Poster électronique

Ablation radiofréquence multipolaire sous IRM de température à 1,5 Tesla : faisabilité sur foie sain de porc
M. Lepetit-Coiffe (1), A. Cernicanu (2), O. Seror (3), T. Stein (4), Y. Berber (1), M. Ries (1), C. Moonen (1), B. Quesson (1) - (1) Bordeaux - France, (2) Suresnes - France, (3) Bondy - France, (4) Teltow - Allemagne
Congrès 2010
Résumé
Objectifs
Etudier ex vivo et in vivo l'association d'un système d'ablation par radiofréquence multi-polaire et de l'imagerie de température par IRM pour fournir une prédiction de la taille de lésion RF réalisée pendant le traitement de larges tumeurs hépatiques (diamètre supérieur à 5 cm).
Matériels et méthodes
Un système commercial d'ablation par radiofréquence (Celon/Olympus, Teltow, Germany) fonctionnant à 475 kHZ a été filtréà la fréquence de l'IRM (63.5MHz pour Philips Achieva 1,5 Tesla) de sorte que 3 aiguilles RF (ex vivo) et 6 aiguilles RF (in vivo) bipolaires IRM compatibles (longueur = 1,5 cm) soient utilisées pour générer une lésion radiofréquence pendant l'acquisition. L'IRM de température synchronisée sur la respiration (20 cycles/min) consistait en une séquence écho de gradient–EPI FOV = 300x225 mm2, résolution spatiale = 3.1x3.1x5 mm3, TE/TR/FA = 15 ms/37 ms/25°, résolution temporelle = 830 ms/4 coupes.
Résultats
Les résultats macroscopiques étaient en accord avec la prédiction déduite de l'imagerie de température ainsi que de l'imagerie T1 post-ablation : la zone de coagulation thermique était homogène et de taille 4x3x3 cm3 (3 aiguilles-ex vivo) et de 9x7x4 cm3 (in vivo–6 aiguilles). Aucune dégradation du SNR de l'image de température n'a été observée bien que les couples d'électrodes RF alternent toutes les deux secondes.
Conclusion
L'ablation radiofréquence multipolaire suivie par IRM de température est faisable pour le traitement de larges zones dans le foie.
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2017-08-31 23.12 :
Shana Phillips

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