Journal
MAGNETIC RESONANCE IN MEDICINE
Volume 59, Issue 6, Pages 1365-1372Publisher
JOHN WILEY & SONS INC
DOI: 10.1002/mrm.21589
Keywords
thermal therapy; magnetic resonance; diffusion-weighted MRI; cryoablation; high-intensity ultrasound; prostate
Funding
- NCI NIH HHS [R01 CA111981, R01 CA092061] Funding Source: Medline
- NCRR NIH HHS [P41 RR009784] Funding Source: Medline
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For MR-guided minimally invasive therapies, it is important to have a repeatable and reliable tissue viability evaluation method. The use of diffusion-weighted MRI (DWI) to evaluate tissue damage was assessed in 19 canine prostates with cryoablation or high-intensity ultrasound (HIU) ablation. The apparent diffusion coefficient (ADC) trace value was measured in the treated tissue immediately upon the procedure and on the post-treatment follow-up. For the acute lesions, the ADC value decreased to (1.05 +/- 0.25) x 10(-3) mm(2)/s, as compared to (1.64 +/- 0.24) x 10(-3) mm(2)/s before the treatment. There was no statistical difference between previously frozen or previously ultrasound-heated lesions in terms of the 36% ADC reduction (P = 0.66). The ADC decrease occurred early during the course of the treatment, which appears to complicate DWI-based thermometry. Over time, the ADC value increased as the tissue recovered and regenerated. This study shows that DWI could be a promising method to monitor prostate thermal therapies and to provide insight on tissue damage and tissue remodeling after injury.
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