Improved cardiac magnetic resonance thermometry and dosimetry for monitoring lesion formation during catheter ablation

被引：29

作者：

Ozenne, Valery ^{[1
,2
]}

Toupin, Solenn ^{[1
,2
,3
]}

Bour, Pierre ^{[1
,2
]}

de Senneville, Baudouin Denis ^{[4
]}

Lepetit-Coiffe, Matthieu ^{[3
]}

Boissenin, Manuel ^{[1
,2
]}

Benois-Pineau, Jenny ^{[5
]}

Hansen, Michael S. ^{[6
]}

Inati, Souheil J. ^{[7
]}

Govari, Assaf ^{[8
]}

Jais, Pierre ^{[1
,9
]}

Quesson, Bruno ^{[1
,2
]}

机构：

[1] Fondat Bordeaux Univ, Inst Hosp Univ, Liryc Inst Rythmol & Modelisat Cardiaque, Bordeaux, France

[2] Univ Bordeaux, INSERM, U1045, Ctr Rech Cardiothorac Bordeaux, Bordeaux, France

[3] Siemens Healthcare France, St Denis, France

[4] Math Inst Bordeaux, Bordeaux, France

[5] Univ Bordeaux, CNRS, LaBRI, Bordeaux, France

[6] NHLBI, Magnet Resonance Technol Program, NIH, Bldg 10, Bethesda, MD 20892 USA

[7] NIMH, NIH, Bethesda, MD 20892 USA

[8] Biosense Webster, Diamond Bar, CA USA

[9] Ctr Hosp Univ Bordeaux, Bordeaux, France

来源：

MAGNETIC RESONANCE IN MEDICINE | 2017年 / 77卷 / 02期

关键词：

arrhythmia; cardiac; electrophysiology; MR thermometry; radiofrequency ablation; MR-THERMOMETRY; RADIOFREQUENCY ABLATION; GUIDANCE; FEASIBILITY; DEVICES; HEART;

D O I：

10.1002/mrm.26158

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

PurposeA new real-time MR-thermometry pipeline was developed to measure multiple temperature images per heartbeat with 1.6x1.6x3mm(3) spatial resolution. The method was evaluated on 10 healthy volunteers and during radiofrequency ablation (RFA) in sheep. MethodsMultislice, electrocardiogram-triggered, echo-planar imaging was combined with parallel imaging, under free breathing conditions. In-plane respiratory motion was corrected on magnitude images by an optical flow algorithm. Motion-related susceptibility artifacts were compensated on phase images by an algorithm based on Principal Component Analysis. Correction of phase drift and temporal filter were included in the pipeline implemented in the Gadgetron framework. Contact electrograms were recorded simultaneously with MR thermometry by an MR-compatible ablation catheter. ResultsThe temporal standard deviation of temperature in the left ventricle remained below 2 degrees C on each volunteer. In sheep, focal heated regions near the catheter tip were observed on temperature images (maximal temperature increase of 38 degrees C) during RFA, with contact electrograms of acceptable quality. Thermal lesion dimensions at gross pathology were in agreement with those observed on thermal dose images. ConclusionThis fully automated MR thermometry pipeline (five images/heartbeat) provides direct assessment of lesion formation in the heart during catheter-based RFA, which may improve treatment of cardiac arrhythmia by ablation. Magn Reson Med 77:673-683, 2017. (c) 2016 International Society for Magnetic Resonance in Medicine

引用

页码：673 / 683

页数：11

共 32 条

[1] Statistics on the use of cardiac electronic devices and electrophysiological procedures in 55 ESC countries: 2013 report from the European Heart Rhythm Association (EHRA) [J].

Arribas, Fernando ;

Auricchio, Angelo ;

Boriani, Giuseppe ;

Brugada, Josep ;

Deharo, Jean Claud ;

Hindriks, Gerhardt ;

Kuck, Karl Heinz ;

Merino, Jose Luis ;

Vardas, Panos ;

Wolpert, Christian ;

Zeppenfeld, Katja .

EUROPACE, 2014, 16 :1-78

[2]

Black M. J., 1993, [1993] Proceedings Fourth International Conference on Computer Vision, P231, DOI 10.1109/ICCV.1993.378214

[3] Dual echo positive contrast bSSFP for real-time visualization of passive devices during magnetic resonance guided cardiovascular catheterization [J].

Campbell-Washburn, Adrienne E. ;

Rogers, Toby ;

Xue, Hui ;

Hansen, Michael S. ;

Lederman, Robert J. ;

Faranesh, Anthony Z. .

JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE, 2014, 16

[4] Feasibility of fast MR-thermometry during cardiac radiofrequency ablation [J].

de Senneville, Baudouin Denis ;

Roujol, Sebastien ;

Jais, Pierre ;

Moonen, Chrit T. W. ;

Herigault, Gwenael ;

Quesson, Bruno .

NMR IN BIOMEDICINE, 2012, 25 (04) :556-562

[5] MR-Guided Thermotherapy of Abdominal Organs Using a Robust PCA-Based Motion Descriptor [J].

de Senneville, Baudouin Denis ;

Ries, Mario ;

Maclair, Gregory ;

Moonen, Chrit .

IEEE TRANSACTIONS ON MEDICAL IMAGING, 2011, 30 (11) :1987-1995

[6] Hybrid referenceless and multibaseline subtraction MR thermometry for monitoring thermal therapies in moving organs [J].

Grissom, William A. ;

Rieke, Viola ;

Holbrook, Andrew B. ;

Medan, Yoav ;

Lustig, Michael ;

Santos, Juan ;

McConnell, Michael V. ;

Pauly, Kim Butts .

MEDICAL PHYSICS, 2010, 37 (09) :5014-5026

[7] Generalized Autocalibrating Partially Parallel Acquisitions (GRAPPA) [J].

Griswold, MA ;

Jakob, PM ;

Heidemann, RM ;

Nittka, M ;

Jellus, V ;

Wang, JM ;

Kiefer, B ;

Haase, A .

MAGNETIC RESONANCE IN MEDICINE, 2002, 47 (06) :1202-1210

[8] MR Imaging-guided Electrophysiological Ablation Studies in Humans with Passive Catheter Tracking: Initial Results [J].

Grothoff, Matthias ;

Piorkowski, Christopher ;

Eitel, Charlotte ;

Gaspar, Thomas ;

Lehmkuhl, Lukas ;

Luecke, Christian ;

Hoffmann, Janine ;

Hildebrand, Lysann ;

Wedan, Steve ;

Lloyd, Thomas ;

Sunnarborg, Daniel ;

Schnackenburg, Bernhard ;

Hindricks, Gerhard ;

Sommer, Philipp ;

Gutberlet, Matthias .

RADIOLOGY, 2014, 271 (03) :695-702

[9]

Hansen MS, 2013, MAGN RESON MED, V69, P1768, DOI [10.1002/mrm.24389, 10.1002/mrm.24743]

[10] Towards optimized MR thermometry of the human heart at 3T [J].

Hey, S. ;

Cernicanu, A. ;

de Senneville, B. D. ;

Roujol, S. ;

Ries, M. ;

Jais, P. ;

Moonen, C. T. W. ;

Quesson, B. .

NMR IN BIOMEDICINE, 2012, 25 (01) :35-43

← 1 2 3 4 →