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1.
Magn Reson Med ; 81(3): 2038-2051, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30346055

RESUMO

PURPOSE: To derive a generic approach for accurate localization and characterization of susceptibility markers in MRI, compatible with many common types of pulse sequences, sampling trajectories, and acceleration methods. THEORY AND METHODS: A susceptibility marker's dipolar phase evolution creates 3 saddles in the phase gradient of the spatial encoding, for each sampled data point in k-space. The signal originating from these saddles can be focused at the location of the marker to create positive contrast. The required phase shift can be calculated from the scan parameters and the marker properties, providing a marker detection algorithm generic for different scan types. The method was validated numerically and experimentally for a broad range of spherical susceptibility markers (0.3 < radius < 1.6 mm, 10 < |∆χ| < 3300 ppm), under various conditions. RESULTS: For all numerical and experimental phantoms, the average localization error was below one third of the voxel size, whereas the average error in magnetic strength quantification was 7%. The experiments included different pulse sequences (gradient echo, spin echo [SE], and free induction decay scans), sampling strategies (Cartesian, radial), and acceleration methods (echo planar imaging EPI, turbo SE). CONCLUSION: Spherical markers can be identified from their phase saddles, enabling clear visualization, precise localization, and accurate quantification of their magnetic strength, in a wide range of clinically relevant pulse sequences and sampling strategies.


Assuntos
Braquiterapia/métodos , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Imageamento por Ressonância Magnética/métodos , Algoritmos , Animais , Meios de Contraste , Modelos Teóricos , Distribuição Normal , Imagens de Fantasmas , Software , Suínos
2.
Magn Reson Med ; 75(3): 1187-97, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25940426

RESUMO

PURPOSE: To investigate the effect of the aqueous and fatty tissue magnetic susceptibility distribution on absolute and relative temperature measurements as obtained directly from the water/fat (w/f) frequency difference. METHODS: Absolute thermometry was investigated using spherical phantoms filled with pork and margarine, which were scanned in three orthogonal orientations. To evaluate relative fat referencing, multigradient echo scans were acquired before and after heating pork tissue via high-intensity focused ultrasound (HIFU). Simulations were performed to estimate the errors that can be expected in human breast tissue. RESULTS: The sphere experiment showed susceptibility-related errors of 8.4 °C and 0.2 °C for pork and margarine, respectively. For relative fat referencing measurements, fat showed pronounced phase changes of opposite polarity to aqueous tissue. The apparent mean temperature for a numerical breast model assumed to be 37 °C was 47.2 ± 21.6 °C. Simulations of relative fat referencing for a HIFU sonication (ΔT = 29.7 °C) yielded a maximum temperature error of 6.6 °C compared with 2.5 °C without fat referencing. CONCLUSION: Variations in the observed frequency difference between water and fat are largely due to variations in the w/f spatial distribution. This effect may lead to considerable errors in absolute MR thermometry. Additionally, fat referencing may exacerbate rather than correct for proton resonance frequency shift-temperature measurement errors.


Assuntos
Gorduras/química , Imageamento por Ressonância Magnética/métodos , Termografia/métodos , Água/química , Mama/diagnóstico por imagem , Simulação por Computador , Feminino , Humanos , Modelos Biológicos , Imagens de Fantasmas
3.
NMR Biomed ; 29(11): 1634-1643, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27687017

RESUMO

The MR time-signal behavior of water has been reported to be different on short and long time scales for systems of randomly distributed perturbers in water in the static dephasing regime. Up to now, the signal of the perturbers in such systems has not been taken into consideration. Water-fat emulsions are macroscopically homogeneous systems and can be considered as microscopically randomly distributed perturbing fat spheres embedded in water. In such water-fat systems, the signal of the perturber, fat, cannot be ignored. Since water and fat are within the same system, the fat signal behavior may show similarities with water, with differences in short and long time scales. This could complicate fat-referenced MR thermometry (MRT) methods such as multi-gradient echo-based (MGE) MRT. Simulations were performed using a numerical phantom comprising spherical fat objects embedded in a spherical water medium. To characterize the fat signal, the theoretical signal description of water was fitted to the simulated fat signal. The simulated signals were sampled as an MGE signal and MGE MRT was used to calculate temperatures. The sampling was done with and without delay, to investigate the effect on the temperature error of the time ranges in which the signal was sampled. It was confirmed that the fat signal behavior was similar to that of water and consisted of two regimes. The separation between the short and long time scales was approximately at 55 ms for fat, as compared with 8.9 ms for water. Without delayed signal sampling, the MGE MRT temperature error was about 2.5°C. With delayed sampling such that both the water and the fat signals were either in the short or in the long time scale the error was reduced to 0.2°C.


