{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T19:16:33Z","timestamp":1771355793560,"version":"3.50.1"},"reference-count":39,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006313","name":"Barncancerfonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006313","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016412","name":"Mary B\u00e9ves Stiftelse f\u00f6r Barncancerforskning","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016412","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Joanna Cocozza Foundation for Children's"},{"name":"ALF"},{"name":"Research Support in the Field of Cancer at Link\u00f6ping University\/County Council of \u00d6sterg\u00f6tland"},{"DOI":"10.13039\/501100017018","name":"Wallenberg Centre for Molecular and Translational Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017018","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      \u2022 To investigate if R\n                      <jats:sub>1<\/jats:sub>\n                      and R\n                      <jats:sub>2<\/jats:sub>\n                      can reliably be measured using 3D quantitative MRI in an intraoperative setting when paediatric brain tumour surgery is performed.\n                    <\/jats:p>\n                    <jats:p>\n                      \u2022 To determine whether B\n                      <jats:sub>1<\/jats:sub>\n                      <jats:sup>+<\/jats:sup>\n                      inhomogeneities affect R\n                      <jats:sub>1<\/jats:sub>\n                      and R\n                      <jats:sub>2<\/jats:sub>\n                      measurements in normal-appearing white matter and the thalamus, respectively, and how R\n                      <jats:sub>1<\/jats:sub>\n                      and R\n                      <jats:sub>2<\/jats:sub>\n                      measurements are affected by different coils.\n                    <\/jats:p>\n                    <jats:p>\u2022 To assess how the relaxation parameters of brain tissue are affected by the intraoperative setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The accuracy of R\n                      <jats:sub>1<\/jats:sub>\n                      and R\n                      <jats:sub>2<\/jats:sub>\n                      , the effect of B\n                      <jats:sub>1<\/jats:sub>\n                      <jats:sup>+<\/jats:sup>\n                      -field inhomogeneity and how the flex coil position affected R\n                      <jats:sub>1<\/jats:sub>\n                      and R\n                      <jats:sub>2<\/jats:sub>\n                      were evaluated, both pre- and intraoperatively during surgery. Ten patients were recruited, six girls and four boys aged 2\u201315 years, with varying tumour entities, all referred to surgery with intraoperative MR. The patients were scanned using a head coil preoperatively and flex coils intraoperatively. Control experiments were performed on phantoms in various positions, equivalent to the patient positions. ROIs (Regions of Interest) were positioned in areas representing normal-appearing matter. Relaxation rates R\n                      <jats:sub>1<\/jats:sub>\n                      and R\n                      <jats:sub>2<\/jats:sub>\n                      were calculated from 3D-quantification using an interleaved Look-Locker acquisition sequence with T\n                      <jats:sub>2<\/jats:sub>\n                      preparation pulse (3D-QALAS) data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was a significant increase of R\n                      <jats:sub>2<\/jats:sub>\n                      in the intraoperative setting compared to the preoperative 3D-QALAS measurements. In contrast to the patient examinations, control experiments using relaxation phantoms did not demonstrate similar differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Relaxometry is feasible in the intraoperative setting. The detected differences between the quantitative R\n                      <jats:sub>2<\/jats:sub>\n                      values in tissue pre- and intraoperatively seem to be explained by the physiological conditions characterising the surgical situation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0332562","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T18:31:36Z","timestamp":1771353096000},"page":"e0332562","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative 3D quantitative magnetic resonance imaging in paediatric brain tumour surgery"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8921-431X","authenticated-orcid":true,"given":"Per","family":"Nyman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael 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