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John D Hazle

Publications and source records attributed to John D Hazle.

14 recordsLinked to original sources
PubMed2006

Fat-suppressed three-dimensional dual echo Dixon technique for contrast agent enhanced MRI.

PURPOSE: To develop a fast T1-weighted, fat-suppressed three-dimensional dual echo Dixon technique and to demonstrate its use in contrast agent enhanced MRI. MATERIALS AND METHODS: A product fast three-dimensional gradient echo pulse sequence was modified to acquire dual echoes after each RF excitation with water and fat signals in-phase (IP) and opposed-phase (OP), respectively. An on-line reconstruction algorithm was implemented to automatically generate separate water and fat images. The signal to noise ratio (SNR) of the new technique was compared to that of the product technique in phantom. In vivo abdomen and breast images of cancer patients were acquired at 1.5 Tesla using both techniques before and after intravenous administration of gadolinium contrast agent. RESULTS: In phantom, the new technique yields a close to the theoretically predicted 41% increase in SNR in comparison to the product technique without fat suppression (FS). In vivo images of the new technique show noticeably improved FS and image quality in comparison to the images acquired of the same patients using the product technique with FS. CONCLUSION: The three-dimensional dual echo Dixon technique provides excellent image quality and can be used for T1-weighted, fat-suppressed imaging with contrast agent injection.

Algorithms↗
PubMed2006

Design and performance characteristics of a digital flat-panel computed tomography system.

Computed tomography (CT) applications continue to expand, and they require faster data acquisition speeds and improved spatial resolution. Achieving isotropic resolution, by means of cubic voxels, in combination with longitudinal coverage beyond 20 mm would represent a substantial advance in clinical CT because few commercially available scanners are capable of this at present. To achieve this goal, a prototype CT system incorporating a movable array of 20 cm X 20 cm, 200-microm-pitch amorphous silicon flat-panel x-ray detectors and a conventional CT x-ray source was constructed at the General Electric Global Research Center and performance tested at The University of Texas M. D. Anderson Cancer Center. The device was designed for preclinical imaging applications and has a scan field of 13 to 33 cm, with a magnification of 1.5. Image quality performance measurements, such as spatial and contrast resolutions, were obtained using both industry standard and custom phantoms. Spatial resolution, quantified by the system's modulation transfer function, indicated improvement by a factor of 2.5 to 5 in isotropic spatial resolution over current commercially available systems, with 10% modulation transfer function modulations at frequencies from 19 to 31 lp/cm. Low-contrast detectability results were obtained from industry-standard phantoms and were comprised of embedded contrast regions of 0.3%, 0.5%, and 1.0% over areas of several mm2. Performance was sufficient to easily distinguish 1.0% contrast regions down to 2 mm in diameter relative to the background. On the basis of scans of specialized hydroxyapatite phantoms, the system response is extremely linear (R2=0.990) in bone-equivalent density regimens. Standard CT dose index CTDI100 and CTDIw measurements were also conducted to assess dose delivery using a 16-cm-CTDI phantom and a 120 kV 120 mAs scan technique. The CTDIw ranged from 30 mGy (one-panel mode) to 113 mGy (two-panel mode) for this system. Lastly, several in vivo canine and murine samples were examined, and preliminary results from these scans are presented. On the basis of our results, it is clear that flat-panel-based CT scanners are useful for high-contrast high-resolution clinical applications, providing up to a 20-fold increase in volumetric resolution over most commercially available scanners.

Contrast Media↗
PubMed2005

Partially parallel imaging with phase-sensitive data: Increased temporal resolution for magnetic resonance temperature imaging.

Magnetic resonance temperature imaging can be used to monitor the progress of thermal ablation therapies, increasing treatment efficacy and improving patient safety. High temporal resolution is important when therapies rapidly heat tissue, but many approaches to faster image acquisition compromise image resolution, slice coverage, or phase sensitivity. Partially parallel imaging techniques offer the potential for improved temporal resolution without forcing such concessions. Although these techniques perturb image phase, relative phase changes between dynamically acquired phase-sensitive images, such as those acquired for MR temperature imaging, can be reliably measured through partially parallel imaging techniques using reconstruction filters that remain constant across the series. Partially parallel and non-accelerated phase-difference-sensitive data can be obtained through arrays of surface coils using this method. Average phase differences measured through partially parallel and fully Fourier encoded images are virtually identical, while phase noise increases with g(sqrt)L as in standard partially parallel image acquisitions..

Animals↗
PubMed2005

Canine transmissible venereal tumor: a large-animal transplantable tumor model.