Assuntos
Tecido Adiposo/química , Tecido Adiposo/diagnóstico por imagem , Água Corporal/química , Água Corporal/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Modelos Químicos , Simulação por Computador , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Modelos Biológicos , Modelos Estatísticos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Fatores de Tempo
4.
Magn Reson Med ; 72(6): 1580-9, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24347129

RESUMO

PURPOSE: In this study, we aim to demonstrate the sensitivity of proton resonance frequency shift (PRFS) -based thermometry to heat-induced magnetic susceptibility changes and to present and evaluate a model-based correction procedure. THEORY AND METHODS: To demonstrate the expected temperature effect, field disturbances during high intensity focused ultrasound sonications were monitored in breast fat samples with a three-dimensional (3D) gradient echo sequence. To evaluate the correction procedure, the interface of tissue-mimicking ethylene glycol gel and fat was sonicated. During sonication, the temperature was monitored with a 2D dual flip angle multi-echo gradient echo sequence, allowing for PRFS-based relative and referenced temperature measurements in the gel and T1 -based temperature measurements in fat. The PRFS-based measurement in the gel was corrected by minimizing the discrepancy between the observed 2D temperature profile and the profile predicted by a 3D thermal model. RESULTS: The HIFU sonications of breast fat resulted in a magnetic field disturbance which completely disappeared after cooling. For the correction method, the 5th to 95th percentile interval of the PRFS-thermometry error in the gel decreased from 3.8°C before correction to 2.0-2.3°C after correction. CONCLUSION: This study has shown the effects of magnetic susceptibility changes induced by heating of breast fatty tissue samples. The resultant errors can be reduced by the use of a model-based correction procedure.


Assuntos
Tecido Adiposo/fisiologia , Tecido Adiposo/cirurgia , Artefatos , Temperatura Corporal/fisiologia , Ablação por Ultrassom Focalizado de Alta Intensidade/métodos , Imageamento por Ressonância Magnética/métodos , Termografia/métodos , Tecido Adiposo/efeitos da radiação , Algoritmos , Temperatura Corporal/efeitos da radiação , Mama/fisiologia , Mama/cirurgia , Erros de Diagnóstico , Relação Dose-Resposta à Radiação , Ondas de Choque de Alta Energia , Temperatura Alta , Humanos , Técnicas In Vitro , Mastectomia/métodos , Erros Médicos , Prótons , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
5.
NMR Biomed ; 27(5): 539-46, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24535752

RESUMO

The aim of this study was to detect microcalcifications in human whole breast specimens using high-field MRI. Four mastectomy specimens, obtained with approval of the institutional review board, were subjected to gradient-echo MRI acquisitions on a high-field MR scanner. The phase derivative was used to detect microcalcifications. The echo time and imaging resolution were varied to study the sensitivity of the proposed method. Computed tomography images of the mastectomy specimens and prior acquired mammography images were used to validate the results. A template matching algorithm was designed to detect microcalcifications automatically. The three spatial derivatives of the signal phase surrounding a field-perturbing object allowed three-dimensional localization, as well as the discrimination of diamagnetic field-perturbing objects, such as calcifications, and paramagnetic field-perturbing structures, e.g. blood. A longer echo time enabled smaller disturbances to be detected, but also resulted in shading as a result of other field-disturbing materials. A higher imaging resolution increased the detection sensitivity. Microcalcifications in a linear branching configuration that spanned over 8 mm in length were detected. After manual correction, the automatic detection tool identified up to 18 microcalcifications within the samples, which was in close agreement with the number of microcalcifications found on previously acquired in vivo mammography images. Microcalcifications can be detected by MRI in human whole breast specimens by the application of phase derivative imaging.


