Simulation of the artefact of an iodine seed placed at the needle tip in MRI-guided prostate brachytherapy

Abstract

The purpose of this research is to study the influence of different needle materials on the artefact of a prostate brachytherapy iodine seed, placed at the needle tip, in MRI (magnetic resonance imaging)-guided prostate brachytherapy. For this research simulations were performed. The simulations showed that with the currently available MRI compatible titanium needles, determination of the exact seed position is difficult, because of the large artefact at the needle tip. This hampers accurate MRI-guided seed delivery. When a plastic needle is used, the image disturbance is caused by the artefact of the iodine seed alone. When a gradient echo sequence is used, the middle of the seed artefact corresponds well with to middle of the real seed position. With the scan parameters we used this deviation was less than 0.4 mm compared to 1.5 mm when a titanium needle is used.