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Taylor Y, Wilson FJ, Kim M, Parker GJM. Sensitivity analysis of models of gas exchange for lung hyperpolarised 129Xe MR. NMR IN BIOMEDICINE 2024:e5239. [PMID: 39183451 DOI: 10.1002/nbm.5239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 07/19/2024] [Accepted: 07/30/2024] [Indexed: 08/27/2024]
Abstract
Sensitivity analysis enables the identification of influential parameters and the optimisation of model composition. Such methods have not previously been applied systematically to models describing hyperpolarised 129Xe gas exchange in the lung. Here, we evaluate the current 129Xe gas exchange models to assess their precision for identifying alterations in pulmonary vascular function and lung microstructure. We assess sensitivity using established univariate methods and scatter plots for parameter interactions. We apply them to the model described by Patz et al and the Model of Xenon Exchange (MOXE), examining their ability to measure: i) importance (rank), ii) temporal dependence and iii) interaction effects of each parameter across healthy and diseased ranges. The univariate methods and scatter plot analyses demonstrate consistently similar results for the importance of parameters common to both models evaluated. Alveolar surface area to volume ratio is identified as the parameter to which model signals are most sensitive. The alveolar-capillary barrier thickness is identified as a low-sensitivity parameter for the MOXE model. An acquisition window of at least 200 ms effectively demonstrates model sensitivity to most parameters. Scatter plots reveal interaction effects in both models, impacting output variability and sensitivity. Our sensitivity analysis ranks the parameters within the model described by Patz et al and within the MOXE model. The MOXE model shows low sensitivity to alveolar-capillary barrier thickness, highlighting the need for designing acquisition protocols optimised for the measurement of this parameter. The presence of parameter interaction effects highlights the requirement for care in interpreting model outputs.
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Affiliation(s)
- Yohn Taylor
- Centre for Medical Image Computing, Quantitative Imaging Group, Department of Medical Physics and Biomedical Engineering, University College London, London, UK
| | | | - Mina Kim
- Centre for Medical Image Computing, Quantitative Imaging Group, Department of Medical Physics and Biomedical Engineering, University College London, London, UK
| | - Geoff J M Parker
- Centre for Medical Image Computing, Quantitative Imaging Group, Department of Medical Physics and Biomedical Engineering, University College London, London, UK
- Bioxydyn Limited, Manchester, UK
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2
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Bechtel A, Lu J, Mummy D, Bier E, Leewiwatwong S, Mugler J, Kabir S, Church A, Driehuys B. Establishing a hemoglobin adjustment for 129 Xe gas exchange MRI and MRS. Magn Reson Med 2023; 90:1555-1568. [PMID: 37246900 PMCID: PMC10524939 DOI: 10.1002/mrm.29712] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 04/10/2023] [Accepted: 05/02/2023] [Indexed: 05/30/2023]
Abstract
PURPOSE 129 Xe MRI and MRS signals from airspaces, membrane tissues (M), and red blood cells (RBCs) provide measurements of pulmonary gas exchange. However, 129 Xe MRI/MRS studies have yet to account for hemoglobin concentration (Hb), which is expected to affect the uptake of 129 Xe in the membrane and RBC compartments. We propose a framework to adjust the membrane and RBC signals for Hb and use this to assess sex-specific differences in RBC/M and establish a Hb-adjusted healthy reference range for the RBC/M ratio. METHODS We combined the 1D model of xenon gas exchange (MOXE) with the principle of TR-flip angle equivalence to establish scaling factors that normalize the dissolved-phase signals with respect to a standardH b 0 $$ H{b}^0 $$ (14 g/dL). 129 Xe MRI/MRS data from a healthy, young cohort (n = 18, age = 25.0± $$ \pm $$ 3.4 years) were used to validate this model and assess the impact of Hb adjustment on M/gas and RBC/gas images and RBC/M. RESULTS Adjusting for Hb caused RBC/M to change by up to 20% in healthy individuals with normal Hb and had marked impacts on M/gas and RBC/gas distributions in 3D gas-exchange maps. RBC/M was higher in males than females both before and after Hb adjustment (p < 0.001). After Hb adjustment, the healthy reference value for RBC/M for a consortium-recommended acquisition of TR = 15 ms and flip = 20° was 0.589± $$ \pm $$ 0.083 (mean± $$ \pm $$ SD). CONCLUSION MOXE provides a useful framework for evaluating the Hb dependence of the membrane and RBC signals. This work indicates that adjusting for Hb is essential for accurately assessing 129 Xe gas-exchange MRI/MRS metrics.
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Affiliation(s)
- Aryil Bechtel
- Radiology, Duke University Medical Center, Durham, North Carolina, United States
| | - Junlan Lu
- Medical Physics Graduate Program, Duke University, Durham, North Carolina
| | - David Mummy
- Radiology, Duke University Medical Center, Durham, North Carolina, United States
| | - Elianna Bier
- Biomedical Engineering, Duke University, Durham, North Carolina, United States
| | | | - John Mugler
- Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia
| | - Sakib Kabir
- Radiology, Duke University Medical Center, Durham, North Carolina, United States
| | - Alex Church
- Radiology, Duke University Medical Center, Durham, North Carolina, United States
| | - Bastiaan Driehuys
- Radiology, Duke University Medical Center, Durham, North Carolina, United States
- Medical Physics Graduate Program, Duke University, Durham, North Carolina
- Biomedical Engineering, Duke University, Durham, North Carolina, United States
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3
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Alam FS, Zanette B, Munidasa S, Braganza S, Li D, Woods JC, Ratjen F, Santyr G. Intra- and Inter-visit Repeatability of 129 Xenon Multiple-Breath Washout MRI in Children With Stable Cystic Fibrosis Lung Disease. J Magn Reson Imaging 2023; 58:936-948. [PMID: 36786650 DOI: 10.1002/jmri.28638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 01/25/2023] [Accepted: 01/26/2023] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND Multiple-breath washout (MBW) 129 Xe MRI (MBW Xe-MRI) is a promising technique for following pediatric cystic fibrosis (CF) lung disease progression. However, its repeatability in stable CF needs to be established to use it as an outcome measure for novel therapies. PURPOSE To assess intravisit and intervisit repeatability of MBW Xe-MRI in healthy and CF children. STUDY TYPE Prospective, longitudinal cohort study. SUBJECTS A total of 18 pediatric subjects (7 healthy, 11 CF). FIELD STRENGTH/SEQUENCE A 3 T/2D coronal hyperpolarized (HP) 129 Xe images using GRE sequence. ASSESSMENT All subjects completed MBW Xe-MRI, pulmonary function tests (PFTs) (spirometry, nitrogen [N2 ] MBW for lung clearance index [LCI]) and ventilation defect percent (VDP) at baseline (visit 1) and 1-month after. Fractional ventilation (FV), coefficient of variation (CoVFV ) maps were calculated from MBW Xe-MRI data acquired between intervening air washout breaths performed after an initial xenon breath-hold. Skewness of FV and CoVFV map distributions was also assessed. STATISTICAL TESTS Repeatability: intraclass correlation coefficients (ICC), within-subject coefficient of variation (CV%), repeatability coefficient (CR). Agreement: Bland-Altman. For correlations between MBW Xe-MRI, VDP and PFTs: Spearman's correlation. Significance threshold: P < 0.05. RESULTS For FV, intravisit median [IQR] ICC was high in both healthy (0.94 [0.48, 0.99]) and CF (0.83 [0.04, 0.97]) subjects. CoVFV also had good intravisit ICC in healthy (0.92 [0.42, 0.99]) and CF (0.79 [0.02, 0.96]) subjects. Similarly, for FV, intervisit ICC was high in health (0.94 [0.68, 0.99]) and CF (0.89 [0.61, 0.97]). CoVFV also had good intervisit ICC in health (0.92 [0.42, 0.99]) and CF (0.78 [0.26, 0.94]). FV had better intervisit repeatability than VDP. CoVFV correlated significantly with LCI (R = 0.56). Skewness of FV distributions significantly distinguished between cohorts at baseline. DATA CONCLUSION MBW Xe-MRI had high intravisit and intervisit repeatability in healthy and stable CF subjects. CoVFV correlated with LCI, suggesting the importance of ventilation heterogeneity to early CF. EVIDENCE LEVEL 1. TECHNICAL EFFICACY Stage 2.
