Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)

Abstract Precise control of tissue temperature during Laser-Induced Thermotherapy (LITT) procedures has the potential to improve the clinical efficiency and safety of such minimally invasive therapies. We present a method to automatically regulate in vivo the temperature increase during LITT using r...

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Main Authors: Manon Desclides, Valéry Ozenne, Pierre Bour, Thibaut Faller, Guillaume Machinet, Christophe Pierre, Stéphane Chemouny, Bruno Quesson
Format: Article
Language:English
Published: Nature Portfolio 2023-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-29818-z
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author Manon Desclides
Valéry Ozenne
Pierre Bour
Thibaut Faller
Guillaume Machinet
Christophe Pierre
Stéphane Chemouny
Bruno Quesson
author_facet Manon Desclides
Valéry Ozenne
Pierre Bour
Thibaut Faller
Guillaume Machinet
Christophe Pierre
Stéphane Chemouny
Bruno Quesson
author_sort Manon Desclides
collection DOAJ
description Abstract Precise control of tissue temperature during Laser-Induced Thermotherapy (LITT) procedures has the potential to improve the clinical efficiency and safety of such minimally invasive therapies. We present a method to automatically regulate in vivo the temperature increase during LITT using real-time rapid volumetric Magnetic Resonance thermometry (8 slices acquired every second, with an in-plane resolution of 1.4 mmx1.4 mm and a slice thickness of 3 mm) using the proton-resonance frequency (PRF) shift technique. The laser output power is adjusted every second using a feedback control algorithm (proportional-integral-derivative controller) to force maximal tissue temperature in the targeted region to follow a predefined temperature–time profile. The root-mean-square of the difference between the target temperature and the measured temperature ranged between 0.5 °C and 1.4 °C, for temperature increases between + 5 °C to + 30 °C above body temperature and a long heating duration (up to 15 min), showing excellent accuracy and stability of the method. These results were obtained on a 1.5 T clinical MRI scanner, showing a potential immediate clinical application of such a temperature controller during MR-guided LITT.
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spelling doaj.art-c6187742502e471dae31b63f1833e3e32023-03-22T11:16:37ZengNature PortfolioScientific Reports2045-23222023-02-0113111210.1038/s41598-023-29818-zReal-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)Manon Desclides0Valéry Ozenne1Pierre Bour2Thibaut Faller3Guillaume Machinet4Christophe Pierre5Stéphane Chemouny6Bruno Quesson7CNRS, CRMSB, UMR 5536, IHU Liryc, University of BordeauxCNRS, CRMSB, UMR 5536, IHU Liryc, University of BordeauxCertis TherapeuticsCertis TherapeuticsALPhANOVALPhANOVCertis TherapeuticsCNRS, CRMSB, UMR 5536, IHU Liryc, University of BordeauxAbstract Precise control of tissue temperature during Laser-Induced Thermotherapy (LITT) procedures has the potential to improve the clinical efficiency and safety of such minimally invasive therapies. We present a method to automatically regulate in vivo the temperature increase during LITT using real-time rapid volumetric Magnetic Resonance thermometry (8 slices acquired every second, with an in-plane resolution of 1.4 mmx1.4 mm and a slice thickness of 3 mm) using the proton-resonance frequency (PRF) shift technique. The laser output power is adjusted every second using a feedback control algorithm (proportional-integral-derivative controller) to force maximal tissue temperature in the targeted region to follow a predefined temperature–time profile. The root-mean-square of the difference between the target temperature and the measured temperature ranged between 0.5 °C and 1.4 °C, for temperature increases between + 5 °C to + 30 °C above body temperature and a long heating duration (up to 15 min), showing excellent accuracy and stability of the method. These results were obtained on a 1.5 T clinical MRI scanner, showing a potential immediate clinical application of such a temperature controller during MR-guided LITT.https://doi.org/10.1038/s41598-023-29818-z
spellingShingle Manon Desclides
Valéry Ozenne
Pierre Bour
Thibaut Faller
Guillaume Machinet
Christophe Pierre
Stéphane Chemouny
Bruno Quesson
Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)
Scientific Reports
title Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)
title_full Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)
title_fullStr Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)
title_full_unstemmed Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)
title_short Real-time automatic temperature regulation during in vivo MRI-guided laser-induced thermotherapy (MR-LITT)
title_sort real time automatic temperature regulation during in vivo mri guided laser induced thermotherapy mr litt
url https://doi.org/10.1038/s41598-023-29818-z
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