 1.5 cm and 2.0 cm, a needle displacement of 5 mm led to an error in temperature measurement of 16.3°C and 7.5°C, respectively.
Conclusion:In MR temperature measurement, displacement of the RF applicator by patient movement or breathing leads to significant errors that have to be taken into account when PRF temperature maps are used to monitor tumor ablation in the presence of paramagnetic applicators. PERCUTANEOUS LOCAL interstitial thermotherapy for minimally invasive treatment of deep-seated tumors gained increasing importance during the last decade. Compared to conventional surgical resection, interventional treatment offers several advantages, such as reducing the patient's recovery time, the complication rate, and overall health-care costs. Several energy-deposition techniques have been developed, including radiofrequency (RF) ablation (1,2), laser interstitial tumor therapy (LITT) (3), microwave ablation (MW) (4), highintensity focused ultrasound (HIFU) (5), and cryotherapy (6). RF ablation has evolved as the most extensively used ablation modality thanks to its ease of applicator positioning, large achievable coagulation diameters, and relative cost efficacy.Computed tomography (CT) and ultrasound (US) are widely used to position the RF applicator in the tumor. However, neither CT nor US can confirm complete tumor ablation after the energy application. In CT, the neoplastic tissue and the coagulation lesion may show similar patterns, and in US the production of steam bubbles by the heating process disturbs the image acquisition. Magnetic resonance imaging (MRI) provides high soft-tissue contrast for delineation of tumor and applicator navigation, and T2-weighted imaging can be used to estimate the extent of coagulation.The completeness of tumor ablation and protection of susceptible normal tissue in the surrounding a...