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Affiliation(s)
- Faiyza S Alam
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Brandon Zanette
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Samal Munidasa
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Sharon Braganza
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Daniel Li
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Jason C Woods
- Center for Pulmonary Imaging Research, Cincinnati Children's Hospital, Cincinnati, Ohio, USA
| | - Felix Ratjen
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
- Division of Respirology, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Giles Santyr
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
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Mikowska L, Grynko V, Shepelytskyi Y, Ruset IC, Deschamps J, Aalto H, Targosz-Korecka M, Balamore D, Harańczyk H, Albert MS. Revealing a Third Dissolved-Phase Xenon-129 Resonance in Blood Caused by Hemoglobin Glycation. Int J Mol Sci 2023; 24:11311. [PMID: 37511071 PMCID: PMC10380088 DOI: 10.3390/ijms241411311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 07/06/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023] Open
Abstract
Hyperpolarized (HP) xenon-129 (129Xe), when dissolved in blood, has two NMR resonances: one in red blood cells (RBC) and one in plasma. The impact of numerous blood components on these resonances, however, has not yet been investigated. This study evaluates the effects of elevated glucose levels on the chemical shift (CS) and T2* relaxation times of HP 129Xe dissolved in sterile citrated sheep blood for the first time. HP 129Xe was mixed with sheep blood samples premixed with a stock glucose solution using a liquid-gas exchange module. Magnetic resonance spectroscopy was performed on a 3T clinical MRI scanner using a custom-built quadrature dual-tuned 129Xe/1H coil. We observed an additional resonance for the RBCs (129Xe-RBC1) for the increased glucose levels. The CS of 129Xe-RBC1 and 129Xe-plasma peaks did not change with glucose levels, while the CS of 129Xe-RBC2 (original RBC resonance) increased linearly at a rate of 0.015 ± 0.002 ppm/mM with glucose level. 129Xe-RBC1 T2* values increased nonlinearly from 1.58 ± 0.24 ms to 2.67 ± 0.40 ms. As a result of the increased glucose levels in blood samples, the novel additional HP 129Xe dissolved phase resonance was observed in blood and attributed to the 129Xe bound to glycated hemoglobin (HbA1c).
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Affiliation(s)
- Lutosława Mikowska
- Faculty of Physics, Astronomy, and Applied Computer Science, Jagiellonian University, 30-348 Krakow, Poland
| | - Vira Grynko
- Chemistry and Material Science Program, Lakehead University, Thunder Bay, ON P7B 5E1, Canada
- Thunder Bay Regional Health Research Institute, Thunder Bay, ON P7B 7A5, Canada
| | - Yurii Shepelytskyi
- Thunder Bay Regional Health Research Institute, Thunder Bay, ON P7B 7A5, Canada
- Chemistry Department, Lakehead University, Thunder Bay, ON P7B 5E1, Canada
| | | | - Joseph Deschamps
- Applied Life Sciences Program, Lakehead University, Thunder Bay, ON P7B 5E1, Canada
| | - Hannah Aalto
- Applied Life Sciences Program, Lakehead University, Thunder Bay, ON P7B 5E1, Canada
| | - Marta Targosz-Korecka
- Faculty of Physics, Astronomy, and Applied Computer Science, Jagiellonian University, 30-348 Krakow, Poland
| | - Dilip Balamore
- Department of Engineering, Physics and Technology, Nassau Community College, New York, NY 11530, USA
| | - Hubert Harańczyk
- Faculty of Physics, Astronomy, and Applied Computer Science, Jagiellonian University, 30-348 Krakow, Poland
| | - Mitchell S Albert
- Thunder Bay Regional Health Research Institute, Thunder Bay, ON P7B 7A5, Canada
- Chemistry Department, Lakehead University, Thunder Bay, ON P7B 5E1, Canada
- Faculty of Medical Sciences, Northern Ontario School of Medicine University, Thunder Bay, ON P3E 2C6, Canada
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5
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Qing K, Altes TA, Mugler JP, Mata JF, Tustison NJ, Ruppert K, Bueno J, Flors L, Shim YM, Zhao L, Cassani J, Teague WG, Kim JS, Wang Z, Ruset IC, Hersman FW, Mehrad B. Hyperpolarized Xenon-129: A New Tool to Assess Pulmonary Physiology in Patients with Pulmonary Fibrosis. Biomedicines 2023; 11:1533. [PMID: 37371626 PMCID: PMC10294784 DOI: 10.3390/biomedicines11061533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 05/19/2023] [Accepted: 05/23/2023] [Indexed: 06/29/2023] Open
Abstract
PURPOSE The existing tools to quantify lung function in interstitial lung diseases have significant limitations. Lung MRI imaging using inhaled hyperpolarized xenon-129 gas (129Xe) as a contrast agent is a new technology for measuring regional lung physiology. We sought to assess the utility of the 129Xe MRI in detecting impaired lung physiology in usual interstitial pneumonia (UIP). MATERIALS AND METHODS After institutional review board approval and informed consent and in compliance with HIPAA regulations, we performed chest CT, pulmonary function tests (PFTs), and 129Xe MRI in 10 UIP subjects and 10 healthy controls. RESULTS The 129Xe MRI detected highly heterogeneous abnormalities within individual UIP subjects as compared to controls. Subjects with UIP had markedly impaired ventilation (ventilation defect fraction: UIP: 30 ± 9%; healthy: 21 ± 9%; p = 0.026), a greater amount of 129Xe dissolved in the lung interstitium (tissue-to-gas ratio: UIP: 1.45 ± 0.35%; healthy: 1.10 ± 0.17%; p = 0.014), and impaired 129Xe diffusion into the blood (RBC-to-tissue ratio: UIP: 0.20 ± 0.06; healthy: 0.28 ± 0.05; p = 0.004). Most MRI variables had no correlation with the CT and PFT measurements. The elevated level of 129Xe dissolved in the lung interstitium, in particular, was detectable even in subjects with normal or mildly impaired PFTs, suggesting that this measurement may represent a new method for detecting early fibrosis. CONCLUSION The hyperpolarized 129Xe MRI was highly sensitive to regional functional changes in subjects with UIP and may represent a new tool for understanding the pathophysiology, monitoring the progression, and assessing the effectiveness of treatment in UIP.
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Affiliation(s)
- Kun Qing
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA 91010, USA;
| | - Talissa A. Altes
- Department of Radiology, University of Missouri, Columbia, MO 65211, USA; (T.A.A.); (J.C.)
| | - John P. Mugler
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - Jaime F. Mata
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - Nicholas J. Tustison
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - Kai Ruppert
- Department of Radiology, University of Pennsylvania, Cincinnati, PA 19104, USA;
| | - Juliana Bueno
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - Lucia Flors
- Department of Radiology, Keck Medical Center, University of Southern California, Los Angeles, CA 90089, USA;
| | - Yun M. Shim
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - Li Zhao
- Department of Biomedical Engineering, Zhejiang University, Hangzhou 310027, China;
| | - Joanne Cassani
- Department of Radiology, University of Missouri, Columbia, MO 65211, USA; (T.A.A.); (J.C.)
| | - William G. Teague
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - John S. Kim
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA 22903, USA; (J.P.M.III); (J.F.M.); (N.J.T.); (J.B.); (Y.M.S.); (W.G.T.); (J.S.K.)
| | - Zhixing Wang
- Department of Radiation Oncology, City of Hope National Medical Center, Duarte, CA 91010, USA;
| | | | - F. William Hersman
- Xemed LLC, Durham, NH 03824, USA; (I.C.R.); (F.W.H.)
- Department of Physics, University of New Hampshire, Durham, NH 03824, USA
| | - Borna Mehrad
- Department of Medicine, University of Florida, Gainesville, FL 32611, USA;
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Foo CT, Langton D, Thompson BR, Thien F. Functional lung imaging using novel and emerging MRI techniques. Front Med (Lausanne) 2023; 10:1060940. [PMID: 37181360 PMCID: PMC10166823 DOI: 10.3389/fmed.2023.1060940] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 04/03/2023] [Indexed: 05/16/2023] Open
Abstract
Respiratory diseases are leading causes of death and disability in the world. While early diagnosis is key, this has proven difficult due to the lack of sensitive and non-invasive tools. Computed tomography is regarded as the gold standard for structural lung imaging but lacks functional information and involves significant radiation exposure. Lung magnetic resonance imaging (MRI) has historically been challenging due to its short T2 and low proton density. Hyperpolarised gas MRI is an emerging technique that is able to overcome these difficulties, permitting the functional and microstructural evaluation of the lung. Other novel imaging techniques such as fluorinated gas MRI, oxygen-enhanced MRI, Fourier decomposition MRI and phase-resolved functional lung imaging can also be used to interrogate lung function though they are currently at varying stages of development. This article provides a clinically focused review of these contrast and non-contrast MR imaging techniques and their current applications in lung disease.
