TU-F-BRE-01: A High Resolution Micro Fiber Scintillator Detector Optimized for SRS and SBRT in Vivo Real Time Treatment Verification

2014 ◽  
Vol 41 (6Part27) ◽  
pp. 468-468
Author(s):  
E Izaguirre ◽  
S Price ◽  
T Knewtson ◽  
S Loyalka ◽  
D Rangaraj
2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi230-vi230
Author(s):  
Sadaf Soloukey ◽  
Luuk Verhoef ◽  
Frits Mastik ◽  
Bastian Generowicz ◽  
Eelke Bos ◽  
...  

Abstract BACKGROUND Neurosurgical practice still relies heavily on pre-operatively acquired images to guide tumor resections, a practice which comes with inherent pitfalls such as registration inaccuracy due to brain shift, and lack of real-time functional or morphological feedback. Here we describe functional Ultrasound (fUS) as a new high-resolution, depth-resolved, MRI/CT-registered imaging technique able to detect functional regions and vascular morphology during awake and anesthesized tumor resections. MATERIALS AND METHODS fUS relies on high-frame-rate (HFR) ultrasound, making the technique sensitive to very small motions caused by vascular dynamics (µDoppler) and allowing measurements of changes in cerebral blood volume (CBV) with micrometer-millisecond precision. This opens up the possibility to 1) detect functional response, as CBV-changes reflect changes in metabolism of activated neurons through neurovascular coupling, and 2) visualize in-vivo vascular morphology of pathological and healthy tissue with high resolution at unprecedented depths. During a range of anesthetized and awake neurosurgical procedures we acquired vascular and functional images of brain and spinal cord using conventional ultrasound probes connected to a research acquisition system. Building on Brainlab’s Intra-Operative Navigation modules, we co-registered our intra-operative Power Doppler Images (PDIs) to patient-registered MRI/CT-data in real-time. RESULTS During meningioma and glioma resections, our co-registered PDIs revealed fUS’ ability to visualize the tumor’s feeding vessels and vascular borders in real-time, with a level of detail unprecedented by conventional MRI-sequences. During awake resections, fUS was able to detect distinct, ESM-confirmed functional areas as activated during conventional motor and language tasks. In all cases, images were acquired with micrometer-millisecond (300 µm, 1.5–2.0 ms) precision at imaging depths exceeding 5 cm. CONCLUSION fUS is a new real-time, high-resolution and depth-resolved imaging technique, combining favorable imaging specifications with characteristics such as mobility and ease of use which are uniquely beneficial for a potential image-guided neurosurgical tool.


2015 ◽  
Vol 42 (2) ◽  
pp. 994-1004 ◽  
Author(s):  
Jacqueline M. Andreozzi ◽  
Rongxiao Zhang ◽  
Adam K. Glaser ◽  
Lesley A. Jarvis ◽  
Brian W. Pogue ◽  
...  

2013 ◽  
Vol 53 (supplement1-2) ◽  
pp. S104
Author(s):  
Fuyu Kobirumaki-Shimozawa ◽  
Kotaro Oyama ◽  
Seine A. Shintani ◽  
Erisa Hirokawa ◽  
Togo Shimozawa ◽  
...  

2021 ◽  
pp. 2100664
Author(s):  
Jesse D. Kirkpatrick ◽  
Ava P. Soleimany ◽  
Jaideep S. Dudani ◽  
Heng-Jia Liu ◽  
Hilaire C. Lam ◽  
...  

Biomarkers of disease progression and treatment response are urgently needed for patients with lymphangioleiomyomatosis (LAM). Activity-based nanosensors, an emerging biosensor class, detect dysregulated proteases in vivo and release a reporter to provide a urinary readout of disease. Because proteases are dysregulated in LAM and may directly contribute to lung function decline, activity-based nanosensors may enable quantitative, real-time monitoring of LAM progression and treatment response. We aimed to assess the diagnostic utility of activity-based nanosensors in a preclinical model of pulmonary LAM.Tsc2-null cells were injected intravenously into female nude mice to establish a mouse model of pulmonary LAM. A library of 14 activity-based nanosensors, designed to detect proteases across multiple catalytic classes, was administered into the lungs of LAM mice and healthy controls, urine was collected, and mass spectrometry was performed to measure nanosensor cleavage products. Mice were then treated with rapamycin and monitored with activity-based nanosensors. Machine learning was performed to distinguish diseased from healthy and treated from untreated mice.Multiple activity-based nanosensors [PP03 (cleaved by metallo, aspartic, and cysteine proteases), padj<0.0001; PP10 (cleaved by serine, aspartic, and cysteine proteases), padj=0.017)] were differentially cleaved in diseased and healthy lungs, enabling strong classification with a machine learning model (AUC=0.95 from healthy). Within two days after rapamycin initiation, we observed normalisation of PP03 and PP10 cleavage, and machine learning enabled accurate classification of treatment response (AUC=0.94 from untreated).Activity-based nanosensors enable noninvasive, real-time monitoring of disease burden and treatment response in a preclinical model of LAM.


2016 ◽  
Vol 43 (6Part28) ◽  
pp. 3691-3691 ◽  
Author(s):  
G Fonseca ◽  
M Podesta ◽  
B Reniers ◽  
F Verhaegen

Sign in / Sign up

Export Citation Format

Share Document