Temperature-dependent MR signals in cortical bone: potential for monitoring temperature changes during high-intensity focused ultrasound treatment in bone

Magn Reson Med. 2015 Oct;74(4):1095-102. doi: 10.1002/mrm.25492. Epub 2014 Oct 13.

Abstract

Purpose: Because existing magnetic resonance thermometry techniques do not provide temperature information within bone, high-intensity focused ultrasound (HIFU) exposures in bone are monitored using temperature changes in adjacent soft tissues. In this study, the potential to monitor temperature changes in cortical bone using a short TE gradient echo sequence is evaluated.

Methods: The feasibility of this proposed method was initially evaluated by measuring the temperature dependence of the gradient echo signal during cooling of cortical bone samples implanted with fiber-optic temperature sensors. A subsequent experiment involved heating a cortical bone sample using a clinical MR-HIFU system.

Results: A consistent relationship between temperature change and the change in magnitude signal was observed within and between cortical bone samples. For the two-dimensional gradient echo sequence implemented in this study, a least-squares linear fit determined the percentage change in signal to be (0.90 ± 0.01)%/°C. This relationship was used to estimate temperature changes observed in the HIFU experiment and these temperatures agreed well with those measured from an implanted fiber-optic sensor.

Conclusion: This method appears capable of displaying changes related to temperature in cortical bone and could improve the safety of MR-HIFU treatments. Further investigations into the sensitivity of the technique in vivo are warranted.

Keywords: MR-HIFU; cortical bone; thermometry.

MeSH terms

  • Animals
  • Bone and Bones / physiology
  • Bone and Bones / surgery*
  • Cattle
  • Equipment Design
  • Feasibility Studies
  • High-Intensity Focused Ultrasound Ablation / instrumentation
  • High-Intensity Focused Ultrasound Ablation / methods*
  • Image Processing, Computer-Assisted
  • Magnetic Resonance Imaging / methods*
  • Signal Processing, Computer-Assisted*
  • Temperature
  • Thermometry / methods*