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Affiliation(s)
- Chuan T. Foo
- Department of Respiratory Medicine, Eastern Health, Melbourne, VIC, Australia
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
| | - David Langton
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
- Department of Thoracic Medicine, Peninsula Health, Frankston, VIC, Australia
| | - Bruce R. Thompson
- Melbourne School of Health Science, Melbourne University, Melbourne, VIC, Australia
| | - Francis Thien
- Department of Respiratory Medicine, Eastern Health, Melbourne, VIC, Australia
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia
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7
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Preclinical MRI Using Hyperpolarized 129Xe. MOLECULES (BASEL, SWITZERLAND) 2022; 27:molecules27238338. [PMID: 36500430 PMCID: PMC9738892 DOI: 10.3390/molecules27238338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/15/2022] [Accepted: 11/17/2022] [Indexed: 12/05/2022]
Abstract
Although critical for development of novel therapies, understanding altered lung function in disease models is challenging because the transport and diffusion of gases over short distances, on which proper function relies, is not readily visualized. In this review we summarize progress introducing hyperpolarized 129Xe imaging as a method to follow these processes in vivo. The work is organized in sections highlighting methods to observe the gas replacement effects of breathing (Gas Dynamics during the Breathing Cycle) and gas diffusion throughout the parenchymal airspaces (3). We then describe the spectral signatures indicative of gas dissolution and uptake (4), and how these features can be used to follow the gas as it enters the tissue and capillary bed, is taken up by hemoglobin in the red blood cells (5), re-enters the gas phase prior to exhalation (6), or is carried via the vasculature to other organs and body structures (7). We conclude with a discussion of practical imaging and spectroscopy techniques that deliver quantifiable metrics despite the small size, rapid motion and decay of signal and coherence characteristic of the magnetically inhomogeneous lung in preclinical models (8).
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8
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Niedbalski PJ, Lu J, Hall CS, Castro M, Mugler JP, Shim YM, Driehuys B. Utilizing flip angle/TR equivalence to reduce breath hold duration in hyperpolarized 129 Xe 1-point Dixon gas exchange imaging. Magn Reson Med 2022; 87:1490-1499. [PMID: 34644815 PMCID: PMC8776583 DOI: 10.1002/mrm.29040] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 08/27/2021] [Accepted: 09/21/2021] [Indexed: 12/19/2022]
Abstract
PURPOSE To reduce scan duration in hyperpolarized 129 Xe 1-point Dixon gas exchange imaging by utilizing flip angle (FA)/TR equivalence. METHODS Images were acquired in 12 subjects (n = 3 radiation therapy, n = 1 unexplained dyspnea, n = 8 healthy) using both standard (TR = 15 ms, FA = 20°, duration = 15 s, 998 projections) and "fast" (TR = 5.4 ms, FA = 12°, duration = 11.3 s, 2100 projections) acquisition parameters. For the fast acquisition, 3 image sets were reconstructed using subsets of 1900, 1500, and 1000 projections. From the resulting ventilation, tissue ("barrier"), and red blood cell (RBC) images, image metrics and biomarkers were compared to assess agreement between methods. RESULTS Images acquired using both FA/TR settings had similar qualitative appearance. There were no significant differences in SNR, image mean, or image SD between images. Moreover, the percentage of the lungs in "defect", "normal", and "high" bins for each image (ventilation, RBC, barrier) was not significantly different among the acquisition types. After registration, comparison of 3D image metrics (Dice, volume similarity, average distance) agreed well between bins. Images using 1000 projections for reconstruction had no significant differences from images using all projections. CONCLUSION Using flip angle/TR equivalence, hyperpolarized 129 Xe gas exchange images can be acquired via the 1-point Dixon technique in as little as 6 s, compared to ~15 s for previously reported parameter settings. The resulting images from this accelerated scan have no significant differences from the standard method in qualitative appearance or quantitative metrics.
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Affiliation(s)
- Peter J. Niedbalski
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA,Corresponding Author: Peter J. Niedbalski, 3901 Rainbow Blvd. Lied 3043, Kansas City, KS 66160, 913-588-2271,
| | - Junlan Lu
- Medical Physics Graduate Program, Duke University, Durham, North Carolina, USA
| | - Chase S. Hall
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Mario Castro
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - John P. Mugler
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA
| | - Yun M. Shim
- Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
| | - Bastiaan Driehuys
- Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA
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9
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Khan AS, Harvey RL, Birchall JR, Irwin RK, Nikolaou P, Schrank G, Emami K, Dummer A, Barlow MJ, Goodson BM, Chekmenev EY. Enabling Clinical Technologies for Hyperpolarized 129 Xenon Magnetic Resonance Imaging and Spectroscopy. Angew Chem Int Ed Engl 2021; 60:22126-22147. [PMID: 34018297 PMCID: PMC8478785 DOI: 10.1002/anie.202015200] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Indexed: 11/06/2022]
Abstract
Hyperpolarization is a technique that can increase nuclear spin polarization with the corresponding gains in nuclear magnetic resonance (NMR) signals by 4-8 orders of magnitude. When this process is applied to biologically relevant samples, the hyperpolarized molecules can be used as exogenous magnetic resonance imaging (MRI) contrast agents. A technique called spin-exchange optical pumping (SEOP) can be applied to hyperpolarize noble gases such as 129 Xe. Techniques based on hyperpolarized 129 Xe are poised to revolutionize clinical lung imaging, offering a non-ionizing, high-contrast alternative to computed tomography (CT) imaging and conventional proton MRI. Moreover, CT and conventional proton MRI report on lung tissue structure but provide little functional information. On the other hand, when a subject breathes hyperpolarized 129 Xe gas, functional lung images reporting on lung ventilation, perfusion and diffusion with 3D readout can be obtained in seconds. In this Review, the physics of SEOP is discussed and the different production modalities are explained in the context of their clinical application. We also briefly compare SEOP to other hyperpolarization methods and conclude this paper with the outlook for biomedical applications of hyperpolarized 129 Xe to lung imaging and beyond.
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Affiliation(s)
- Alixander S Khan
- Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Rebecca L Harvey
- Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Jonathan R Birchall
- Intergrative Biosciences (Ibio), Wayne State University, Karmanos Cancer Institute (KCI), 5101 Cass Avenue, Detroit, MI, 48202, USA
| | - Robert K Irwin
- Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | | | - Geoffry Schrank
- Northrup Grumman Space Systems, 45101 Warp Drive, Sterling, VA, 20166, USA
| | | | | | - Michael J Barlow
- Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Boyd M Goodson
- Department of Chemistry and Biochemistry, Southern Illinois University, 1245 Lincoln Drive, Carbondale, IL, 62901, USA
- Materials Technology Center, Southern Illinois University, 1245 Lincoln Drive, Carbondale, IL, 62901, USA
| | - Eduard Y Chekmenev
- Intergrative Biosciences (Ibio), Wayne State University, Karmanos Cancer Institute (KCI), 5101 Cass Avenue, Detroit, MI, 48202, USA
- Russian Academy of Sciences, Leninskiy Prospekt 14, Moscow, 119991, Russia
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10
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Fliss JD, Zanette B, Friedlander Y, Sadanand S, Lindenmaier AA, Stirrat E, Li D, Post M, Jankov RP, Santyr G. Hyperpolarized 129Xe magnetic resonance spectroscopy in a rat model of bronchopulmonary dysplasia. Am J Physiol Lung Cell Mol Physiol 2021; 321:L507-L517. [PMID: 34189953 DOI: 10.1152/ajplung.00612.2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Premature infants often require mechanical ventilation and oxygen therapy, which can result in bronchopulmonary dysplasia (BPD), characterized by developmental arrest and impaired lung function. Conventional clinical methods for assessing the prenatal lung are not adequate for the detection and assessment of long-term health risks in infants with BPD, highlighting the need for a noninvasive tool for the characterization of lung microstructure and function. Theoretical diffusion models, like the model of xenon exchange (MOXE), interrogate alveolar gas exchange by predicting the uptake of inert hyperpolarized (HP) 129Xe gas measured with HP 129Xe magnetic resonance spectroscopy (MRS). To investigate HP 129Xe MRS as a tool for noninvasive characterization of pulmonary microstructural and functional changes in vivo, HP 129Xe gas exchange data were acquired in an oxygen exposure rat model of BPD that recapitulates the fewer and larger distal airways and pulmonary vascular stunting characteristics of BPD. Gas exchange parameters from MOXE, including airspace mean chord length (Lm), apparent hematocrit in the pulmonary capillaries (HCT), and pulmonary capillary transit time (tx), were compared with airspace mean axis length and area density (MAL and ρA) and percentage area of tissue and air (PTA and PAA) from histology. Lm was significantly larger in the exposed rats (P = 0.003) and correlated with MAL, ρA, PTA, and PAA (0.59<|ρ|<0.66 and P < 0.05). Observed increase in HCT (P = 0.012) and changes in tx are also discussed. These findings support the use of HP 129Xe MRS for detecting fewer, enlarged distal airways in this rat model of BPD, and potentially in humans.
