1,149
Views
18
CrossRef citations to date
0
Altmetric
Research Article

Transcranial high intensity focused ultrasound therapy guided by 7 TESLA MRI in a rat brain tumour model: A feasibility study

, , , , , , , , & show all
Pages 598-608 | Received 17 Oct 2012, Accepted 25 Jun 2013, Published online: 13 Aug 2013

Figures & data

Figure 1. (A) MR-compatible positioning system; the transducer is at the centre of the image and a manual rotation and head--foot translation of the transducer is allowed by a dedicated chariot and a junction. Tooth and ear bars provide rigid stereotaxy under the transducer. (B) Full MRgFUS therapy set-up.

Figure 1. (A) MR-compatible positioning system; the transducer is at the centre of the image and a manual rotation and head--foot translation of the transducer is allowed by a dedicated chariot and a junction. Tooth and ear bars provide rigid stereotaxy under the transducer. (B) Full MRgFUS therapy set-up.

Table I. Characteristics of the different transducers studied.

Figure 2. T2 weighted images of the transducers on top of the rat head with the position and predicted extent of the corresponding focal spots. (A) Single element F/D = 1. (B) Single element F/D = 0.8.

Figure 2. T2 weighted images of the transducers on top of the rat head with the position and predicted extent of the corresponding focal spots. (A) Single element F/D = 1. (B) Single element F/D = 0.8.

Figure 3. Brain tumour model in rat (RG2 glioma) and its kinetic: contrast enhanced T1-weighted MR images. Enlarged, day 12, is highlighted the growth time/volume chosen for treatments.

Figure 3. Brain tumour model in rat (RG2 glioma) and its kinetic: contrast enhanced T1-weighted MR images. Enlarged, day 12, is highlighted the growth time/volume chosen for treatments.

Table II. In vivo experiments at 1.5 MHz (temperature rise at the focus estimated from MR thermometry data).

Figure 4. Effect of water cooling: MR thermometry in the focal and cortex planes.

Figure 4. Effect of water cooling: MR thermometry in the focal and cortex planes.

Table III. In vivo experiments at 1.5 MHz F/D = 0.8 (temperature rise at the focus estimated from MR thermometry data).

Figure 5. Different heating strategies with the 2.5 MHz transducer. (A) Single sonication at 4.33 MPa for 20 s. (B) Four sonications at 7.58 MPa, 2 s on 2 s off. (C) Two sonications at 7.58 MPa, 5 s on 5 s off. (D) Single sonication at 7.58 MPa for 7 s.

Figure 5. Different heating strategies with the 2.5 MHz transducer. (A) Single sonication at 4.33 MPa for 20 s. (B) Four sonications at 7.58 MPa, 2 s on 2 s off. (C) Two sonications at 7.58 MPa, 5 s on 5 s off. (D) Single sonication at 7.58 MPa for 7 s.

Table IV. In vivo experiments at 2.5 MHz F/D = 0.8 (temperature rise at the focus is estimated from MR thermometry data); 1–6 rats without tumours, 7–12 rats with tumours.

Table V. Summary of in vivo experiments.

Figure 6. Image correlations. (A) Thermal lesion in the healthy brain. (B) Thermal lesion in the brain tumour. The red arrows indicate the region of acoustic energy deposition. The black arrows indicate the tumour location. (1) T2-weighted MRI, (2) MR-ARFI before treatment, (3) MR thermometry map during treatment, (4) T2-weighted MRI after treatment, (5) macroscopic section of whole brain H&E.

Figure 6. Image correlations. (A) Thermal lesion in the healthy brain. (B) Thermal lesion in the brain tumour. The red arrows indicate the region of acoustic energy deposition. The black arrows indicate the tumour location. (1) T2-weighted MRI, (2) MR-ARFI before treatment, (3) MR thermometry map during treatment, (4) T2-weighted MRI after treatment, (5) macroscopic section of whole brain H&E.

Figure 7. (A) Thermal lesion in healthy brain (rat sacrificed 48 h after HIFU); (B) Thermal lesion in brain tumour (rat sacrificed 4 h after HIFU). (1) centre, (2) peripheral, (3) healthy brain, (4) untreated tumour.

Figure 7. (A) Thermal lesion in healthy brain (rat sacrificed 48 h after HIFU); (B) Thermal lesion in brain tumour (rat sacrificed 4 h after HIFU). (1) centre, (2) peripheral, (3) healthy brain, (4) untreated tumour.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.