Magnetic resonance thermometry for hyperthermia in the oropharynx region

Magnetic resonance thermometry (MRT) can measure in-vivo 3D-temperature changes in real-time and noninvasively. However, for the oropharynx region and the entire head and neck, motion potentially introduces large artifacts. Considering long treatment times of 60–90 min, this study aims to evaluate w...

Full description

Saved in:
Bibliographic Details
Main Authors: Theresa V. Feddersen, Juan A. Hernandez-Tamames, Margarethus M. Paulides, Michiel Kroesen, Gerard C. van Rhoon, Dirk H.J Poot
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:International Journal of Hyperthermia
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/02656736.2024.2352545
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841560909646921728
author Theresa V. Feddersen
Juan A. Hernandez-Tamames
Margarethus M. Paulides
Michiel Kroesen
Gerard C. van Rhoon
Dirk H.J Poot
author_facet Theresa V. Feddersen
Juan A. Hernandez-Tamames
Margarethus M. Paulides
Michiel Kroesen
Gerard C. van Rhoon
Dirk H.J Poot
author_sort Theresa V. Feddersen
collection DOAJ
description Magnetic resonance thermometry (MRT) can measure in-vivo 3D-temperature changes in real-time and noninvasively. However, for the oropharynx region and the entire head and neck, motion potentially introduces large artifacts. Considering long treatment times of 60–90 min, this study aims to evaluate whether MRT around the oropharynx is clinically feasible for hyperthermia treatments and quantify the effects of breathing and swallowing on MRT performance. A 3D-ME-FGRE sequence was used in a phantom cooling down and around the oropharynx of five volunteers over ∼75 min. The imaging protocol consisted of imaging with acceleration (ARC = 2), number of image averages (NEX = 1,2 and 3). For volunteers, the acquisitions included a breath-hold scan and scans with deliberate swallowing. MRT performance was quantified in neck muscle, spinal cord and masseter muscle, using mean average error (MAE), mean error (ME) and spatial standard deviation (SD). In phantom, an increase in NEX leads to a significant decrease in SD, but MAE and ME were unchanged. No significant difference was found in volunteers between the different scans. There was a significant difference between the regions evaluated: neck muscle had the best MAE (=1.96 °C) and SD (=0.82 °C), followed by spinal cord (MAE = 3.17 °C, SD = 0.92 °C) and masseter muscle (MAE = 4.53 °C, SD = 1.16 °C). Concerning the ME, spinal cord did best, then neck muscle and masseter muscle, with values of −0.64 °C, 1.15 °C and −3.05 °C respectively. Breathing, swallowing, and different ways of imaging (acceleration and NEX) do not significantly influence the MRT performance in the oropharynx region. The ROI selected however, leads to significant differences.
format Article
id doaj-art-9dafe38efd2549bfb0f2a019ac47980d
institution Kabale University
issn 0265-6736
1464-5157
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series International Journal of Hyperthermia
spelling doaj-art-9dafe38efd2549bfb0f2a019ac47980d2025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2352545Magnetic resonance thermometry for hyperthermia in the oropharynx regionTheresa V. Feddersen0Juan A. Hernandez-Tamames1Margarethus M. Paulides2Michiel Kroesen3Gerard C. van Rhoon4Dirk H.J Poot5Department of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the NetherlandsMagnetic resonance thermometry (MRT) can measure in-vivo 3D-temperature changes in real-time and noninvasively. However, for the oropharynx region and the entire head and neck, motion potentially introduces large artifacts. Considering long treatment times of 60–90 min, this study aims to evaluate whether MRT around the oropharynx is clinically feasible for hyperthermia treatments and quantify the effects of breathing and swallowing on MRT performance. A 3D-ME-FGRE sequence was used in a phantom cooling down and around the oropharynx of five volunteers over ∼75 min. The imaging protocol consisted of imaging with acceleration (ARC = 2), number of image averages (NEX = 1,2 and 3). For volunteers, the acquisitions included a breath-hold scan and scans with deliberate swallowing. MRT performance was quantified in neck muscle, spinal cord and masseter muscle, using mean average error (MAE), mean error (ME) and spatial standard deviation (SD). In phantom, an increase in NEX leads to a significant decrease in SD, but MAE and ME were unchanged. No significant difference was found in volunteers between the different scans. There was a significant difference between the regions evaluated: neck muscle had the best MAE (=1.96 °C) and SD (=0.82 °C), followed by spinal cord (MAE = 3.17 °C, SD = 0.92 °C) and masseter muscle (MAE = 4.53 °C, SD = 1.16 °C). Concerning the ME, spinal cord did best, then neck muscle and masseter muscle, with values of −0.64 °C, 1.15 °C and −3.05 °C respectively. Breathing, swallowing, and different ways of imaging (acceleration and NEX) do not significantly influence the MRT performance in the oropharynx region. The ROI selected however, leads to significant differences.https://www.tandfonline.com/doi/10.1080/02656736.2024.2352545Magnetic resonance thermometryMRThead and neckhyperthermiaPRFS
spellingShingle Theresa V. Feddersen
Juan A. Hernandez-Tamames
Margarethus M. Paulides
Michiel Kroesen
Gerard C. van Rhoon
Dirk H.J Poot
Magnetic resonance thermometry for hyperthermia in the oropharynx region
International Journal of Hyperthermia
Magnetic resonance thermometry
MRT
head and neck
hyperthermia
PRFS
title Magnetic resonance thermometry for hyperthermia in the oropharynx region
title_full Magnetic resonance thermometry for hyperthermia in the oropharynx region
title_fullStr Magnetic resonance thermometry for hyperthermia in the oropharynx region
title_full_unstemmed Magnetic resonance thermometry for hyperthermia in the oropharynx region
title_short Magnetic resonance thermometry for hyperthermia in the oropharynx region
title_sort magnetic resonance thermometry for hyperthermia in the oropharynx region
topic Magnetic resonance thermometry
MRT
head and neck
hyperthermia
PRFS
url https://www.tandfonline.com/doi/10.1080/02656736.2024.2352545
work_keys_str_mv AT theresavfeddersen magneticresonancethermometryforhyperthermiaintheoropharynxregion
AT juanahernandeztamames magneticresonancethermometryforhyperthermiaintheoropharynxregion
AT margarethusmpaulides magneticresonancethermometryforhyperthermiaintheoropharynxregion
AT michielkroesen magneticresonancethermometryforhyperthermiaintheoropharynxregion
AT gerardcvanrhoon magneticresonancethermometryforhyperthermiaintheoropharynxregion
AT dirkhjpoot magneticresonancethermometryforhyperthermiaintheoropharynxregion