Objective: The aim of this study was to evaluate a technique for real-
time monitoring of tissue temperature and tracking of the heat source
during minimally invasive thermal interventions such as focused ultras
ound surgery. Materials and Methods: A temperature-sensitive NMR line
scan pulse sequence was directed interactively from a workstation duri
ng the application of focused ultrasound to samples of excised bovine
skeletal muscle. The NMR signal along a sensitive line was monitored d
uring and after heating by means of a scrolling display on the worksta
tion. Results: The temperature sensitivity was found to be similar to
2 degrees C with a time resolution of 300 ms along a line intersecting
the ultrasonic focal point. Experimental temperature rises determined
from the NMR signal showed close agreement with theoretical temperatu
re behavior derived from the heat equation. Temperature quantitation c
apabilities were lost upon onset of thermal denaturation and coagulati
on. Conclusion: This technique could serve as a noninvasive guide in t
racking the heat source and in monitoring thermal dose during focused
ultrasound surgery and other minimally invasive thermal interventions.