Assuntos
Mama/patologia , Calcinose/diagnóstico , Calcinose/patologia , Imageamento por Ressonância Magnética , Automação , Mama/cirurgia , Calcinose/cirurgia , Simulação por Computador , Feminino , Humanos , Mastectomia
6.
J Magn Reson Imaging ; 38(2): 344-57, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23281151

RESUMO

PURPOSE: To compare different techniques for positive contrast imaging of susceptibility markers with MRI for three-dimensional visualization. As several different techniques have been reported, the choice of the suitable method depends on its properties with regard to the amount of positive contrast and the desired background suppression, as well as other imaging constraints needed for a specific application. MATERIALS AND METHODS: Six different positive contrast techniques are investigated for their ability to image at 3 Tesla a single susceptibility marker in vitro. The white marker method (WM), susceptibility gradient mapping (SGM), inversion recovery with on-resonant water suppression (IRON), frequency selective excitation (FSX), fast low flip-angle positive contrast SSFP (FLAPS), and iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL) were implemented and investigated. RESULTS: The different methods were compared with respect to the volume of positive contrast, the product of volume and signal intensity, imaging time, and the level of background suppression. Quantitative results are provided, and strengths and weaknesses of the different approaches are discussed. CONCLUSION: The appropriate choice of positive contrast imaging technique depends on the desired level of background suppression, acquisition speed, and robustness against artifacts, for which in vitro comparative data are now available.


Assuntos
Algoritmos , Encéfalo/anatomia & histologia , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Imageamento por Ressonância Magnética/métodos , Humanos , Imageamento por Ressonância Magnética/instrumentação , Imagens de Fantasmas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
7.
Eur Radiol ; 23(3): 827-35, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23014797

RESUMO

OBJECTIVES: To demonstrate the feasibility of MRI-based assessment of the intrahepatic Ho-PLLA-MS biodistribution after radioembolisation in order to estimate the absorbed radiation dose. METHODS: Fifteen patients were treated with holmium-166 ((166)Ho) poly(L-lactic acid)-loaded microspheres (Ho-PLLA-MS, mean 484 mg; range 408-593 mg) in a phase I study. Multi-echo gradient-echo MR images were acquired from which R (2) maps were constructed. The amount of Ho-PLLA-MS in the liver was determined by using the relaxivity r (2) of the Ho-PLLA-MS and compared with the administered amount. Quantitative single photon emission computed tomography (SPECT) was used for comparison with MRI regarding the whole liver absorbed radiation dose. RESULTS: R (2) maps visualised the deposition of Ho-PLLA-MS with great detail. The mean total amount of Ho-PLLA-MS detected in the liver based on MRI was 431 mg (range 236-666 mg) or 89 ± 19 % of the delivered amount (correlation coefficient r = 0.7; P < 0.01). A good correlation was found between the whole liver mean absorbed radiation dose as assessed by MRI and SPECT (correlation coefficient r = 0.927; P < 0.001). CONCLUSION: MRI-based dosimetry for holmium-166 radioembolisation is feasible. Biodistribution is visualised with great detail and quantitative measurements are possible.


Assuntos
Hólmio/análise , Hólmio/uso terapêutico , Neoplasias Hepáticas/química , Neoplasias Hepáticas/radioterapia , Fígado/química , Imageamento por Ressonância Magnética/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Neoplasias Hepáticas/patologia , Masculino , Microesferas , Pessoa de Meia-Idade , Imagem Molecular/métodos , Especificidade de Órgãos , Compostos Radiofarmacêuticos/química , Compostos Radiofarmacêuticos/uso terapêutico , Distribuição Tecidual
8.
Magn Reson Med ; 68(2): 621-30, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22711589

