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Abstract #5000

Susceptibility artifacts during MR-guided laser interstitial thermal therapy: characterization and temperature-based control solutions

De Landro Martina1, Céline Giraudeau2, Juan Verde2, Khalid Ambarki3, Sanzhar Korganbayev1, Henrik Odeen4, Benoît Gallix2, and Paola Saccomandi1
1Politecnico di Milano, Milan, Italy, 2IHU Strasbourg, Institute of image-guided surgery, Strasbourg, France, 3Siemens Healthcare SAS, Saint Denis, France, 4University of Utah, Salt Lake City, UT, United States

Synopsis

Keywords: Interventional Devices, MR-Guided InterventionsThe use of Magnetic Resonance Thermometry (MRT) has been proposed to intraoperatively guide laser interstitial thermal therapy (LITT) thanks to its ability to provide multidimensional temperature measurements. PRF-based MRT thermometry holds significant benefits, but it is still limited by susceptibility artifacts that significantly affect the accuracy of measured temperature maps. These artifacts lead to a negative temperature distribution with a double-lobe shape around the laser applicator. In this work, artifacts appearing in MRT images during LITT and linked to magnetic field distortion related to susceptibility variations are characterized in ex-vivo livers. We further propose an approach to avoid their appearance.

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