ISSN# 1545-4428 | Published date: 19 April, 2024
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At-A-Glance Session Detail
   
Brain Thermometry: MR Measurements, Modeling & Clinical Applications
Weekend Course
ORGANIZERS: Seena Dehkharghani, Candace Fleischer
Sunday, 05 May 2024
Nicoll 3
13:15 -  16:45
Moderators: Megan Poorman & Dongsuk Sung
Skill Level: Basic to Advanced
Session Number: WE-27
CME Credit

Session Number: WE-27

Overview
This session will provide an overview of MR-based methods for measuring and modeling brain temperature, along with an overview of clinical applications. The first half of this weekend course will focus on fundamental principles of brain thermoregulation and how to measure, and model brain temperature using MRI. The second half of the course will focus on thermal therapies and clinical applications.




Target Audience
Trainees, researchers, and clinicians with an interest in brain thermometry and thermal therapies.



Educational Objectives
As a result of attending this course, participants should be able to:
- Describe MR-based methods for measuring brain temperature;
- Identify basic principles of bioheat modeling of the brain; and
- Identify clinical applications of brain thermometry and thermal therapies for injury, ischemia, and tumors.

13:15 An Introduction to Thermoregulation in the Human Brain
Caroline Le Ster
Brain temperature is a balance between metabolically generated heat and heat dissipation through perfusion. In this presentation, the general principles of thermoregulation at the body and at the brain levels will be detailed, along with physiologically occurring spatio-temporal fluctuations. 
13:45How To Measure Brain Temperature Using MR
Kagayaki Kuroda

Keywords: Contrast mechanisms: Thermometry, Physics & Engineering: Interventional, Neuro: Brain

Different levels of techniques and accuracy should be adopted for MR thermometry. Proton resonance frequency (PRF) shift with phase mapping technique is suitable for monitoring brain thermal therapy using laser or high intensity focused ultrasound. For monitoring hypothermia therapy or for detecting ischemia and traumatic brain injury, PRF shift detected spectroscopically with internal reference such as NAA, chorine and creatine may help. However, careful consideration regarding variation of bulk susceptibility, distributions of electrolyte and macromolecules as well as status of pH should be made. The purpose of this lecture is to discuss thermometry techniques and the factors influencing temperature quantification.
14:15 Brain Thermal Modeling
J. Thomas Vaughan
14:45 Break & Meet the Teachers
15:15 Clinical Applications: Brain Cooling
Adam Goldman-Yassen
15:45 Clinical Applications: Brain Heating & Ablation
Henrik Odéen
16:15 Clinical Applications: Ischemia & TBI
Shunrou Fujiwara, Kuniaki Ogasawara, Takaaki Beppu, Yoshichika Yoshioka

Keywords: Neuro: Brain, Neuro: Cerebrovascular, Neuro: White matter

Brain temperature (BT) had traditionally been discussed whether it may be a simple parameter depending on body (core) temperature or it may regulate the neural activities. Recent reports with magnetic resonance (MR) imaging system demonstrated BT was strongly associated with the cerebral perfusion and metabolism in patients with ischemic change. Based on these results, we should refocus and reconsider on BT and the alteration mechanism using MR. Here, we reviewed BT measurement techniques with MR and discussed the pathologic conditions causing BT alteration relating to the cerebral perfusion and metabolism.
16:45 Adjourn & Meet the Teachers