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Affiliation(s)
- Jordan D Fliss
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.,Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
| | - Brandon Zanette
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Yonni Friedlander
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.,Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
| | - Siddharth Sadanand
- Department of Biomedical Physics, Ryerson University, Toronto, Ontario, Canada
| | - Andras A Lindenmaier
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.,Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
| | - Elaine Stirrat
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Daniel Li
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Martin Post
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.,Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.,Department of Physiology, University of Toronto, Toronto, Ontario, Canada.,Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada
| | - Robert P Jankov
- Molecular Biomedicine Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Giles Santyr
- Translational Medicine Program, The Hospital for Sick Children, Toronto, Ontario, Canada.,Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
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11
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Khan AS, Harvey RL, Birchall JR, Irwin RK, Nikolaou P, Schrank G, Emami K, Dummer A, Barlow MJ, Goodson BM, Chekmenev EY. Enabling Clinical Technologies for Hyperpolarized
129
Xenon Magnetic Resonance Imaging and Spectroscopy. Angew Chem Int Ed Engl 2021. [DOI: 10.1002/ange.202015200] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Alixander S. Khan
- Sir Peter Mansfield Imaging Centre University of Nottingham Nottingham NG7 2RD UK
| | - Rebecca L. Harvey
- Sir Peter Mansfield Imaging Centre University of Nottingham Nottingham NG7 2RD UK
| | - Jonathan R. Birchall
- Intergrative Biosciences (Ibio) Wayne State University, Karmanos Cancer Institute (KCI) 5101 Cass Avenue Detroit MI 48202 USA
| | - Robert K. Irwin
- Sir Peter Mansfield Imaging Centre University of Nottingham Nottingham NG7 2RD UK
| | | | - Geoffry Schrank
- Northrup Grumman Space Systems 45101 Warp Drive Sterling VA 20166 USA
| | | | | | - Michael J. Barlow
- Sir Peter Mansfield Imaging Centre University of Nottingham Nottingham NG7 2RD UK
| | - Boyd M. Goodson
- Department of Chemistry and Biochemistry Southern Illinois University 1245 Lincoln Drive Carbondale IL 62901 USA
- Materials Technology Center Southern Illinois University 1245 Lincoln Drive Carbondale IL 62901 USA
| | - Eduard Y. Chekmenev
- Intergrative Biosciences (Ibio) Wayne State University, Karmanos Cancer Institute (KCI) 5101 Cass Avenue Detroit MI 48202 USA
- Russian Academy of Sciences Leninskiy Prospekt 14 Moscow 119991 Russia
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12
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Goldin JG. The Emerging Role of Quantification of Imaging for Assessing the Severity and Disease Activity of Emphysema, Airway Disease, and Interstitial Lung Disease. Respiration 2021; 100:277-290. [PMID: 33621969 DOI: 10.1159/000513642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 12/02/2020] [Indexed: 11/19/2022] Open
Abstract
There has been an explosion of use for quantitative image analysis in the setting of lung disease due to advances in acquisition protocols and postprocessing technology, including machine and deep learning. Despite the plethora of published papers, it is important to understand which approach has clinical validation and can be used in clinical practice. This paper provides an introduction to quantitative image analysis techniques being used in the investigation of lung disease and focusses on the techniques that have a reasonable clinical validation for being used in clinical trials and patient care.
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Affiliation(s)
- Jonathan Gerald Goldin
- Department of Radiological Sciences, David Geffen School of Medicine at UCLA, University of California, Los Angeles, California, USA,
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13
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Kern AL, Gutberlet M, Moher Alsady T, Welte T, Wacker F, Hohlfeld JM, Vogel‐Claussen J. Investigating short‐time diffusion of hyperpolarized
129
Xe in lung air spaces and tissue: A feasibility study in chronic obstructive pulmonary disease patients. Magn Reson Med 2020; 84:2133-2146. [DOI: 10.1002/mrm.28264] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 03/03/2020] [Accepted: 03/03/2020] [Indexed: 12/22/2022]
Affiliation(s)
- Agilo L. Kern
- Institute of Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Marcel Gutberlet
- Institute of Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Tawfik Moher Alsady
- Institute of Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Tobias Welte
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
- Department of Respiratory Medicine Hannover Medical School Hannover Germany
| | - Frank Wacker
- Institute of Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Jens M. Hohlfeld
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
- Department of Respiratory Medicine Hannover Medical School Hannover Germany
- Department of Clinical Airway Research Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM) Hannover Germany
| | - Jens Vogel‐Claussen
- Institute of Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL) Hannover Germany
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14
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Zanette B, Santyr G. Accelerated interleaved spiral-IDEAL imaging of hyperpolarized 129 Xe for parametric gas exchange mapping in humans. Magn Reson Med 2019; 82:1113-1119. [PMID: 30989730 DOI: 10.1002/mrm.27765] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Revised: 01/22/2019] [Accepted: 03/18/2019] [Indexed: 12/24/2022]
Abstract
PURPOSE To demonstrate the feasibility of mapping gas exchange with single breath-hold hyperpolarized (HP) 129 Xe in humans, acquiring parametric maps of lung physiology. The potential benefit of acceleration using parallel imaging for this application is also explored. METHODS Six healthy volunteers were scanned with a modified spiral-IDEAL sequence to acquire gas exchange-weighted images using a single dose of 129 Xe. These images were fit with the model of xenon exchange (MOXE) on a voxel-wise basis calculating parametric maps of lung physiology, specifically: air-capillary barrier thickness (δ), alveolar septal thickness (d), capillary transit time (tx ), pulmonary hematocrit (HCT), and alveolar surface area-to-volume ratio (SVR). An accelerated version of the sequence was also tested in subset of 4 volunteers and compared to the fully sampled (FS) results. RESULTS Mean image-wide values calculated from MOXE parametric maps derived from FS dissolved 129 Xe spiral-IDEAL images were: δ = 0.89 ± 0.17 μm, d = 7.5 ± 0.5 μm, tx = 1.1 ± 0.2s, HCT = 28.8 ± 2.3%, and SVR = 140 ± 16 cm-1 , in good agreement with previously published values based on whole-lung spectroscopy of healthy human subjects. Parallel imaging sufficiently reduces artifacting in accelerated images, but increases disagreement with MOXE parameters derived from FS data with mean voxel-wise unsigned relative differences of: δ = 39 ± 9%, d = 22 ± 3%, tx = 117 ± 43%, HCT = 11 ± 2%, and SVR = 31 ± 12%. CONCLUSION Dissolved HP 129 Xe spiral-IDEAL imaging for gas exchange mapping is feasible in humans using a single breath-hold. Accelerated gas exchange mapping is also shown to be feasible but requires further improvements to increase quantitative accuracy.
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Affiliation(s)
- Brandon Zanette
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.,Translational Medicine Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - Giles Santyr
- Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.,Translational Medicine Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada
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15
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Using Hyperpolarized Xenon-129 MRI to Quantify Early-Stage Lung Disease in Smokers. Acad Radiol 2019; 26:355-366. [PMID: 30522808 DOI: 10.1016/j.acra.2018.11.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 09/04/2018] [Accepted: 11/16/2018] [Indexed: 12/25/2022]
Abstract
RATIONALE AND OBJECTIVES Hyperpolarized xenon-129 magnetic resonance (MR) provides sensitive tools that may detect early stages of lung disease in smokers before it has progressed to chronic obstructive pulmonary disease (COPD) apparent to conventional spirometric measures. We hypothesized that the functional alveolar wall thickness as assessed by hyperpolarized xenon-129 MR spectroscopy would be elevated in clinically healthy smokers before xenon MR diffusion measurements would indicate emphysematous tissue destruction. MATERIALS AND METHODS Using hyperpolarized xenon-129 MR we measured the functional septal wall thickness and apparent diffusion coefficient of the gas phase in 16 subjects with smoking-related COPD, 9 clinically healthy current or former smokers, and 10 healthy never smokers. All subjects were age-matched and characterized by conventional pulmonary function tests. A total of 11 data sets from younger healthy never smokers were added to determine the age dependence of the septal wall thickness measurements. RESULTS In healthy never smokers the septal wall thickness increased by 0.04 μm per year of age. The healthy smoker cohort exhibited normal pulmonary function test measures that did not significantly differ from the never-smoker cohort. The age-corrected septal wall thickness correlated well with diffusion capacity for carbon monoxide (R2 = 0.56) and showed a highly significant difference between healthy subjects and COPD patients (8.8 μm vs 12.3 μm; p < 0.001), but was the only measure that actually discriminated healthy subjects from healthy smokers (8.8 μm vs 10.6 μm; p < 0.006). CONCLUSION Functional alveolar wall thickness assessed by hyperpolarized xenon-129 MR allows discrimination between healthy subjects and healthy smokers and could become a powerful new measure of early-stage lung disease.
