Visualization of thermal washout due to spatiotemporally heterogenous perfusion in the application of a model-based control algorithm for MR-HIFU mediated hyperthermia

Autor: Pia Rademann, Edwin Heijman, D.A. Deenen, Patrick Schmidt, Holger Grüll, L. Sebeke, Bram de Jager, Alexandra C. Maul, Sin Yuin Yeo, Juan Daniel Castillo Gómez, Wpmh Maurice Heemels
Přispěvatelé: Computational Biology, Group Heemels, Control Systems Technology, Group Steinbuch, EAISI Mobility, EAISI Foundational
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Hyperthermia, Vol 38, Iss 1, Pp 1174-1187 (2021)
International Journal of Hyperthermia, 38(1), 1174-1187. Informa Healthcare
ISSN: 0265-6736
DOI: 10.1080/02656736.2021.1933616
Popis: Purpose: This article will report results from the in-vivo application of a previously published model-predictive control algorithm for MR-HIFU hyperthermia. The purpose of the investigation was to test the controller’s in-vivo performance and behavior in the presence of heterogeneous perfusion. Materials and methods: Hyperthermia at 42°C was induced and maintained for up to 30 min in a circular section of a thermometry slice in the biceps femoris of German landrace pigs (n=5) using a commercial MR-HIFU system and a recently developed MPC algorithm. The heating power allocation was correlated with heat sink maps and contrast-enhanced MRI images. The temporal change in perfusion was estimated based on the power required to maintain hyperthermia. Results: The controller performed well throughout the treatments with an absolute average tracking error of 0.27 ± 0.15 °C and an average difference of 1.25 ± 0.22 °C between (Formula presented.) and (Formula presented.) The MPC algorithm allocates additional heating power to sub-volumes with elevated heat sink effects, which are colocalized with blood vessels visible on contrast-enhanced MRI. The perfusion appeared to have increased by at least a factor of ∼1.86 on average. Conclusions: The MPC controller generates temperature distributions with a narrow spectrum of voxel temperatures inside the target ROI despite the presence of spatiotemporally heterogeneous perfusion due to the rapid thermometry feedback available with MR-HIFU and the flexible allocation of heating power. The visualization of spatiotemporally heterogeneous perfusion presents new research opportunities for the investigation of stimulated perfusion in hypoxic tumor regions.
Databáze: OpenAIRE