The canine transplantable venereal tumor is a naturally occurring transplantable round-cell tumor in dogs. Although experimental transplantable tumor models in rodents and rabbits are readily available, a reliable transplantable tumor model in a large animal that more closely resembles the physical dimensions of humans has not been available. A tumor model in a large animal would have a wide range of biomedical research applications, including the study of various interventional imaging techniques. In this report, we characterize the experimental transplantation of the canine transmissible venereal tumor in the brain, skin, muscle, prostate, lung, liver, and bone of dogs and provide X-ray computed tomographic and magnetic resonance imaging characteristics of the tumors in the brain, muscle, lung, and prostate.

Animals↗
PubMed2004

Interleaved echo-planar imaging for fast multiplanar magnetic resonance temperature imaging of ultrasound thermal ablation therapy.

PURPOSE: To develop a multiplanar magnetic resonance temperature imaging (MRTI) technique based on interleaved gradient-echo echo-planar imaging (EPI), verify in phantom, develop software tools to process and display data on a clinical scanner in near real-time, and demonstrate feasibility to monitor ultrasound thermal ablation therapy in vivo. MATERIALS AND METHODS: Temperature estimation used complex phase-difference subtraction of the EPI MRTI data to indirectly measure the temperature-dependent water proton-resonance-frequency shift. Software tools were developed to run on a clinical 1.5-T MR scanner that processed and displayed relevant temperature and thermal dosimetry data during the course of thermal ablation treatments in canine brain and prostate in vivo. RESULTS: EPI MRTI provided multi-planar acquisitions and increased temperature sensitivity and lipid suppression. Relative to a single-plane fast gradient-echo MRTI sequence at comparable spatial and temporal resolutions in phantom, EPI MRTI demonstrated a three-fold increase in sensitivity and slice coverage per TR. In vivo monitoring of ultrasound thermal ablation therapy in canine brain and prostate demonstrated the usefulness of the temperature and thermal dose information. CONCLUSION: Multi-planar MRTI allowed progression of thermal damage to be monitored and treatment parameters adjusted in near real-time (less than five second delay). EPI MRTI is an effective multi-planar monitoring method during ultrasound thermal ablation procedures.

Animals↗
PubMed2004

MR thermometry-based feedback control of laser interstitial thermal therapy at 980 nm.

BACKGROUND AND OBJECTIVES: The goal of this study was to explore the feasibility of magnetic resonance thermal imaging (MRTI)-based feedback control of intracerebral laser interstitial thermal therapy (LITT), using a computer workstation and 980-nm diode laser interfaced to an MR scanner. STUDY DESIGN/MATERIALS AND METHODS: A computer-controlled laser thermal therapy system was used to produce 12 ex vivo lesions in 3 canine and porcine brains and 16 in vivo lesions in 6 canines with diffusing tip fiberoptic applicators and energies from 54 to 900 J. MRTI predictions of thermal damage were correlated with histopathologic analysis. RESULTS: Under feedback control, no carbonization, vaporization, or applicator damage was observed. MRTI-based prediction of thermal dose was not significantly different from histological evaluation of achieved thermal necrosis. CONCLUSIONS: The computer-controlled thermal therapy system was effective at regulating heating, eliminating carbonization and vaporization, and protecting fiberoptic applicators. MRTI estimation of thermal dose accurately predicted achieved thermal necrosis.

Animals↗
PubMed2004

Thermal therapy of canine cerebral tumors using a 980 nm diode laser with MR temperature-sensitive imaging feedback.

BACKGROUND AND PURPOSE: The laser-induced thermal therapy (LITT) of cerebral tumors has conventionally been performed using Nd:YAG lasers and is associated with a risk of high focal temperatures potentially followed by cavitation that could result in boiling and/or explosive char. We have developed small diffusing laser fiber tips to better distribute the energy deposition and a computer controlled feedback system to monitor therapy and prevent excess temperature buildup. In this study, we evaluated the feasibility of using magnetic resonance temperature imaging (MRTI)-based feedback system for the thermal treatment of experimental intracerebral tumors using 980 nm laser irradiation delivered through these diffusing tips. STUDY DESIGN/MATERIALS AND METHODS: Transmissible venereal tumors (TVTs) were grown via inoculation in the right cerebral hemisphere of seven canines. The laser fiber tips were inserted into a total of 10 independent TVT-suspected regions in the seven animals. Margins for the target area in each animal were prescribed on the basis of pretreatment MR images. MRTI-based feedback software was used to measure and regulate both temperature and the delivered thermal dose to achieve the desired thermal ablation and prevent excess heating. The effects of treatment were verified by results of histologic analyses. RESULTS: Treatments resulted in contiguous areas of thermal necrosis in tumors and adjacent brain margin. The feedback software successfully cut off the laser power once the desired treatment volume was achieved, and prevented focal temperatures from exceeding predefined thresholds. Follow-up MRI studies showed 1.4- to 2.9-fold LITT-induced lesion expansion within 1-6 days after treatment. CONCLUSIONS: Targeted thermal coagulation of small intracerebral tumors is feasible using MRTI-based feedback and diffused 980 nm diode laser light.