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16
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Bier EA, Robertson SH, Schrank G, Rackley C, Mammarappallil JG, Rajagopal S, McAdams HP, Driehuys B. A protocol for quantifying cardiogenic oscillations in dynamic 129 Xe gas exchange spectroscopy: The effects of idiopathic pulmonary fibrosis. NMR IN BIOMEDICINE 2019; 32:e4029. [PMID: 30457202 PMCID: PMC6447038 DOI: 10.1002/nbm.4029] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 09/14/2018] [Accepted: 09/24/2018] [Indexed: 05/12/2023]
Abstract
The spectral parameters of hyperpolarized 129 Xe exchanging between airspaces, interstitial barrier, and red blood cells (RBCs) are sensitive to pulmonary pathophysiology. This study sought to evaluate whether the dynamics of 129 Xe spectroscopy provide additional insight, with particular focus on quantifying cardiogenic oscillations in the RBC resonance. 129 Xe spectra were dynamically acquired in eight healthy volunteers and nine subjects with idiopathic pulmonary fibrosis (IPF). 129 Xe FIDs were collected every 20 ms (TE = 0.932 ms, 512 points, dwell time = 32 μs, flip angle ≈ 20°) during a 16 s breathing maneuver. The FIDs were pre-processed using the spectral improvement by Fourier thresholding technique (SIFT) and fit in the time domain to determine the airspace, interstitial barrier, and RBC spectral parameters. The RBC and gas resonances were fit to a Lorentzian lineshape, while the barrier was fit to a Voigt lineshape to account for its greater structural heterogeneity. For each complex resonance the amplitude, chemical shift, linewidth(s), and phase were calculated. The time-averaged spectra confirmed that the RBC to barrier amplitude ratio (RBC:barrier ratio) and RBC chemical shift are both reduced in IPF subjects. Their temporal dynamics showed that all three 129 Xe resonances are affected by the breathing maneuver. Most notably, several RBC spectral parameters exhibited prominent oscillations at the cardiac frequency, and their peak-to-peak variation differed between IPF subjects and healthy volunteers. In the IPF cohort, oscillations were more prominent in the RBC amplitude (16.8 ± 5.2 versus 9.7 ± 2.9%; P = 0.008), chemical shift (0.43 ± 0.33 versus 0.083 ± 0.05 ppm; P < 0.001), and phase (7.7 ± 5.6 versus 1.4 ± 0.8°; P < 0.001). Dynamic 129 Xe spectroscopy is a simple and sensitive tool that probes the temporal variability of gas exchange and may prove useful in discerning the underlying causes of its impairment.
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Affiliation(s)
- Elianna A. Bier
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, USA
- Department of Biomedical Engineering, Duke University, Durham, NC, USA
| | - Scott H. Robertson
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, USA
| | - Geoffry Schrank
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, USA
| | - Craig Rackley
- Department of Radiology, Duke University Medical Center, Durham, NC, USA
| | | | - Sudarshan Rajagopal
- Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA
| | - H. Page McAdams
- Department of Radiology, Duke University Medical Center, Durham, NC, USA
| | - Bastiaan Driehuys
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, NC, USA
- Department of Biomedical Engineering, Duke University, Durham, NC, USA
- Department of Radiology, Duke University Medical Center, Durham, NC, USA
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17
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Doganay O, Chen M, Matin T, Rigolli M, Phillips JA, McIntyre A, Gleeson FV. Magnetic resonance imaging of the time course of hyperpolarized 129Xe gas exchange in the human lungs and heart. Eur Radiol 2018; 29:2283-2292. [PMID: 30519929 PMCID: PMC6443604 DOI: 10.1007/s00330-018-5853-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 09/27/2018] [Accepted: 10/23/2018] [Indexed: 12/23/2022]
Abstract
Purpose To perform magnetic resonance imaging (MRI), human lung imaging, and quantification of the gas-transfer dynamics of hyperpolarized xenon-129 (HPX) from the alveoli into the blood plasma. Materials and methods HPX MRI with iterative decomposition of water and fat with echo asymmetry and least-square estimation (IDEAL) approach were used with multi-interleaved spiral k-space sampling to obtain HPX gas and dissolved phase images. IDEAL time-series images were then obtained from ten subjects including six normal subjects and four patients with pulmonary emphysema to test the feasibility of the proposed technique for capturing xenon-129 gas-transfer dynamics (XGTD). The dynamics of xenon gas diffusion over the entire lung was also investigated by measuring the signal intensity variations between three regions of interest, including the left and right lungs and the heart using Welch’s t test. Results The technique enabled the acquisition of HPX gas and dissolved phase compartment images in a single breath-hold interval of 8 s. The y-intersect of the XGTD curves were also found to be statistically lower in the patients with lung emphysema than in the healthy group (p < 0.05). Conclusion This time-series IDEAL technique enables the visualization and quantification of inhaled xenon from the alveoli to the left ventricle with a clinical gradient strength magnet during a single breath-hold, in healthy and diseased lungs. Key Points • The proposed hyperpolarized xenon-129 gas and dissolved magnetic resonance imaging technique can provide regional and temporal measurements of xenon-129 gas-transfer dynamics. • Quantitative measurement of xenon-129 gas-transfer dynamics from the alveolar to the heart was demonstrated in normal subjects and pulmonary emphysema. • Comparison of gas-transfer dynamics in normal subjects and pulmonary emphysema showed that the proposed technique appears sensitive to changes affecting the alveoli, pulmonary interstitium, and capillaries. Electronic supplementary material The online version of this article (10.1007/s00330-018-5853-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Ozkan Doganay
- Department of Oncology, University of Oxford, Old Road Campus Research Building, Roosevelt Drive, Oxford, OX3 7DQ, UK. .,Department of Radiology, The Churchill Hospital, Oxford University Hospitals NHS Trust, Old Rd, Oxford, OX3 7LE, UK.
| | - Mitchell Chen
- Department of Radiology, The Churchill Hospital, Oxford University Hospitals NHS Trust, Old Rd, Oxford, OX3 7LE, UK
| | - Tahreema Matin
- Department of Radiology, The Churchill Hospital, Oxford University Hospitals NHS Trust, Old Rd, Oxford, OX3 7LE, UK
| | - Marzia Rigolli
- University of Oxford Centre for Clinical Magnetic Resonance Research, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, John Radcliffe Hospital, Headley Way, Oxford, OX3 9DU, UK
| | - Julie-Ann Phillips
- Department of Radiology, The Churchill Hospital, Oxford University Hospitals NHS Trust, Old Rd, Oxford, OX3 7LE, UK
| | - Anthony McIntyre
- Department of Radiology, The Churchill Hospital, Oxford University Hospitals NHS Trust, Old Rd, Oxford, OX3 7LE, UK
| | - Fergus V Gleeson
- Department of Oncology, University of Oxford, Old Road Campus Research Building, Roosevelt Drive, Oxford, OX3 7DQ, UK.,Department of Radiology, The Churchill Hospital, Oxford University Hospitals NHS Trust, Old Rd, Oxford, OX3 7LE, UK
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18
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Higano NS, Spielberg DR, Fleck RJ, Schapiro AH, Walkup LL, Hahn AD, Tkach JA, Kingma PS, Merhar SL, Fain SB, Woods JC. Neonatal Pulmonary Magnetic Resonance Imaging of Bronchopulmonary Dysplasia Predicts Short-Term Clinical Outcomes. Am J Respir Crit Care Med 2018; 198:1302-1311. [PMID: 29790784 PMCID: PMC6290936 DOI: 10.1164/rccm.201711-2287oc] [Citation(s) in RCA: 91] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 05/23/2018] [Indexed: 02/07/2023] Open
Abstract
RATIONALE Bronchopulmonary dysplasia (BPD) is a serious neonatal pulmonary condition associated with premature birth, but the underlying parenchymal disease and trajectory are poorly characterized. The current National Institute of Child Health and Human Development (NICHD)/NHLBI definition of BPD severity is based on degree of prematurity and extent of oxygen requirement. However, no clear link exists between initial diagnosis and clinical outcomes. OBJECTIVES We hypothesized that magnetic resonance imaging (MRI) of structural parenchymal abnormalities will correlate with NICHD-defined BPD disease severity and predict short-term respiratory outcomes. METHODS A total of 42 neonates (20 severe BPD, 6 moderate, 7 mild, 9 non-BPD control subjects; 40 ± 3-wk postmenstrual age) underwent quiet-breathing structural pulmonary MRI (ultrashort echo time and gradient echo) in a neonatal ICU-sited, neonatal-sized 1.5 T scanner, without sedation or respiratory support unless already clinically prescribed. Disease severity was scored independently by two radiologists. Mean scores were compared with clinical severity and short-term respiratory outcomes. Outcomes were predicted using univariate and multivariable models, including clinical data and scores. MEASUREMENTS AND MAIN RESULTS MRI scores significantly correlated with severities and predicted respiratory support at neonatal ICU discharge (P < 0.0001). In multivariable models, MRI scores were by far the strongest predictor of respiratory support duration over clinical data, including birth weight and gestational age. Notably, NICHD severity level was not predictive of discharge support. CONCLUSIONS Quiet-breathing neonatal pulmonary MRI can independently assess structural abnormalities of BPD, describe disease severity, and predict short-term outcomes more accurately than any individual standard clinical measure. Importantly, this nonionizing technique can be implemented to phenotype disease, and has potential to serially assess efficacy of individualized therapies.
