Intraprocedural diffusion-weighted PROPELLER MRI to guide percutaneous biopsy needle placement within rabbit VX2

Jie Deng1, Sumeet Virmani, Guang-Yu Yang

  • 1Department of Radiology, Northwestern University, Chicago, Illinois 60611, USA.

Abstract

Insights

Diffusion-weighted PROPELLER MRI effectively guides biopsy needles to target specific tumor tissues. This technique accurately differentiates viable and necrotic regions in liver tumors, aiding percutaneous procedures.

Area of Science:

  • Medical Imaging
  • Oncology
  • Interventional Radiology

Background:

  • Percutaneous interventional procedures require precise targeting of tumor tissues.
  • Differentiating viable from necrotic tumor regions is crucial for effective treatment and biopsy.
  • Diffusion-weighted magnetic resonance imaging (DW-MRI) offers functional information about tissue characteristics.

Purpose of the Study:

  • To evaluate the efficacy of diffusion-weighted periodically rotated overlapping parallel lines with enhanced reconstruction (DW-PROPELLER) MRI in guiding biopsy needle placement.
  • To determine if DW-PROPELLER can selectively target viable and necrotic tissues within VX2 rabbit liver tumors.
  • To assess the correlation between DW-PROPELLER apparent diffusion coefficient (ADC) measurements and histopathological tumor necrosis.

Main Methods:

  • Six rabbits with VX2 liver tumors underwent DW-PROPELLER MRI.
  • Baseline and intraprocedural scans were performed to measure ADC values.
  • Needle position was iteratively adjusted to target different tissue types (viable, necrotic, intermediate).
  • Histopathology was used to assess the percentage of tumor necrosis at the needle tip location.

Main Results:

  • DW-PROPELLER MRI clearly visualized intratumoral heterogeneity and needle tip position.
  • Mean ADC measurements at the needle tip showed a strong correlation with histopathologically assessed tumor necrosis.
  • The technique successfully guided the needle to target viable and necrotic tumor tissues.

Conclusions:

  • DW-PROPELLER MRI is an effective method for precise biopsy needle placement in liver tumors.
  • This technique allows selective targeting of viable and necrotic tumor tissues.
  • DW-PROPELLER may serve as a valuable tool for functional guidance in MR-guided percutaneous procedures.

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