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Universität Erlangen-Nürnberg
Chair of Computer Science 5 (Pattern Recognition)
Germany
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Dr.-Ing. Eva Rothgang
Alumnus of the Pattern Recognition Lab of the Friedrich-Alexander-Universität Erlangen-Nürnberg
Improve patient care in the field of MRI-guided thermal procedures
MR Thermometry
In modern oncology, thermal ablations are increasingly used as a regional treatment option to supplement systemic treatment strategies such as chemotherapy and immunotherapy. The goal of all thermal ablation procedures is to cause cell death of disease tissue while sparing adjacent healthy tissue. Real-time assessment of thermal damage is the key to therapeutic efficiency and safety of such procedures.
Magnetic resonance thermometry is capable of monitoring the spatial distribution and temporal evolution of temperature changes during thermal ablations. Several temperature-dependent MR parameters such as the longitudinal relaxation time T1, the molecular diffusion coefficient D, or the proton resonance frequency (PRF) shift can be exploited for the purpose of temperature mapping.
Regardless of the parameter used, all of these MR thermography methods measure relative and not absolute temperatures. Thus, the quality of the thermal measurements is dependent upon a previously acquired reference scan. Patient motion or local tissue deformation can adversely affect the data accuracy.
Following, we are working on an advanced monitoring system for MR-guided thermal ablations that includes multiplanar visualization, specialized overlay visualization methods, and methods for correcting errors resulting from magnetic field shifts.
- Rothgang, Eva; Gilson, Wesley D.; Valdeig, Steffi; Pan, Li; Flammang, Aaron; Roland, Jörg; Wacker, Frank; Frericks, Bernd
MRI guided cryoablation: In vivo assessment of measuring temperature adjacent to ablated tissue using the PRF method In: Kahn, Thomas; Jolesz, Ferenc A.; Lewin, Jonathan S. (Eds.) 8th Interventional MRI Symposium - Book of Abstracts (8th Interventional MRI Symposium Leipzig 24-25 September 2010) 2010, pp. 39-42. - Rothgang, Eva; Gilson, Wesley D.; Roland, Jörg; Hornegger, Joachim; Lorenz, Christine H.
TMAP @ IFE - A Framework for Guiding and Monitoring Thermal Ablations In: Sodickson, Daniel K. (Eds.) Proceedings of International Society for Magnetic Resonance in Medicine (ISMRM) (Joint Annual Meeting ISMRM - ESMRMB Stockholm, Schweden 1.-7. Mai 2010) Vol. 18 2010, pp. 4144. - Frericks, Bernd; Rothgang, Eva; Gilson, Wesley D.; Pan, Li; Flammang, Aaron; Roland, Jörg; Valdeig, Steffi; Kraitchman, Dara; Wacker, Frank
In Vivo Online MR Thermometry for Detection of Heat Sink Effects during Thermal Ablation of Porcine Liver: PRF-based Temperature Measurments with Pathologic Correlation In: Dorfman, Gary (Eds.) Interventional Oncology Series: Molecular Targeting and Emerging Clinical Foci in Interventional Oncology (RSNA 2010, 96th Scientific Assembly and Annual Meeting Chicago (IL), USA 28. November - 3. Dezember 2010) 2010, pp. VO41-05.
- Rothgang, Eva; Gilson, Wesley D.; Hornegger, Joachim; Lorenz, Christine H.
A system for advanced real-time visualization and monitoring of MR-guided thermal ablations In: Wong, Kenneth H.; Miga, Michael I. (Eds.) Medical Imaging 2010: Visualization, Image-Guided Procedures, and Modeling (SPIE Medical Imaging San Diego (CA), USA 13.-18. 02.2010) 2010, pp. 762522.
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