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Affiliation(s)
- Nara S. Higano
- Center for Pulmonary Imaging Research, Division of Pulmonary Medicine and Department of Radiology
| | - David R. Spielberg
- Center for Pulmonary Imaging Research, Division of Pulmonary Medicine and Department of Radiology
| | | | | | - Laura L. Walkup
- Center for Pulmonary Imaging Research, Division of Pulmonary Medicine and Department of Radiology
| | | | | | - Paul S. Kingma
- Division of Neonatology and Pulmonary Biology, Cincinnati Children’s Hospital, Cincinnati, Ohio; and
| | - Stephanie L. Merhar
- Division of Neonatology and Pulmonary Biology, Cincinnati Children’s Hospital, Cincinnati, Ohio; and
| | - Sean B. Fain
- Department of Medical Physics and
- Department of Radiology, University of Wisconsin–Madison, Madison, Wisconsin
| | - Jason C. Woods
- Center for Pulmonary Imaging Research, Division of Pulmonary Medicine and Department of Radiology
- Department of Radiology, and
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19
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Kern AL, Gutberlet M, Voskrebenzev A, Klimeš F, Rotärmel A, Wacker F, Hohlfeld JM, Vogel‐Claussen J. Mapping of regional lung microstructural parameters using hyperpolarized
129
Xe dissolved‐phase MRI in healthy volunteers and patients with chronic obstructive pulmonary disease. Magn Reson Med 2018; 81:2360-2373. [DOI: 10.1002/mrm.27559] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 09/14/2018] [Accepted: 09/14/2018] [Indexed: 11/10/2022]
Affiliation(s)
- Agilo L. Kern
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Marcel Gutberlet
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Andreas Voskrebenzev
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Filip Klimeš
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Alexander Rotärmel
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Frank Wacker
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
| | - Jens M. Hohlfeld
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
- Clinical Airway Research Fraunhofer Institute for Toxicology and Experimental Medicine Hannover Germany
- Department of Respiratory Medicine Hannover Medical School Hannover Germany
| | - Jens Vogel‐Claussen
- Diagnostic and Interventional Radiology Hannover Medical School Hannover Germany
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Member of the German Center for Lung Research (DZL) Hannover Germany
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20
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Ruppert K, Amzajerdian F, Hamedani H, Xin Y, Loza L, Achekzai T, Duncan IF, Profka H, Siddiqui S, Pourfathi M, Sertic F, Cereda MF, Kadlecek S, Rizi RR. Assessment of flip angle-TR equivalence for standardized dissolved-phase imaging of the lung with hyperpolarized 129Xe MRI. Magn Reson Med 2018; 81:1784-1794. [PMID: 30346083 DOI: 10.1002/mrm.27538] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 08/20/2018] [Accepted: 08/27/2018] [Indexed: 12/25/2022]
Abstract
PURPOSE To investigate the feasibility of describing the impact of any flip angle-TR combination on the resulting distribution of the hyperpolarized xenon-129 (HXe) dissolved-phase magnetization in the chest using a single virtual parameter, TR90°,equiv . METHODS HXe MRI scans with simultaneous gas- (GP) and dissolved-phase (DP) excitation were performed using 2D projection scans in mechanically ventilated rabbits. Measurements with DP flip angles ranging from 6-90° and TRs ranging from 8.3-500 ms were conducted. DP maps based on acquisitions of similar radio frequency pulse-induced relaxation rates were compared. RESULTS The observed distribution of the DP magnetization was strongly affected by acquisition flip angle and TR. However, for flip angles up to 60°, measurements with the same radio frequency pulse-induced relaxation rates, resulted in very similar DP images despite the presence of significant macroscopic gas transport processes. For flip angles approaching 90°, the downstream signal component decreased noticeably relative to acquisitions with lower flip angles. Nevertheless, the total DP signal continued to follow an empirically verified conversion equation over the entire investigated parameter range, which yields the equivalent TR of a hypothetical 90° measurement for any experimental flip angle-TR combination. CONCLUSION We have introduced a method for converting the flip angle and TR of a given HXe DP measurement to a standardized metric based on the virtual quantity, TR90°,equiv , using their equivalent RF relaxation rates. This conversion permits the comparison of measurements obtained with different pulse sequence types or by different research groups using various acquisition parameters.
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Affiliation(s)
- Kai Ruppert
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Faraz Amzajerdian
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Hooman Hamedani
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Yi Xin
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Luis Loza
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Tahmina Achekzai
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Ian F Duncan
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Harrilla Profka
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Sarmad Siddiqui
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Bioengineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Mehrdad Pourfathi
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.,Department of Electrical and Systems Engineering, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Federico Sertic
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Maurizio F Cereda
- Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Stephen Kadlecek
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Rahim R Rizi
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
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21
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Kern AL, Gutberlet M, Qing K, Voskrebenzev A, Klimeš F, Kaireit TF, Czerner C, Biller H, Wacker F, Ruppert K, Hohlfeld JM, Vogel-Claussen J. Regional investigation of lung function and microstructure parameters by localized 129 Xe chemical shift saturation recovery and dissolved-phase imaging: A reproducibility study. Magn Reson Med 2018; 81:13-24. [PMID: 30198113 DOI: 10.1002/mrm.27407] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Revised: 05/03/2018] [Accepted: 05/28/2018] [Indexed: 01/25/2023]
Abstract
PURPOSE To evaluate the reproducibility and regional variation of parameters obtained from localized 129 Xe chemical shift saturation recovery (CSSR) MR spectroscopy in healthy volunteers and patients with chronic obstructive pulmonary disease (COPD) and to compare the results to 129 Xe dissolved-phase MR imaging. METHODS Thirteen healthy volunteers and 10 COPD patients were scanned twice using 129 Xe dissolved-phase imaging, CSSR, and ventilation imaging sequences. A 16-channel phased-array coil in combination with the regularized spectral localization achieved by sensitivity heterogeneity (SPLASH) method was used to perform a regional analysis of CSSR data. Lung function and microstructural parameters were obtained using Patz model functions and their reproducibility was assessed. RESULTS The Patz model alveolar wall thickness parameter shows good reproducibility on a regional basis with a median coefficient of variation of 6.5% in healthy volunteers and 12.4% in COPD patients. Significant regional differences of lung function parameters derived from localized CSSR were found in healthy volunteers and correlations with spirometric indices were found. CONCLUSION Localized 129 Xe CSSR provides reproducible estimates of alveolar wall thickness and is able to detect regional differences of lung microstructure.
