Dual-function MR-guided hyperthermia
An innovative integrated approach and experimental demonstration of proof of principle
Kemal Sumser (Erasmus MC)
Gennaro G. Bellizzi (Erasmus MC)
Ria Forner ( University Medical Centre Utrecht)
Tomas Drizdal (Czech Technical University)
Juan A. Hernandez Tamames (TU Delft - ImPhys/Medical Imaging, Erasmus MC)
Gerard C. van Rhoon (Erasmus MC, TU Delft - RST/Applied Radiation & Isotopes)
Margarethus M. Paulides (Erasmus MC, Eindhoven University of Technology)
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Abstract
Temperature monitoring plays a central role in improving clinical effectiveness of adjuvant hyperthermia. The potential of magnetic resonance thermometry for treatment monitoring purposes led to several MR-guided hyperthermia approaches. However, the proposed solutions were sub-optimal due to technological and intrinsic limitations. These hamper achieving target conformal heating possibilities (applicator limitations) and accurate thermometry (inadequate signal-to-noise-ratio (SNR)). In this work, we studied proof of principle of a dual-function hyperthermia approach based on a coil array (64 MHz, 1.5 T) that is integrated in-between a phased array for heating (434 MHz) for maximum signal receive in order to improve thermometry accuracy. Hereto, we designed and fabricated a superficial hyperthermia mimicking planar array setup to study the most challenging interactions of generic phased-array setups in order to validate the integrated approach. Experiments demonstrated that the setup complies with the superficial hyperthermia guidelines for heating and is able to improve SNR at 2-4 cm depth by 17%, as compared to imaging using the body coil. Hence, the results showed the feasibility of our dual-function MR-guided hyperthermia approach as basis for the development of application specific setups.