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Abstract #4932

3D MR Thermometry Sequences for Abdominal Microwave Ablation Monitoring on Phantom Simulating Breathing Motion

Dominik Horstmann1,2, Bennet Hensen1,2, Othmar Belker1,2, Thomas Gerlach2,3, Moritz Gutt1,2, Simon Schröer1,2, Ivan Vogt2,3, Frank Wacker1,2, and Marcel Gutberlet1,2
1Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany, 2Research Campus STIMULATE, Magdeburg, Germany, 3Faculty of Electrical Engineering and Information Technology, Otto-von-Guericke University, Magdeburg, Germany

Synopsis

Keywords: MR-Guided Interventions, Thermometry

Motivation: 3D MR-thermometry enhances microwave ablation success by providing real-time temperature and ablation insights. However, clinical availability is limited due to challenges such as breathing motion and electromagnetic interferences.

Goal(s): Our study conducts 3D MR-thermometry comparing stack-of-stars and a stack-of-spirals sequences using a clinically approved generator and phantoms simulating breathing motion.

Approach: Temperature precision and precision of ablation zones of both sequences were compared.

Results: Stack-of-spirals sequence seems to be the superior MR-thermometry sequence. Dice scores of around 90 % and temperature precisions around 1°C were reached with very little image degradation due to motion or electromagnetic interferences.

Impact: Our study shows the possibility of motion robust 3D MR-thermometry using a clinically approved microwave generator. Future developments might provide real-time 3D MR thermometry during clinical abdominal thermal therapies, enhancing their success and increasing the total number of MR interventions.

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