RESUMO

Forward calculation of the susceptibility induced field shift by Fourier-based procedures requires spatial zero-padding to prevent aliasing artifacts (periodic wrap-around). Padding with a factor of two gives accurate results, however, halves the maximal attainable resolution, and slows down the calculation, which may hamper the feasibility of real-time calculations. Herein is proposed to first perform the calculation at the original resolution--allowing aliasing-and to remove aliasing with an additional convolution in a lower resolution, to alleviate these restrictions regarding memory size and calculation speed, a procedure we termed "virtual" zero-padding. Virtual zero-padding was numerically and experimentally tested and validated with conventional zero-padding and the analytical solution (in the case of spheres) on several phantoms. A demonstration of the increased efficiency is given by implementing virtual zero-padding in a dynamic calculation procedure. The improved efficiency is expected to be relevant regarding the ongoing increase in spatial and temporal resolution in ultra-high-field MRI. Procedures are presented for circular convolution using the discrete Green's function and k-space filtering using the continuous Green's function.


Assuntos
Algoritmos , Artefatos , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Processamento de Sinais Assistido por Computador , Técnica de Subtração , Análise de Fourier , Campos Magnéticos , Imageamento por Ressonância Magnética/instrumentação , Imagens de Fantasmas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
9.
J Magn Reson Imaging ; 35(6): 1453-61, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22281661

RESUMO

PURPOSE: To provide a best estimate of the R 2* value and hence of the local concentration of highly paramagnetic holmium-166 loaded microspheres (HoMS) in voxels for which R 2* cannot be characterized by conventional fitting of multigradient echo (MGE) data because of fast signal decay due to high local concentrations. MATERIALS AND METHODS: A postprocessing method, S(0)-fitting, was implemented in a conventional R 2* fitting method that is used for quantification of HoMS. S(0)-fitting incorporates the estimated initial amplitude of the free induction decay (FID) curve, S(0), of neighboring voxels into the fitting procedure for voxels for which the conventional algorithm failed. The method was applied to HoMS in vitro and ex vivo in a rabbit liver. The performance of the S(0)-fitting method was evaluated by comparing results qualitatively and quantitatively with results obtained with quantitative ultrashort TE imaging (qUTE). RESULTS: Applying S(0)-fitting provided a best estimate for R 2* up to a value of about 2300 s(-1) compared with a maximum value of about 1000 s(-1) that could be characterized using conventional fitting. A good agreement was observed both qualitatively and quantitatively for in vitro experiments as well as for ex vivo rabbit liver experiments between results obtained with S(0)-fitting and results obtained with qUTE imaging. CONCLUSION: S(0)-fitting is a postprocessing method that can provide a best estimate of high R 2* values that cannot be characterized by conventional relaxometry. The method can be applied to conventional MGE datasets and was shown to be beneficial for quantification of high local concentrations of holmium-loaded microspheres.


Assuntos
Algoritmos , Hólmio/farmacocinética , Interpretação de Imagem Assistida por Computador/métodos , Fígado/metabolismo , Imageamento por Ressonância Magnética/métodos , Modelos Biológicos , Animais , Simulação por Computador , Portadores de Fármacos/química , Hólmio/uso terapêutico , Aumento da Imagem/métodos , Técnicas In Vitro , Fígado/anatomia & histologia , Imageamento por Ressonância Magnética/instrumentação , Microesferas , Modelos Estatísticos , Coelhos , Compostos Radiofarmacêuticos/farmacocinética , Compostos Radiofarmacêuticos/uso terapêutico , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
10.
Pharm Res ; 29(3): 827-36, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22068276

