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Automatic model-based evaluation of magnetic resonance-guided radio frequency ablation lesions with histological correlation

✍ Scribed by Roee S. Lazebnik; Michael S. Breen; Jonathan S. Lewin; David L. Wilson


Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
592 KB
Volume
19
Category
Article
ISSN
1053-1807

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✦ Synopsis


Abstract

Purpose

To develop a model‐based method for automatic evaluation of radio frequency (RF) ablation treatment using magnetic resonance (MR) images.

Materials and Methods

RF current lesions were generated in a rabbit thigh model using MR imaging (MRI) guidance. We created a 12‐parameter, three‐dimensional, globally deformable model with quadric surfaces that delineates lesion boundaries and is automatically fitted to MR grayscale data. We applied this method to in vivo T~2~‐ and contrast‐enhanced (CE) T~1~‐weighted MR images acquired immediately post‐ablation and four days later. We then compared results to manually segmented MR and three‐dimensional registered corresponding histological boundaries of cellular damage.

Results

Resulting lesions featured a two‐boundary appearance with an inner region and an outer hyperintense margin on MR images. For automated vs. manual MR boundaries, the mean errors over all specimens were 0.19 ± 0.51 mm and 0.27 ± 0.52 mm for the inner surface, and −0.29 ± 0.40 mm and −0.12 ± 0.17 mm for the outer surface, for T~2~‐ and CE T~1~‐weighted images, respectively. For automated vs. histological boundaries, mean errors over all specimens were 0.07 ± 0.64 mm and 0.33 ± 0.71 mm for the inner surface, and −0.27 ± 0.69 mm and 0.02 ± 0.43 mm for the outer surface, for T~2~‐ and CE T~1~‐weighted images, respectively. All boundary errors compared favorably to MR voxel dimensions, which were 0.7 mm in‐plane and 3.0 mm thick.

Conclusion

The method is accurate both in describing MR‐apparent boundaries and in predicting histological response and has applications in lesion visualization, volume estimation, and treatment evaluation. J. Magn. Reson. Imaging 2004;19:245–254. © 2004 Wiley‐Liss, Inc.