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Abstract #4147

Characterization of Thermochemical Ablation Injections using 23 Na MRI

Florian Maier 1 , Erik N. K. Cressman 2 , Moritz C. Berger 1 , David Fuentes 3 , R. Jason Stafford 3 , Christopher J. MacLellan 3 , Reiner Umathum 1 , and Armin M. Nagel 1

1 Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2 Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States, 3 Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

Thermochemical ablation (TCA) provides a novel concept in minimally invasive ablative procedures in which two reactive solutions, such as acetic acid and sodium hydroxide, release heat as they react prior to entering the tissue as sodium acetate (NaOAc) solution. Besides thermal damage, additional damage is caused by the hyperosmolar environment after injection. In this work, 23 Na MRI is used to image NaOAc distributions to provide more detailed insight for effective delivery. 23 Na MRI of TCA injections will facilitate a platform for the design and optimization of applicators as well as development and validation of computational models, and progress towards clinical translation.

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