{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:59:52Z","timestamp":1784617192704,"version":"3.55.0"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:00:00Z","timestamp":1605052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["NIH T32 HL 007284"],"award-info":[{"award-number":["NIH T32 HL 007284"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006599","name":"Focused Ultrasound Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006599","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000070","name":"National Institute of Biomedical Imaging and Bioengineering","doi-asserted-by":"publisher","award":["R01 EB028773"],"award-info":[{"award-number":["R01 EB028773"]}],"id":[{"id":"10.13039\/100000070","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Magnetic Resonance in Med"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Intraoperative T\n                      <jats:sub>2<\/jats:sub>\n                      \u2010weighted (T2\u2010w) imaging unreliably captures image contrast specific to thermal ablation after transcranial MR\u2010guided focused ultrasound surgery, impeding dynamic imaging feedback. Using a porcine thalamotomy model, we test the unproven hypothesis that intraoperative DWI can improve dynamic feedback by detecting lesioning within 30 minutes of transcranial MR\u2010guided focused ultrasound surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010five thermal lesions were formed in six porcine models using a clinical transcranial MR\u2010guided focused ultrasound surgery system. A novel diffusion\u2010weighted pulse sequence monitored the formation of T2\u2010w and diffusion\u2010weighted lesion contrast after ablation. Using postoperative T2\u2010w contrast to indicate lesioning, apparent intraoperative image contrasts and diffusion coefficients at each lesion site were computed as a function of time after ablation, observed peak temperature, and observed thermal dose. Lesion sizes segmented from imaging and thermometry were compared. Image reviewers estimated the time to emergence of lesion contrast. Intraoperative image contrasts were analyzed using receiver operator curves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      On average, the apparent diffusion coefficient at lesioned sites decreased within 5 minutes after ablation relative to control sites. In\u2010plane lesion areas on intraoperative DWI varied from postoperative T2\u2010w MRI and MR thermometry by\n                      <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mrm28537-math-0001.png\" xlink:title=\"urn:x-wiley:07403194:media:mrm28537:mrm28537-math-0001\"\/>\n                      mm\n                      <jats:sup>2<\/jats:sup>\n                      and\n                      <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/mrm28537-math-0002.png\" xlink:title=\"urn:x-wiley:07403194:media:mrm28537:mrm28537-math-0002\"\/>\n                      mm\n                      <jats:sup>2<\/jats:sup>\n                      , respectively. The 0.25, 0.5, and 0.75 quantiles of the earliest times of observed T2\u2010w and diffusion\u2010weighted lesion contrast were 10.7, 21.0, and 27.8 minutes and 3.7, 8.6, and 11.8 minutes, respectively. The T2\u2010w and diffusion\u2010weighted contrasts and apparent diffusion coefficient values produced areas under the receiver operator curve of 0.66, 0.80, and 0.74, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Intraoperative DWI can detect MR\u2010guided focused ultrasound surgery lesion formation in the brain within several minutes after treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mrm.28537","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T05:40:33Z","timestamp":1605073233000},"page":"2145-2159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A preclinical study of diffusion\u2010weighted MRI contrast as an early indicator of thermal ablation"],"prefix":"10.1002","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4778-8168","authenticated-orcid":false,"given":"Steven P.","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Prada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Fondazione IRCCS Istituto Neurologico C. 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