RESUMO

PURPOSE: The clinical application of holmium acetylacetonate microspheres (HoAcAcMS) for the intratumoral radionuclide treatment of solid malignancies requires a thorough understanding of their stability. Therefore, an in vitro and an in vivo stability study with HoAcAcMS was conducted. METHODS: HoAcAcMS, before and after neutron irradiation, were incubated in a phosphate buffer at 37°C for 6 months. The in vitro release of holmium in this buffer after 6 months was 0.5%. Elemental analysis, scanning electron microscopy, infrared spectroscopy and time of flight secondary ion mass spectrometry were performed on the HoAcAcMS. RESULTS: After 4 days in buffer the acetylacetonate ligands were replaced by phosphate, without altering the particle size and surface morphology. HoAcAcMS before and after neutron irradiation were administered intratumorally in VX2 tumor-bearing rabbits. No holmium was detected in the faeces, urine, femur and blood. Histological examination of the tumor revealed clusters of intact microspheres amidst necrotic tissue after 30 days. CONCLUSION: HoAcAcMS are stable both in vitro and in vivo and are suitable for intratumoral radionuclide treatment.


Assuntos
Braquiterapia/métodos , Carcinoma/terapia , Hólmio/uso terapêutico , Hidroxibutiratos/uso terapêutico , Microesferas , Pentanonas/uso terapêutico , Compostos Radiofarmacêuticos/uso terapêutico , Animais , Carcinoma/patologia , Estabilidade de Medicamentos , Feminino , Hólmio/química , Hólmio/farmacocinética , Hidroxibutiratos/química , Hidroxibutiratos/farmacocinética , Pentanonas/química , Pentanonas/farmacocinética , Coelhos , Compostos Radiofarmacêuticos/química , Compostos Radiofarmacêuticos/farmacocinética
11.
MAGMA ; 25(1): 33-9, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21484477

RESUMO

OBJECT: Proton resonance frequency shift (PRFS)-based MR thermometry (MRT) is hampered by heat-induced susceptibility changes when applied in tissues containing fat, e.g., the human breast. In order to assess the impact of fat susceptibility changes on PRFS-based MRT during thermal therapy in the human breast, reliable knowledge of the temperature dependence of the magnetic volume susceptibility of fat, dχ(fat)/dT, is a prerequisite. In this work we have measured dχ(fat)/dT of human breast fat tissue, using a double-reference method to ensure invariance to temperature-induced changes in the proton electron screening constant. MATERIALS AND METHODS: Ex vivo measurements were taken on a 14.1 T five mm narrow bore NMR spectrometer. Breast fat tissue samples were collected from six subjects, directly postmortem. The susceptibility was measured over a temperature range from 24°C to 65°C. RESULTS: A linear behavior of the susceptibility over temperature was observed for all samples. The resulting dχ(fat)/dT of human breast fat ranged between 0.0039 and 0.0076 ppm/°C. CONCLUSION: It is concluded that the impact of heat-induced susceptibility changes of fat during thermal therapy in the breast may not be neglected.


Assuntos
Mama/patologia , Espectroscopia de Ressonância Magnética/métodos , Tecido Adiposo/patologia , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Elétrons , Desenho de Equipamento , Temperatura Alta , Humanos , Magnetismo , Pessoa de Meia-Idade , Prótons , Reprodutibilidade dos Testes , Espectrofotometria/métodos , Temperatura
12.
Magn Reson Med ; 65(1): 146-56, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20740656

RESUMO

In this article, we present a 3D imaging technique, applying center-out RAdial Sampling with Off-Resonance reception, to accurately depict and localize small paramagnetic objects with high positive contrast while suppressing long T(2) (*) components. The center-out RAdial Sampling with Off-Resonance reception imaging technique is a fully frequency-encoded 3D ultrashort echo time acquisition method, which uses a large excitation bandwidth and off-resonance reception. By manually introducing an offset, Δf(0), to the central reception frequency (f(0)), the typical radial signal pileup observed in 3D center-out sampling caused by a dipolar magnetic field disturbance can be shifted toward the source of the field disturbance, resulting in a hyperintense signal at the magnetic center of the small paramagnetic object. This was demonstrated both theoretically and using 1D time domain simulations. Experimental verification was done in a gel phantom and in inhomogeneous porcine tissue containing various objects with very different geometry and susceptibility, namely, subvoxel stainless steel spheres, a puncture needle, and paramagnetic brachytherapy seeds. In all cases, center-out RAdial Sampling with Off-Resonance reception was shown to generate high positive contrast exactly at the location of the paramagnetic object, as was confirmed by X-ray computed tomography.