Animals↗
PubMed2003

Improved detection of metastases on magnetic resonance images by digital tissue recognition: validation using VX-2 tumor in the rabbit.

PURPOSE: To evaluate the ability of a prototype digital tissue recognition (DTR) system to improve the accuracy of detection of metastases on magnetic resonance (MR) images in the rabbit VX-2 tumor model. MATERIALS AND METHODS: Multiple MR imaging (MRI) sequences, including pre-contrast and post-contrast enhanced T1-weighted, T2-weighted, proton-density, and fast short inversion time inversion recovery (FSTIR), were acquired for six rabbits implanted with VX-2 adenocarcinoma. For each rabbit, DTR used the MR intensity characteristics of a known tumor site to highlight other areas suspicious for tumor. Three independent veterinary radiologists with extensive experience in animal MRI interpreted the images for tumor both without and with the results of DTR. The conventional and DTR-assisted interpretations were compared to pathology. RESULTS: Using DTR, the radiologists found an average of 13.2% more true positive sites with a 10.3% reduction in false positives compared to unassisted interpretation. The improvement for the radiologists was statistically significant (McNemar's test, P = 0.0004). The agreement between radiologists using DTR was consistently higher than for their conventional interpretations (kappa statistic). CONCLUSION: Compared with conventional interpretation of MR images, the use of DTR provided a statistically significant improvement in the accuracy of locating more and smaller sites of tumor. This improvement was achieved without the benefit of post-contrast images.

Adenocarcinoma↗
PubMed2003

Dynamic gadolinium uptake in thermally treated canine brain tissue and experimental cerebral tumors.

RATIONALE AND OBJECTIVES: Thermal coagulation of cerebral tumors induces reactive changes within adjacent brain tissue, which appear as Gd-DTPA enhancement in MR images. This makes assessment of therapeutic success difficult to establish radiographically because the reactive changes can mimic residual tumor. Dynamic Gd-DTPA uptake curves in reactive tissue and tumor were investigated to assess the utility of contrast enhanced (CE)-dynamic MRI to distinguish reactive changes from residual tumor in a canine model. MATERIALS AND METHODS: Cerebral thermal necrosis was induced using a 980 nm laser in 11 dogs with intracerebral transmissible venereal tumors (TVTs). A fast spin-echo T1-weighted imaging sequence was used for CE-dynamic MRI. Gd-DTPA uptake data were acquired with 10-second temporal resolution and for untreated TVTs for reactive tissue using a sigmoidal-exponential model. RESULTS: Characteristic gadolinium uptake curves were measured and characterized for reactive brain tissue, and untreated and treated TVTs. Both early and delayed dynamic responses were significantly different in reactive brain tissue compared with TVT. CONCLUSION: Reactive thermal changes in otherwise normal brain tissue can be distinguished from residual tumor after cerebral thermal therapy using CE-dynamic MRI.

Animals↗
PubMed2002

Magnetic resonance imaging-guided focused ultrasound thermal therapy in experimental animal models: correlation of ablation volumes with pathology in rabbit muscle and VX2 tumors.

PURPOSE: To further investigate the use of magnetic resonance-guided focused ultrasound therapy (MRgFUS) as a noninvasive alternative to surgery in the local control of soft-tissue tumors by ablating prescribed volumes of VX2 rabbit tumors and comparing with ablation of normal tissue volumes. MATERIALS AND METHODS: Small, ellipsoidal ablations at shallow depth were created using 5- to 15-second sonication pulses at radio frequency (RF) powers of 50-125 W using a spherical, air-backed transducer operating at 1.463 MHz under MR guidance in a 1.5-T clinical scanner. RESULTS: Excellent correlation was observed between prescribed treatment volumes, MR thermal dosimetry, post-treatment verification MRI, and histopathology. Multifocal ablations of VX2 tumors in rabbits at depths of up to 2.5 cm resulted in complete ablation of the prescribed treatment volume. CONCLUSION: MRgFUS is an effective technique for treating tumors in vivo. Techniques developed for treatments in homogeneous tissue volumes are applicable in the more complicated tumor environment if MR temperature feedback is available to modify treatment delivery parameters.

