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Magnetic resonance-guided high-intensity ultrasound ablation of the prostate.

Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Research Abstract Details 

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  • Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Abstract Text:

    kim butts paulyKim Butts Pauly,chris j diederichChris J Diederich,viola riekeViola Rieke,donna bouleyDonna Bouley,jing chenJing Chen,will h nauWill H Nau,anthony b rossAnthony B Ross,adam m kinseyAdam M Kinsey,graham sommerGraham Sommer,

    OBJECTIVES: This paper describes our work in developing techniques and devices for magnetic resonance (MR)-guided high-intensity ultrasound ablation of the prostate and includes review of relevant literature. METHODS: Catheter-based high-intensity ultrasound applicators, in interstitial and transurethral configurations, were developed to be used under MR guidance. Magnetic resonance thermometry and the relevant characteristics and artifacts were evaluated during in vivo thermal ablation of the prostate in 10 animals. Contrast-enhanced MR imaging (MRI) and diffusion-weighted MRI were used to assess tissue damage and compared with histology. RESULTS: During evaluation of these applicators, MR thermometry was used to monitor the temperature distributions in the prostate in real time. Magnetic resonance-derived maximum temperature thresholds of 52 degrees C and thermal dose thresholds of 240 minutes were used to control the extent of treatment and qualitatively correlated well with posttreatment imaging studies and histology. The directional transurethral devices are selective in their ability to target well-defined regions of the prostate gland and can be rotated in discrete steps to conform treatment to prescribed boundaries. The curvilinear applicator is the most precise of these directional techniques. Multisectored transurethral applicators, with dynamic angular control of heating and no rotation requirements, offer a fast and less complex means of treatment with less selective contouring. CONCLUSIONS: The catheter-based ultrasound devices can produce spatially selective regions of thermal destruction in prostate. The MR thermal imaging and thermal dose maps, obtained in multiple slices through the target volume, are useful for controlling therapy delivery (rotation, power levels, duration). Contrast-enhanced T1-weighted MRI and diffusion-weighted imaging are useful tools for assessing treatment.

    Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Publishing Authors By Initials

    kb paulyKB Pauly,cj diederichCJ Diederich,v riekeV Rieke,d bouleyD Bouley,j chenJ Chen,wh nauWH Nau,ab rossAB Ross,am kinseyAM Kinsey,g sommerG Sommer,

    For similar abstracts research abstracts see: abstracts research

    PUBMED ID PMID:

    MEDLINE DATE:

    Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Journal Published:

    PUBLICATION TYPE: Review

    Journal: Topics in magnetic resonance imaging : TMRI

    VOLUME: 17

    Page Numbers: 195-207

    Journal Abbreviation:

    ISSN: 0899-3459

    DAY: 3

    MONTH: Jun

    YEAR: 2006

    Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 8913523

    Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Keywords Mesh Terms:

    KEYWORDS: Ultrasound, High-Intensity Focused, Tran

    MESH TERMS: methods

    Chemical & Substance for Abstract: Magnetic resonance-guided high-intensity ultrasound ablation of the prostate. Information

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    Grant and Affiliation Information for Magnetic resonance-guided high-intensity ultrasound ablation of the prostate.

    AFFILIATION: Department of Radiology, Stanford University, Stanford, CA 94305-5488, USA. kimbutts@stanford.edu

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NCI

    GRANT: R01 CA111981

    ACRONYM: CA

    MEDLINETA: Top Magn Reson Imaging

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