Predicting liver ablation volumes with real-time MRI thermometry
2024

Predicting Liver Ablation Volumes with MRI Thermometry

Sample size: 24 publication Evidence: high

Author Information

Author(s): Öcal Osman, Dietrich Olaf, Lentini Sergio, Bour Pierre, Faller Thibaut, Ozenne Valery, Maier Florian, Fabritius Matthias Philipp, Puhr-Westerheide Daniel, Schmidt Vanessa F., Öcal Elif, Seidensticker Ricarda, Wildgruber Moritz, Ricke Jens, Seidensticker Max

Primary Institution: Department of Radiology, University Hospital, LMU Munich, Munich, Germany

Hypothesis

This study aims to evaluate the correlation of real-time MR thermometry-predicted lesion volume with the ablation zone in postprocedural first-day images.

Conclusion

Real-time thermal dose-predicted volumes show very good correlation with the ablation zone volumes in images obtained 1 day after the procedure.

Supporting Evidence

  • Out of 30 patients with 33 lesions, 24 patients with 27 lesions were evaluated for volume correlation.
  • The volume of thermal dose-predicted lesions and the postprocedural first-day ablation zones showed a strong correlation (R = 0.89).
  • Visual similarity of MR thermometry-predicted shape and the ablation zone shape was graded as perfect in 85.1% of lesions.

Takeaway

Doctors used special MRI technology to see how well they treated liver tumors right after the procedure, helping them know if they did a good job.

Methodology

This was a single-center retrospective analysis of patients who underwent MRI-guided microwave ablation with real-time thermometry.

Limitations

Some lesions were excluded due to artifacts and other procedural issues, which may affect the generalizability of the results.

Participant Demographics

24 patients (20 males, 4 females; mean age 63.1 years) with various types of liver tumors.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI, 0.778–0.950

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1016/j.jhepr.2024.101199

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