Gary Zientara from the Deparment of Radiology at Harvard Medical School is doing work similiar to our DDDAS and has brought two papers to our attention.
Project Title: Control System for MRI Monitored Thermal Therapies
PI Information: ZIENTARA, GARY P. firstname.lastname@example.org ASSOCIATE PROFESSOR OF RADIOLOGY
Abstract: DESCRIPTION (Verbatim from Applicant's Abstract): We propose to develop, implement, and validate use of a computerized control system for MR-monitored thermal therapies (interstitial laser thermal therapy and cryotherapy) that is to be attached to our 0.5T open configuration interventional MR scanner. The system will utilize 3D MRI information, providing audible and visual prior warning signals and an alarm signal at the therapy endpoint. We aim to directly answer the cancer treatment clinical need for accurate 3D spatial-temporal monitoring and control of tumor thermal therapies in heterogeneous tissue, currently beyond human capability, to guarantee patient safety while optimizing therapy effectiveness. Our proposed system will provide recognizable prior warning signals before the endpoint is reached, and an alarm signal at the instance when the thermal therapy endpoint occurs, as the thermal exposure level or therapy boundary meets or exceeds pre-defined 3D boundaries or safety limits. Specifically, our project consists of: (1) the integration of specially configured computer hardware into our interventional MR scanner electronics; (2) the development of a software package and user-interface for 3D monitoring and control of a thermal ablation therapy based on a physician-specified therapy volume boundary and exposure limit; (3) initial off-line system testing using gel phantoms and posttreatment human patient MRI data; and, (4) fully on-line real-time validation testing during tumor thermal therapies on our interventional MR scanner. Software will be developed or integrated into the system to provide state-of-the-art capability for monitoring and predicting evolving therapy margins and thermal exposure. In Software Module One, a monitoring and control system will be developed based on 3D optical flow, previously demonstrated as clinically useful in our hospital. In Software Module Two, a parallel predictive pathway will be created combining existing fast 3D data segmentation and heat conduction modeling software. In Trial Phase One, off-line (not in real-time) gel and 'virtual' patient tests will be performed and control case data acquired. Later, in Trial Phase Two, real-time validation trials will take place during clinical therapy cases, to study the accuracy, usefulness and timeliness of the system results when executing on the specific computer hardware chosen for implementation.
Public Health Relevance: This Public Health Relevance is not available.
Thesaurus Terms: computer assisted patient care, computer system design /evaluation, human therapy evaluation, neoplasm /cancer, neoplasm /cancer thermotherapy computer human interaction, computer program /software, computer system hardware, quality of life human data, magnetic resonance imaging
Institution: BRIGHAM AND WOMEN'S HOSPITAL RESEARCH ADMINISTRATION BOSTON, MA 02115
The paper, MRI monitoring of Laser Ablation Using Optical Flow,
G. P. Zientara, P. Saiviroonporn, P. R. Morrison, M. P. Fried, S. G. Hushek,
R. Kikinis, and F. A. Jolesz.
MRI Monitoring of Laser Ablation Using Optical Flow.
JOURNAL OF MAGNETIC RESONANCE IMAGING, 8(6):1306-1318, 1998.
[ bib ]
The optical flow method is used for visualizing and quantifying the dynamics of tissue changes observed by MRI during thermal ablations. An approach was implemented for parallel two-dimensional optical flow calculations including the replacement of spurious velocities. Velocity magnitude results were found to be accurate in low-noise cases in tests using series of synthetic images. Optical flow results are presented from thermal ablation experiments utilizing a homogeneous polyacrylamide gel phantom and heterogeneous rabbit liver tissue in vivo, exhibiting heating and cooling with the accompanying quantitative characterization of the dilation and contraction of the thermally affected region. Results demonstrate that optical flow is capable of noninvasive real-time monitoring and control of interstitial laser therapy (ILT).
S. Nahum Goldberg, J. William Charboneau, III Dodd, Gerald D., Damian E. Dupuy,
Debra A. Gervais, Alice R. Gillams, Robert A. Kane, Jr Lee, Fred T., Tito
Livraghi, John P. McGahan, Hyunchul Rhim, Stuart G. Silverman, Luigi
Solbiati, Thomas J. Vogl, and Bradford J. Wood.
Image-guided Tumor Ablation: Proposal for Standardization of Terms
and Reporting Criteria.
Radiology, 228(2):335-345, 2003.
[ bib |
The field of image-guided tumor ablation requires standardization of terms and reporting criteria to facilitate effective communication of ideas and appropriate comparison between treatments with different technologies, such as chemical ablation (ethanol or acetic acid) and thermal therapies, such as radiofrequency, laser, microwave, ultrasound, and cryoablation. On the basis of this premise, a working committee was established with the goal of producing a proposal on such standardization. The intent of the Working Group is to provide a framework that will facilitate the clearest communication between investigators and will provide the greatest flexibility in comparisons between the many new, exciting, and emerging technologies. The members of the Working Group now propose a vehicle for reporting the various aspects of image-guided ablation therapy, including classifications of therapies and procedures, appropriate descriptors of image guidance, and terms to define imaging and pathologic findings. Methods for standardizing the reporting of follow-up findings and complications and other important aspects that require attention when reporting clinical results are addressed. It is the group's hope and intention that adherence to the recommendations of this proposal will facilitate achievement of the group's main objective: improved precision and communication in this field that lead to more accurate comparison of technologies and results and ultimately to improved patient outcomes. (C) RSNA, 2003
This paper focuses on the same selling points as our DDDAS
Consider a time series of MR images with intensity values describes by the 4D function, Figure.
The equations are given as follows2.
In the presence of image noise at more stable optical flow solution is obtained by combining the brightness constancy assumption () with its derivative ().
This leads to an over determined system3.
A set of three results was presented:
In the experiments, a time series of 2D images were acquired in the plane of the optical fiber, 11 second acquisition time. This was a proof of concept study and all computations were done after the fact.
The computer used was a Connection Machine 2 made by Thinking Machine Corp. A few hardware specifications:
The verification problem involved essentially reproducing the velocities from the dilation of circle. The intensity profile fo the circle varied radially. The test case was constructed with series of images with a know velocity of the circle dilation. Results for the verification problem show good agreement within the central region of the circle (5-35 pixels).
The velocity vectors provide quantitative information about the motion and reshaping of the deforming regions, during heating and cooling. This information is unavailable in standard differences images, Figure 2B and 4B of the paper. However, numbers for the velocity magnitude were not provided.
The main goal of the paper was to demonstrate the potential of the optical flow method to automate the laser treatment process.
The comparison of the optical flow prediction to the observed 20% regions provides accurate results.
This provides a standardization of terms that should be used when communicating with the medical community. In particular, for our DDDAS project, the following points should be noted:
Using standard arguements and mapping back to material coordinates
Using div , implies
Finally, div gives ().