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Affiliation(s)
- Agilo Luitger Kern
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Marcel Gutberlet
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Kun Qing
- Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia
| | - Andreas Voskrebenzev
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Filip Klimeš
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Till Frederik Kaireit
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Christoph Czerner
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Heike Biller
- Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany
| | - Frank Wacker
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
| | - Kai Ruppert
- Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Jens M Hohlfeld
- Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany.,Clinical Airway Research, Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany.,Department of Respiratory Medicine, Hannover Medical School, Hannover, Germany
| | - Jens Vogel-Claussen
- Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.,Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany
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22
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Li H, Zhang Z, Zhao X, Han Y, Sun X, Ye C, Zhou X. Quantitative evaluation of pulmonary gas-exchange function using hyperpolarized 129 Xe CEST MRS and MRI. NMR IN BIOMEDICINE 2018; 31:e3961. [PMID: 30040165 DOI: 10.1002/nbm.3961] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 05/14/2018] [Accepted: 05/20/2018] [Indexed: 06/08/2023]
Abstract
Hyperpolarized 129 Xe gas MR has been a powerful tool for evaluating pulmonary structure and function due to the extremely high enhancement in spin polarization, the good solubility in the pulmonary parenchyma, and the excellent chemical sensitivity to its surrounding environment. Generally, the quantitative structural and functional information of the lung are evaluated using hyperpolarized 129 Xe by employing the techniques of chemical shift saturation recovery (CSSR) and xenon polarization transfer contrast (XTC). Hyperpolarized 129 Xe chemical exchange saturation transfer (Hyper-CEST) is another method for quantifying the exchange information of hyperpolarized 129 Xe by using the exchange of xenon signals according to its different chemical shifts, and it has been widely used in biosensor studies in vitro. However, the feasibility of using hyperpolarized 129 Xe CEST to quantify the pulmonary gas exchange function in vivo is still unclear. In this study, the technique of CEST was used to quantitatively evaluate the gas exchange in the lung globally and regionally via hyperpolarized 129 Xe MRS and MRI, respectively. A new parameter, the pulmonary apparent gas exchange time constant (Tapp ), was defined, and it increased from 0.63 s to 0.95 s in chronic obstructive pulmonary disease (COPD) rats (induced by cigarette smoke and lipopolysaccharide exposure) versus the controls with a significant difference (P = 0.001). Additionally, the spatial distribution maps of Tapp in COPD rats' pulmonary parenchyma showed a regionally obvious increase compared with healthy rats. These results indicated that hyperpolarized 129 Xe CEST MR was an effective method for globally and regionally quantifying the pulmonary gas exchange function, which would be helpful in diagnosing lung diseases that are related to gas exchange, such as COPD.
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Affiliation(s)
- Haidong Li
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Zhiying Zhang
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Xiuchao Zhao
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Yeqing Han
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Xianping Sun
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Chaohui Ye
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Xin Zhou
- State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China
- University of Chinese Academy of Sciences, Beijing, China
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23
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Morgado F, Couch MJ, Stirrat E, Santyr G. Effect of T1relaxation on ventilation mapping using hyperpolarized129Xe multiple breath wash-out imaging. Magn Reson Med 2018; 80:2670-2680. [DOI: 10.1002/mrm.27234] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Revised: 03/21/2018] [Accepted: 04/03/2018] [Indexed: 02/02/2023]
Affiliation(s)
- Felipe Morgado
- Translational Medicine Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children; Toronto Ontario, Canada
- Department of Medical Biophysics; University of Toronto; Toronto Ontario, Canada
| | - Marcus J. Couch
- Translational Medicine Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children; Toronto Ontario, Canada
- Department of Medical Biophysics; University of Toronto; Toronto Ontario, Canada
| | - Elaine Stirrat
- Translational Medicine Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children; Toronto Ontario, Canada
| | - Giles Santyr
- Translational Medicine Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children; Toronto Ontario, Canada
- Department of Medical Biophysics; University of Toronto; Toronto Ontario, Canada
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24
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Kern AL, Vogel-Claussen J. Hyperpolarized gas MRI in pulmonology. Br J Radiol 2018; 91:20170647. [PMID: 29271239 PMCID: PMC5965996 DOI: 10.1259/bjr.20170647] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Revised: 12/12/2017] [Accepted: 12/08/2017] [Indexed: 01/20/2023] Open
Abstract
Lung diseases have a high prevalence amongst the world population and their early diagnosis has been pointed out to be key for successful treatment. However, there is still a lack of non-invasive examination methods with sensitivity to early, local deterioration of lung function. Proton-based lung MRI is particularly challenging due to short T2* times and low proton density within the lung tissue. Hyperpolarized gas MRI is aan emerging technology providing a richness of methodologies which overcome the aforementioned problems. Unlike proton-based MRI, lung MRI of hyperpolarized gases may rely on imaging of spins in the lung's gas spaces or inside the lung tissue and thereby add substantial value and diagnostic potential to lung MRI. This review article gives an introduction to the MR physics of hyperpolarized media and presents the current state of hyperpolarized gas MRI of 3Headvasd and 129Xe in pulmonology. Key applications, ranging from static and dynamic ventilation imaging as well as oxygen-pressure mapping to 129Xe dissolved-phase imaging and spectroscopy are presented. Hyperpolarized gas MRI is compared to alternative examination methods based on MRI and future directions of hyperpolarized gas MRI are discussed.
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25
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Zanette B, Stirrat E, Jelveh S, Hope A, Santyr G. Physiological gas exchange mapping of hyperpolarized 129
Xe using spiral-IDEAL and MOXE in a model of regional radiation-induced lung injury. Med Phys 2018; 45:803-816. [DOI: 10.1002/mp.12730] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 11/17/2017] [Accepted: 11/28/2017] [Indexed: 12/20/2022] Open
Affiliation(s)
- Brandon Zanette
- Department of Medical Biophysics; University of Toronto, Toronto; 101 College St Toronto ON M5G1L7 Canada
- Translational Medicine Program; Peter Gilgan Centre for Research and Learning; The Hospital for Sick Children; 686 Bay St Toronto ON M5G0A4 Canada
| | - Elaine Stirrat
- Translational Medicine Program; Peter Gilgan Centre for Research and Learning; The Hospital for Sick Children; 686 Bay St Toronto ON M5G0A4 Canada
| | - Salomeh Jelveh
- Radiation Medicine Program; Princess Margaret Cancer Centre; 610 University Ave Toronto ON M5G2M9 Canada
| | - Andrew Hope
- Radiation Medicine Program; Princess Margaret Cancer Centre; 610 University Ave Toronto ON M5G2M9 Canada
- Department of Radiation Oncology; University of Toronto; 149 College St Toronto ON M5T1P5 Canada
| | - Giles Santyr
- Department of Medical Biophysics; University of Toronto, Toronto; 101 College St Toronto ON M5G1L7 Canada
- Translational Medicine Program; Peter Gilgan Centre for Research and Learning; The Hospital for Sick Children; 686 Bay St Toronto ON M5G0A4 Canada
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26
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Barskiy DA, Coffey AM, Nikolaou P, Mikhaylov DM, Goodson BM, Branca RT, Lu GJ, Shapiro MG, Telkki VV, Zhivonitko VV, Koptyug IV, Salnikov OG, Kovtunov KV, Bukhtiyarov VI, Rosen MS, Barlow MJ, Safavi S, Hall IP, Schröder L, Chekmenev EY. NMR Hyperpolarization Techniques of Gases. Chemistry 2017; 23:725-751. [PMID: 27711999 PMCID: PMC5462469 DOI: 10.1002/chem.201603884] [Citation(s) in RCA: 110] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2016] [Indexed: 01/09/2023]
Abstract
Nuclear spin polarization can be significantly increased through the process of hyperpolarization, leading to an increase in the sensitivity of nuclear magnetic resonance (NMR) experiments by 4-8 orders of magnitude. Hyperpolarized gases, unlike liquids and solids, can often be readily separated and purified from the compounds used to mediate the hyperpolarization processes. These pure hyperpolarized gases enabled many novel MRI applications including the visualization of void spaces, imaging of lung function, and remote detection. Additionally, hyperpolarized gases can be dissolved in liquids and can be used as sensitive molecular probes and reporters. This Minireview covers the fundamentals of the preparation of hyperpolarized gases and focuses on selected applications of interest to biomedicine and materials science.
