Artifact Correction in Magnetic Resonance Temperature Imaging for Laser Interstitial Thermotherapy with Multi-echo Acquisitions

TL;DR

This paper introduces a multi-echo MRI method with new correction algorithms to improve temperature measurement accuracy during laser interstitial thermotherapy, reducing artifacts and enhancing reliability in vivo.

Contribution

It develops a multi-echo acquisition and correction algorithms to address signal voids and artifacts caused by T2* shortening and CSF pulsation, improving thermometry precision.

Findings

Effective correction of temperature errors due to signal loss.

Enhanced thermometry accuracy with smoother hotspot boundaries.

Better agreement of ablation areas with post-treatment imaging.

Abstract

In MRI-guided laser interstitial thermotherapy (MRgLITT), a signal void sometimes appears at the heating center of the measured temperature map. In neurosurgical MRgLITT treatments, cerebrospinal fluid pulsation (CSF), which may lead to temperature artifacts, also needs to be carefully managed. We find that signal loss in MR magnitude images can be one distinct contributor to the temperature imaging signal void. Therefore, this study aims to investigate this finding and more importantly. Also, this study intends to improve measurement accuracy by correcting CSF-induced temperature errors and employing a more reliable phase unwrapping algorithm. A gradient echo sequence with certain TE values for temperature imaging is used to quantify T2* variations during MRgLITT and to investigate the development of signal voids throughout the treatment. Informed by these findings, a multi-echo GRE sequence with appropriate TE coverage is employed. A multi-echo-based correction algorithm is developed to address the signal loss-induced temperature errors. A new phase unwrapping method and a new CSF pulsation correction approach are developed for multi-echo signal processing. The temperature imaging method is evaluated by gel phantom, ex-vivo, and in-vivo LITT heating experiments. T2* shortening during heating can be one important cause of the temperate imaging signal voids and this demands the multi-echo acquisition with varied TE values. The proposed multi-echo-based method can effectively correct signal loss-induced temperature errors and raise temperature estimation precision. The multi-echo thermometry in the in-vivo experiments shows smoother hotspot boundaries, fewer artifacts, and improved thermometry reliability. In the in-vivo experiments, the ablation areas estimated from the multi-echo thermometry also show satisfactory agreement with those determined from post-ablation MR imaging.