Assuntos
Algoritmos , Corpos Estranhos/patologia , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Imageamento por Ressonância Magnética/métodos , Próteses e Implantes , Humanos , Imageamento por Ressonância Magnética/instrumentação , Imagens de Fantasmas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
13.
Magn Reson Med ; 64(1): 239-48, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20577981

RESUMO

MRI allows for absolute temperature measurements in substances containing two spectral resonances of which the frequency difference Delta f(T) is related to absolute temperature. This frequency difference can be extracted from spectroscopic data. An image-based MR technique that allows for the acquisition of spectroscopic data at high temporal and spatial resolution is the multi-gradient-echo sequence. In this work, the application of the multi-gradient-echo sequence for MR thermometry purposes was further developed. We investigated the possibility of postprocessing the multi-gradient-echo data into absolute temperature maps, using time-domain analysis of the magnitude of the multi-gradient-echo signals. In this approach, instead of an indirect computation of Delta f(T) from separately found frequencies, Delta f(T) is a direct output parameter. In vitro experiments were performed to provide proof of concept for retrieving absolute temperature maps from the time-domain analysis of multi-gradient-echo magnitude images. It is shown that this technique is insensitive to both field drift and local field disturbances. Furthermore, ex vivo bone marrow experiments were performed, using the fat resonance as a reference for absolute temperature mapping. It is shown that the postprocessing based on the magnitude signal in the time domain allows for the determination of Delta f(T) in bone marrow.


Assuntos
Medula Óssea/diagnóstico por imagem , Membro Posterior/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Temperatura , Animais , Radiografia , Ovinos
14.
Magn Reson Med ; 64(5): 1360-72, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20648685

RESUMO

Proton resonance frequency shift-based MR thermometry (MRT) is hampered by temporal magnetic field changes. Temporal changes in the magnetic susceptibility distribution lead to nonlocal field changes and are, therefore, a possible source of errors. The magnetic volume susceptibility of tissue is temperature dependent. For water-like tissues, this dependency is in the order of 0.002 ppm/°C. For fat, it is in the same order of magnitude as the temperature dependence of the proton electron screening constant of water (0.01 ppm/°C). For this reason, proton resonance frequency shift-based MR thermometry in fatty tissues, like the human breast, is expected to be prone to errors. We aimed to quantify the influence of the temperature dependence of the susceptibility on proton resonance frequency shift-based MR thermometry. Heating experiments were performed in a controlled phantom set-up to show the impact of temperature-induced susceptibility changes on actual proton resonance frequency shift-based temperature maps. To study the implications for a clinical case, simulations were performed in a 3D breast model. Temperature errors were quantified by computation of magnetic field changes in the glandular tissue, resulting from susceptibility changes in a thermally heated region. The results of the experiments and simulations showed that the temperature-induced susceptibility changes of water and fat lead to significant errors in proton resonance frequency shift-based MR thermometry.


Assuntos
Artefatos , Mama/fisiologia , Hipertermia Induzida/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Cirurgia Assistida por Computador/métodos , Termografia/métodos , Feminino , Humanos , Aumento da Imagem/métodos , Imageamento por Ressonância Magnética/instrumentação , Imagens de Fantasmas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Termografia/instrumentação
15.
Pharm Res ; 27(10): 2205-12, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20680667

RESUMO

PURPOSE: The present study introduces the preparation and in vitro characterization of a nanoparticle device comprising holmium acetylacetonate for radioablation of unresectable solid malignancies. METHODS: HoAcAc nanoparticles were prepared by dissolving holmium acetylacetonate in chloroform, followed by emulsification in an aqueous solution of a surfactant and evaporation of the solvent. The diameter, surface morphology, holmium content, and zeta potential were measured, and thermal behavior of the resulting particles was investigated. The stability of the particles was tested in HEPES buffer. The r(2)* relaxivity of protons and mass attenuation coefficient of the nanoparticles were determined. The particle diameter and surface morphology were studied after neutron activation. RESULTS: Spherical particles with a smooth surface and diameter of 78 ± 10 nm were obtained, and the particles were stable in buffer. Neutron irradiation did not damage the particles, and adequate amounts of activity were produced for nuclear imaging and radioablation of malignancies through intratumoral injections. CONCLUSIONS: The present study demonstrates that HoAcAc nanoparticles were prepared using a solvent evaporation process. The particle diameter can easily be adapted and can be optimized for specific therapeutic applications and tumor types.


