# Advanced Treatment Endpoint Assessment in MR-guided Focused Ultrasound

> **NIH NIH R03** · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · 2020 · $76,250

## Abstract

ABSTRACT
Tissue ablation during thermal therapies, such as focused ultrasound (FUS), result in tissue
necrosis and irreversible changes in cell- and macromolecular-structure. The success of thermal
therapies is defined in terms of adequately treating the desired target while sparing surrounding
normal tissues. This demands methods for accurately determining tissue viability in real time so
that treatments be efficacious, efficient and safe. Imaging methods that can detect irreversible
tissue changes correlated to long-term effects are crucial for endpoint assessment and the general
success and wide adoption of thermal therapies. The MR temperature imaging methods currently
used are not always accurate, and the addition of other independent measurements of tissue
viability are needed . In this application, we propose to develop and test a novel MRI pulse
sequence to simultaneously measure four MR-derived parameters sensitive to tissue damage. Our
sequence will first measure maps of the proton resonance frequency shift, from which temperature
change and cumulative thermal dose can be calculated. Simultaneously, it measures the T1-
relaxation time, which indicates temperature change in fat and evidence of fluid change at the
point of ablation, as well as shear wave velocity, a direct measure of tissue stiffness, which often
changes with ablation. T1 relaxation is measured using a novel mono flip angle approach we
recently developed. The PRF shift and shear wave velocity are encoded in the MR phase images,
and can be separated using novel methods we have developed. Because of the simultaneous
acquisition, these properties are automatically co-registered providing substantially more
information about the evolving FUS-induced tissue changes than what is currently available. The
addition of T1-mapping and shear modulus measurements will enable evaluations in adipose
tissues, where the PRF method does not work, allowing for more complete evaluations in areas
such as the breast and abdomen. The proposed project will immediately benefit our current
complementary work in performing first-in-human breast MR-guided FUS treatments with our
novel hardware that enables high signal-to-noise ratio image acquisition. This work is an important
step towards our long-term goal of developing comprehensive real time measurements that can
accurately monitor and predict tissue viability during and following MRgFUS.

## Key facts

- **NIH application ID:** 9877460
- **Project number:** 1R03EB029204-01
- **Recipient organization:** UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH
- **Principal Investigator:** Henrik Carl Axel Odeen
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $76,250
- **Award type:** 1
- **Project period:** 2020-03-01 → 2021-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9877460

## Citation

> US National Institutes of Health, RePORTER application 9877460, Advanced Treatment Endpoint Assessment in MR-guided Focused Ultrasound (1R03EB029204-01). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9877460. Licensed CC0.

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