Irreversible electroporation (IRE) may be visualized by MRI immediately post-procedure to monitor and assess tissue response peri-operatively. Dynamic contrast-enhanced MRI (DCE-MRI) allows measurement of tissue perfusion. We will demonstrate that DCE-MRI allows early visualization of IRE ablated tissue margins for prediction of the ablated region and quantification of tissue response. 6 rabbits underwent IRE ablation of the liver and pre-IRE and post-IRE DCE-MRI. A decrease in post-IRE apparent diffusion coefficients in the ablated region compared with baseline indicates tissue damage. Post-IRE AUC is decreased compared with baseline, suggesting decreased but still present blood perfusion in the ablated region post-IRE.
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