Assuntos
Técnicas de Ablação/métodos , Hólmio/administração & dosagem , Nanopartículas/química , Neoplasias/radioterapia , Técnicas de Ablação/instrumentação , Hólmio/química , Humanos , Injeções Intralesionais , Microscopia Eletrônica de Varredura , Nanopartículas/administração & dosagem , Tamanho da Partícula , Radioisótopos , Espectroscopia de Infravermelho com Transformada de Fourier , Propriedades de Superfície
16.
Eur Radiol ; 19(7): 1639-44, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19214520

RESUMO

The feasibility of large-core-needle magnetic resonance imaging (MRI)-guided breast biopsy at 3 T was assessed. Thirty-one suspicious breast lesions shown only by MRI were detected in 30 patients. Biopsy procedures were performed in a closed-bore 3-T clinical MR system on a dedicated phased-array breast coil with a commercially available add-on stereotactic biopsy device. Tissue sampling was technically successful in 29/31 (94%) lesions. Median lesion size (n = 29) was 9 mm. Histopathological analysis showed 19 benign lesions (66%) and one inconclusive biopsy result (3%). At follow-up of these lesions, 15 lesions showed no malignancy, no information was available in three patients and two lesions turned out to be malignant (one lesion at surgical excision 1 month after biopsy and one lesion at a second biopsy because of a more malignant enhancement curve at 12-months follow-up MRI). Nine biopsy results showed a malignant lesion (31%) which were all surgically removed. No complications occurred. MRI-guided biopsy at 3 T is a safe and effective method for breast biopsy in lesions that are occult on mammography and ultrasound. Follow-up MRI at 6 months after the biopsy should be performed in case of a benign biopsy result.


Assuntos
Biópsia por Agulha/métodos , Neoplasias da Mama/patologia , Cirurgia Assistida por Computador/métodos , Adulto , Idoso , Estudos de Viabilidade , Feminino , Humanos , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
17.
Magn Reson Med ; 60(6): 1466-76, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19026005

RESUMO

This work demonstrates both theoretically and experimentally that multiple gradient-echo sampling of free induction decay (MGEFID) is superior to MGE sampling of spin echo (MGESE) for T2*-based quantification of holmium-loaded microspheres (HoMS). An interleaved sampling strategy was applied in great detail to characterize the MR signal behavior of FID and SE signals of gels and perfused rabbit livers containing HoMS in great detail. Diffusion sensitivity was demonstrated for MGESE sampling, resulting in non-exponential signal decay on both sides of the SE peak and in an underestimation of the HoMS concentration. Other than MGESE sampling, MGEFID sampling was demonstrated to be insensitive to diffusion, to exhibit exponential signal decay, and to allow accurate T2*-based quantification of HoMS. Furthermore, a fit procedure was proposed extending the upper limit of quantifiable R2* relaxation rates to at least 1500 sec(-1). With this post-processing step incorporated, MGEFID was shown to correctly estimate the integral amount of inhomogeneously distributed HoMS in liver tissue, up to a clinically relevant limit. All experimental findings could be explained with the theory of nuclear magnetic resonance (NMR) signal behavior in magnetically inhomogeneous tissues. HoMS were shown to satisfy the static dephasing regime when investigated with MGEFID and to violate the static dephasing conditions for MGESE at longer echo times typically used in SE.


