STIR-UTE MRI Sequence for Cryoablation Temperature Delineation

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Solution Overview

Problem

Conventional MRI techniques for cryoablation procedures fail to accurately differentiate between tissue at lethal and non-lethal temperatures, leading to imprecise visualization and potential under or over-treatment of target tissues during cryoablation procedures.

Innovation Solution

The implementation of a short tau inversion recovery ultrashort echo time (STIR-UTE) MRI sequence, which selectively visualizes regions between -40°C and -8°C by utilizing specific inversion times based on the T1 relaxation time of frozen tissue, allowing for precise delineation of the lethal temperature zone.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Illumination intensity

If conventional MRI sequences with echo times greater than 500 msec are used, then all tissues below 0°C are displayed as dark, but the entire visualized dark region may not be at sufficient lethal temperature and may overestimate the actual ablated zone

Engineering Contradiction:
ImproveMRI signal intensityVSAvoidtemperature measurement precision
Core Design Contradiction:
Illumination intensityVSMeasurement precision

Solution Approach 1:

The patent changes the echo time parameter from conventional values (>500 msec) to ultrashort echo time (UTE) values. This parameter change enables the MRI sequence to capture signal from frozen tissue before complete signal loss occurs, allowing differentiation between lethal and non-lethal temperatures within the frozen region.

Inventive Principle:
Principle #35Parameter changes

Solution Approach 2:

The patent employs dynamic adjustment of inversion time (TI) values in the STIR-UTE sequence to selectively nullify signals from specific temperature ranges. By varying TI dynamically, the system can highlight different temperature zones within the ice ball, enabling precise visualization of the lethal temperature region.

Inventive Principle:
Principle #15Dynamics

2Measurement precision

If MR thermometry using ultrashort echo time MRI sequences is used to estimate temperature based on T2*, then temperature differentiation is possible, but multiple images at different TEs are required and signal changes are so minute that it is hard to differentiate the signal decay

Engineering Contradiction:
Improvetemperature measurement precisionVSAvoidimaging sequence complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent extracts and utilizes the T1 relaxation time property of frozen tissue specifically, rather than relying on T2* measurements that require multiple echo times. By focusing on T1-based STIR inversion recovery, the method simplifies the imaging approach while maintaining temperature differentiation capability.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent changes the fundamental relaxation time parameter measured from T2* (in conventional UTE) to T1 (in STIR-UTE). This parameter change simplifies the imaging sequence by requiring only a single echo time while maintaining the ability to differentiate temperatures through inversion time variations.

Inventive Principle:
Principle #35Parameter changes

3Measurement precision

If calculations of T2* based on multiple images at different TEs are performed, then temperature estimation is possible, but the calculations are difficult to perform when imaging in regions susceptible to physiological motion

Engineering Contradiction:
Improvetemperature measurement precisionVSAvoidmeasurement reliability
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The patent performs preliminary nulling of the frozen tissue signal using STIR inversion recovery before acquiring the UTE image. This preliminary action simplifies the subsequent image analysis by eliminating the need for complex T2* calculations and making the technique more robust to physiological motion.

Inventive Principle:
Principle #10Preliminary action

4Illumination intensity

If conventional MRI T1 or T2 weighted sequences are used, then the entire ice ball is shown as signal void, but the physician cannot depend on the visualized size and volume of the ice ball to determine correct tumor coverage and adequate treatment margins

Engineering Contradiction:
ImproveMRI signal intensityVSAvoidtemperature distribution information
Core Design Contradiction:
Illumination intensityVSLoss of information

Solution Approach 1:

The patent applies local quality enhancement by making specific temperature regions within the ice ball hyperintense while keeping other regions dark. The STIR-UTE sequence selectively highlights the lethal temperature zone (between -40°C and -8°C) through appropriate inversion time selection, providing localized temperature information within the frozen tissue.

Inventive Principle:
Principle #3Local quality

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables accurate visualization and measurement of the ablated tissue volume during cryoablation, ensuring adequate tumor coverage and minimizing damage to healthy tissue by providing real-time feedback on the extent of cell death.

Implementation Method 1

short tau inversion recovery ultrashort echo time (STIR-UTE) MRI sequence, which selectively visualizes regions between -40°C and -8°C by utilizing specific inversion times based on the T1 relaxation time of frozen tissue

Methodology Applied
Scientific EffectT1 relaxation:

Implementation Method 2

short tau inversion recovery ultrashort echo time (STIR-UTE) MRI sequence

Methodology Applied
Scientific EffectInversion recovery:

Implementation Method 3

Magnetic resonance imaging (MRI) is an attractive tool for monitoring cryoablation procedures

Methodology Applied
Scientific EffectMagnetic resonance:

Implementation Method 4

conventional MRI spin-lattice relaxation time (T1-) or spin-spin relaxation time (T2-) weighted sequences

Methodology Applied
Scientific EffectSpin-lattice relaxation:

Implementation Method 5

conventional MRI spin-lattice relaxation time (T1-) or spin-spin relaxation time (T2-) weighted sequences

Methodology Applied
Scientific EffectSpin-spin relaxation:

Data Source

PatentUS12011254B2System for and method of temperature-sensitive frozen tissue imaging for cryoablation monitoring
Publication Date: 2024.06.18 THE BRIGHAM & WOMEN S HOSPITAL INC
  • US12011254B2 patent drawing
  • US12011254B2 patent drawing
  • US12011254B2 patent drawing

AI summary

The present disclosure is directed to systems and methods for generating images using short tau inversion recovery, ultrashort echo time (STIR-UTE) MRI sequences. The STIR-UTE MRI sequences can be used to generate images that can differentiate between regions that are at temperatures that are either lethal or non-lethal to cell life. Thus, these sequences can be beneficial for implementations such as in monitoring cryoablation procedures.