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. 2018 Dec 7;46(2):774–788. doi: 10.1002/mp.13279

Table 4.

Key qualitative observations from histology, in vivo post‐therapy 3T MR imaging, and ex vivo 9.4 T MR imaging for each treatment

Histological observation
Untreated tissue Non‐heat‐fixed lesions Heat‐fixed lesions
Appearance on H&E stain Nucleated cells, intact epithelium Contiguous region of near‐complete epithelial sloughing and cell death Heat‐fixed area resembling untreated tissue, surrounded by boundary of near‐complete epithelial sloughing and cell death
Appearance on 3T post‐therapy imaging (compared with pre‐therapy imaging)
T1W imaging No change Hyperintense or no change Hyperintense
T2W imaging Slightly hyperintense or no change Hyperintense or no change Hypointense (or hypo‐ and hyperintense) or no change
ADC No change Decreased or no change Decreased; central area of unchanged ADC in some cases
Appearance on 9.4 T imaging, (compared with untreated tissue)
T1 N/A Decreased; spatially varying changes in some cases Decreased; spatially varying changes in some cases
T2 N/A Increased or no change; spatially varying changes in some cases Increased or no change; spatially varying changes in some cases
ADC N/A Decreased or no change Decreased or no change; ring‐shaped area of reduced ADC in most casesa

All 3T post‐therapy imaging was acquired 5 min after MR thermometry indicated that the treatment zone had returned to 37–39°C. MR scan parameters for 3T and 9.4 T imaging are given in Tables 1 and 2, respectively.

a

Feature is significantly more frequent in heat‐fixed lesions.