Assuntos
Algoritmos , Hólmio , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Fígado/anatomia & histologia , Animais , Simulação por Computador , Portadores de Fármacos/química , Hólmio/química , Imageamento por Ressonância Magnética , Microesferas , Modelos Biológicos , Coelhos , Reprodutibilidade dos Testes , Tamanho da Amostra , Sensibilidade e Especificidade , Marcadores de Spin
18.
Phys Med Biol ; 53(18): N349-58, 2008 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-18723928

RESUMO

In this note we wish to demonstrate the utility of phase gradient mapping (PGM) as an aid in the analysis and characterization of object-induced and system-related macroscopic phase perturbations in MRI. To achieve this goal, phase gradient maps and, if applicable, field gradient maps were derived from standard phase images via a forward difference operator taking into account phase wraps. By way of phantom experiments, PGM was shown to provide reliable phase and field gradient information, even in regions with multiple phase wraps. Phase gradient mapping was further shown to allow positive identification of local phase and field perturbations and global discrimination between positive and negative local susceptibility deviations. The suitability of PGM for in vivo studies was demonstrated by a 3D brain examination of a healthy volunteer.


Assuntos
Algoritmos , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
19.
Biomaterials ; 28(31): 4591-9, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17655925

RESUMO

The aim of this study was to get insight into the toxic effects of holmium-166-loaded poly(L-lactic acid) microspheres (Ho-PLLA-MS) which have very interesting features for treatment of liver malignancies. Acute, mid- and long-term effects were studied in healthy Wistar rats by evaluating clinical, biochemical and tissue response. Rats were divided into four treatment groups: sham, decayed neutron-irradiated Ho-PLLA-MS, non-irradiated Ho-PLLA-MS and PLLA-MS. After implantation of the microspheres into the liver of the rats, the animals were monitored (body weight, temperature and liver enzymes) for a period of 14-18 months. Some of the rats that received previously neutron-irradiated Ho-PLLA-MS were periodically scanned with magnetic resonance imaging (MRI) to see if holmium was released from the microspheres. After sacrifice, the liver tissue was histologically evaluated. Bone tissue was subjected to neutron-activation analysis in order to examine whether accumulation of released holmium in the bone had occurred. No measurable clinical and biochemical toxic effects were observed in any of the treatment groups. Furthermore, histological analyses of liver tissue samples only showed signs of a slight chronic inflammation and no significant differences in the tissue reaction between rats of the different treatment groups could be observed. The non-irradiated PLLA-MS and Ho-PLLA-MS stayed intact during the study. In contrast, 14 months after administration, the neutron-irradiated Ho-PLLA-MS was not completely spherical anymore, indicating that degradation had started. However, the holmium loading had not been released as was illustrated with MRI and affirmed by neutron-activation analysis of bone tissue. In conclusion, neutron-irradiated Ho-PLLA-MS does not provoke any toxic reaction and can be applied safely in vivo.


Assuntos
Portadores de Fármacos/toxicidade , Hólmio/toxicidade , Ácido Láctico/toxicidade , Fígado/efeitos dos fármacos , Fígado/patologia , Polímeros/toxicidade , Animais , Peso Corporal/efeitos dos fármacos , Peso Corporal/efeitos da radiação , Masculino , Teste de Materiais , Microesferas , Poliésteres , Ratos , Ratos Wistar
20.
J Biomed Mater Res A ; 80(4): 938-45, 2007 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-17075800

RESUMO

Magnetic resonance images are prone to artifacts caused by metallic objects. Apart from being a source of image degradation, such artifacts can also provide information about the magnetic properties of the foreign object. In this work, we aim to explore the potential of magnetic resonance imaging to detect and characterize changes in magnetic properties of nitinol undergoing temperature- or strain-induced phase changes. A spin echo and a gradient echo method were used to measure the magnetization changes related to the phase transformations. Results of both methods were in agreement and in accordance with the independent measurements using a vibrating sample magnetometer. Magnetic resonance imaging turned out to be a suitable method to visualize and quantify magnetization and phase changes in situ. It is not restricted to a single imaging strategy and does not require any modification of the test object. The results indicate the potential of magnetic resonance imaging to provide direct feedback of the thermomechanical state of the alloy.


Assuntos
Ligas , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Teste de Materiais , Modelos Teóricos
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