Animals↗
PubMed2002

MRI-guided thermal therapy of transplanted tumors in the canine prostate using a directional transurethral ultrasound applicator.

PURPOSE: To evaluate MRI-based techniques for visual guidance, thermal monitoring, and assessment during transurethral ultrasound thermal therapy of implanted tumors in an in vivo canine prostate model. MATERIALS AND METHODS: Transmissible venereal tumors (TVT) were grown in the right lobe of the prostate in four dogs. High-temperature thermal therapy was selectively applied to the tumor-bearing lobe using a transurethral ultrasound applicator with a 180 degrees directional heating pattern. Temperature-sensitive MRI (MRTI) using a fast interleaved gradient-echo echo-planar (iGE-EPI) imaging sequence was used for cumulative thermal dose calculations in multiple image planes during the treatment. The results from MRTI-based dose maps and post-treatment MRI were compared to those from histologic analysis. RESULTS: MRTI monitoring in multiple planes across the prostate guided the use and control of a directive ultrasound applicator for the selective ablation of the sections of the prostate that contained implanted tumors. Findings in gadolinium enhanced MRI obtained immediately after thermal therapy slightly underestimated the size of tissue necrosis after treatment, as verified by histopathologic analysis. CONCLUSION: The use of multiplanar MRTI with a transurethral ultrasound applicator shows significant potential for selective thermal ablation of prostate tumor and tissue.

Animals↗
PubMed2002

Multiplanar MR temperature-sensitive imaging of cerebral thermal treatment using interstitial ultrasound applicators in a canine model.

PURPOSE: To study the feasibility of an interleaved gradient-echo, echo-planar imaging (iGE-EPI) sequence for multiplanar magnetic resonance temperature imaging (MRTI) to monitor intracerebral thermal treatment three-dimensionally using multielement ultrasound applicators. MATERIALS AND METHODS: Transmissible venereal tumor (TVT) fragments were injected into the right cerebral hemisphere of five dogs. Guided by MRI, an interstitial ultrasound applicator was inserted into the tumor or normal brain tissue. The iGE-EPI sequence was used to estimate temperature changes by computing the complex phase-difference induced by temperature-dependent shifts in the proton resonance frequency of water. The thermal dose maps were updated every 6-8 seconds for five to seven image planes during treatment. The results of MRTI were compared with those of post-treatment MRI and histologic analysis. RESULTS: The multiplanar MRTI monitored temperature and thermal dose distributions in tumor and normal brain tissue over the entire user-defined treatment volume. The ultrasound applicators produced contiguous areas of coagulative necrosis, resulting in 1.5-4.0 cm(3) volumes of tissue necrosis. MRTI-based assessments of thermal-dose distributions were consistent with the results of post-treatment MRI and histologic analysis. CONCLUSION: Multiplanar MRTI is feasible for measuring necrosing thermal doses during intracerebral thermal delivery by interstitial ultrasound applicators.

Animals↗
PubMedDate not supplied

Optimizing heat shock protein expression induced by prostate cancer laser therapy through predictive computational models.

Thermal therapy efficacy can be diminished due to heat shock protein (HSP) induction in regions of a tumor where temperatures are insufficient to coagulate proteins. HSP expression enhances tumor cell viability and imparts resistance to chemotherapy and radiation treatments, which are generally employed in conjunction with hyperthermia. Therefore, an understanding of the thermally induced HSP expression within the targeted tumor must be incorporated into the treatment plan to optimize the thermal dose delivery and permit prediction of the overall tissue response. A treatment planning computational model capable of predicting the temperature, HSP27 and HSP70 expression, and damage fraction distributions associated with laser heating in healthy prostate tissue and tumors is presented. Measured thermally induced HSP27 and HSP70 expression kinetics and injury data for normal and cancerous prostate cells and prostate tumors are employed to create the first HSP expression predictive model and formulate an Arrhenius damage model. The correlation coefficients between measured and model predicted temperature, HSP27, and HSP70 were 0.98, 0.99, and 0.99, respectively, confirming the accuracy of the model. Utilization of the treatment planning model in the design of prostate cancer thermal therapies can enable optimization of the treatment outcome by controlling HSP expression and injury.

Animals↗