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Affiliation(s)
- Danila A Barskiy
- Department of Radiology, Department of Biomedical Engineering, Department of Physics, Vanderbilt-Ingram Cancer Center (VICC), Vanderbilt University Institute of Imaging Science (VUIIS), Vanderbilt University, Nashville, TN, 37232, USA
| | - Aaron M Coffey
- Department of Radiology, Department of Biomedical Engineering, Department of Physics, Vanderbilt-Ingram Cancer Center (VICC), Vanderbilt University Institute of Imaging Science (VUIIS), Vanderbilt University, Nashville, TN, 37232, USA
| | - Panayiotis Nikolaou
- Department of Radiology, Department of Biomedical Engineering, Department of Physics, Vanderbilt-Ingram Cancer Center (VICC), Vanderbilt University Institute of Imaging Science (VUIIS), Vanderbilt University, Nashville, TN, 37232, USA
| | | | - Boyd M Goodson
- Southern Illinois University, Department of Chemistry and Biochemistry, Materials Technology Center, Carbondale, IL, 62901, USA
| | - Rosa T Branca
- Department of Physics and Astronomy, Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA
| | - George J Lu
- Division of Chemistry and Chemical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA
| | - Mikhail G Shapiro
- Division of Chemistry and Chemical Engineering, California Institute of Technology, Pasadena, CA, 91125, USA
| | | | - Vladimir V Zhivonitko
- International Tomography Center SB RAS, 630090, Novosibirsk, Russia
- Novosibirsk State University, Pirogova St. 2, 630090, Novosibirsk, Russia
| | - Igor V Koptyug
- International Tomography Center SB RAS, 630090, Novosibirsk, Russia
- Novosibirsk State University, Pirogova St. 2, 630090, Novosibirsk, Russia
| | - Oleg G Salnikov
- International Tomography Center SB RAS, 630090, Novosibirsk, Russia
- Novosibirsk State University, Pirogova St. 2, 630090, Novosibirsk, Russia
| | - Kirill V Kovtunov
- International Tomography Center SB RAS, 630090, Novosibirsk, Russia
- Novosibirsk State University, Pirogova St. 2, 630090, Novosibirsk, Russia
| | - Valerii I Bukhtiyarov
- Boreskov Institute of Catalysis SB RAS, 5 Acad. Lavrentiev Pr., 630090, Novosibirsk, Russia
| | - Matthew S Rosen
- MGH/A.A. Martinos Center for Biomedical Imaging, Boston, MA, 02129, USA
| | - Michael J Barlow
- Respiratory Medicine Department, Queen's Medical Centre, University of Nottingham Medical School, Nottingham, NG7 2UH, UK
| | - Shahideh Safavi
- Respiratory Medicine Department, Queen's Medical Centre, University of Nottingham Medical School, Nottingham, NG7 2UH, UK
| | - Ian P Hall
- Respiratory Medicine Department, Queen's Medical Centre, University of Nottingham Medical School, Nottingham, NG7 2UH, UK
| | - Leif Schröder
- Molecular Imaging, Department of Structural Biology, Leibniz-Institut für Molekulare Pharmakologie (FMP), 13125, Berlin, Germany
| | - Eduard Y Chekmenev
- Department of Radiology, Department of Biomedical Engineering, Department of Physics, Vanderbilt-Ingram Cancer Center (VICC), Vanderbilt University Institute of Imaging Science (VUIIS), Vanderbilt University, Nashville, TN, 37232, USA
- Russian Academy of Sciences, 119991, Moscow, Russia
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27
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Robertson SH, Virgincar RS, Bier EA, He M, Schrank GM, Smigla RM, Rackley C, McAdams HP, Driehuys B. Uncovering a third dissolved-phase 129 Xe resonance in the human lung: Quantifying spectroscopic features in healthy subjects and patients with idiopathic pulmonary fibrosis. Magn Reson Med 2016; 78:1306-1315. [PMID: 28940334 DOI: 10.1002/mrm.26533] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 09/12/2016] [Accepted: 10/06/2016] [Indexed: 01/25/2023]
Abstract
PURPOSE The purpose of this work was to accurately characterize the spectral properties of hyperpolarized 129 Xe in patients with idiopathic pulmonary fibrosis (IPF) compared to healthy volunteers. METHODS Subjects underwent hyperpolarized 129 Xe breath-hold spectroscopy, during which 38 dissolved-phase free induction decays (FIDs) were acquired after reaching steady state (echo time/repetition time = 0.875/50 ms; bandwidth = 8.06 kHz; flip angle≈22 °). FIDs were averaged and then decomposed into multiple spectral components using time-domain curve fitting. The resulting amplitudes, frequencies, line widths, and starting phases of each component were compared among groups using a Mann-Whitney-Wilcoxon U test. RESULTS Three dissolved-phase resonances, consisting of red blood cells (RBCs) and two barrier compartments, were consistently identified in all subjects. In subjects with IPF relative to healthy volunteers, the RBC frequency was 0.70 parts per million (ppm) more negative (P = 0.05), the chemical shift of barrier 2 was 0.6 ppm more negative (P = 0.009), the line widths of both barrier peaks were ∼2 ppm narrower (P < 0.001), and the starting phase of barrier 1 was 20.3 ° higher (P = 0.01). Moreover, the ratio RBC:barriers was reduced by 52.9% in IPF (P < 0.001). CONCLUSIONS The accurate decomposition of 129 Xe spectra not only has merit for developing a global metric of pulmonary function, but also provides necessary insights to optimize phase-sensitive methods for imaging 129 Xe gas transfer. Magn Reson Med 78:1306-1315, 2017. © 2016 International Society for Magnetic Resonance in Medicine.
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Affiliation(s)
- Scott H Robertson
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina, USA.,Medical Physics Graduate Program, Duke University, Durham, North Carolina, USA
| | - Rohan S Virgincar
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina, USA.,Department of Biomedical Engineering, Duke University, Durham, North Carolina, USA
| | - Elianna A Bier
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina, USA.,Medical Physics Graduate Program, Duke University, Durham, North Carolina, USA
| | - Mu He
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina, USA.,Department of Electrical and Computer Engineering, Duke University, Durham, North Carolina, USA
| | - Geoffrey M Schrank
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina, USA
| | - Rose Marie Smigla
- Division of Pulmonary, Allergy and Critical Care, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA
| | - Craig Rackley
- Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA
| | - H Page McAdams
- Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA
| | - Bastiaan Driehuys
- Center for In Vivo Microscopy, Duke University Medical Center, Durham, North Carolina, USA.,Medical Physics Graduate Program, Duke University, Durham, North Carolina, USA.,Department of Biomedical Engineering, Duke University, Durham, North Carolina, USA.,Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA
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28
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Ireland R, Tahir B, Wild J, Lee C, Hatton M. Functional Image-guided Radiotherapy Planning for Normal Lung Avoidance. Clin Oncol (R Coll Radiol) 2016; 28:695-707. [DOI: 10.1016/j.clon.2016.08.005] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Revised: 07/19/2016] [Accepted: 07/20/2016] [Indexed: 12/25/2022]
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29
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Stewart NJ, Parra-Robles J, Wild JM. Finite element modeling of (129)Xe diffusive gas exchange NMR in the human alveoli. JOURNAL OF MAGNETIC RESONANCE (SAN DIEGO, CALIF. : 1997) 2016; 271:21-33. [PMID: 27526397 DOI: 10.1016/j.jmr.2016.07.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Revised: 07/18/2016] [Accepted: 07/25/2016] [Indexed: 06/06/2023]
Abstract
Existing models of (129)Xe diffusive exchange for lung microstructural modeling with time-resolved MR spectroscopy data have considered analytical solutions to one-dimensional, homogeneous models of the lungs with specific assumptions about the alveolar geometry. In order to establish a model system for simulating the effects of physiologically-realistic changes in physical and microstructural parameters on (129)Xe exchange NMR, we have developed a 3D alveolar capillary model for finite element analysis. To account for the heterogeneity of the alveolar geometry across the lungs, we have derived realistic geometries for finite element analysis based on 2D histological samples and 3D micro-CT image volumes obtained from ex vivo biopsies of lung tissue from normal subjects and patients with interstitial lung disease. The 3D alveolar capillary model permits investigation of the impact of alveolar geometrical parameters and diffusion and perfusion coefficients on the in vivo measured (129)Xe CSSR signal response. The heterogeneity of alveolar microstructure that is accounted for in image-based models resulted in considerable alterations to the shape of the (129)Xe diffusive uptake curve when compared to 1D models. Our findings have important implications for the future design and optimization of (129)Xe MR experiments and in the interpretation of lung microstructural changes from this data.
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Affiliation(s)
- Neil J Stewart
- POLARIS, Academic Unit of Radiology, University of Sheffield, C Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, United Kingdom
| | - Juan Parra-Robles
- POLARIS, Academic Unit of Radiology, University of Sheffield, C Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, United Kingdom
| | - Jim M Wild
- POLARIS, Academic Unit of Radiology, University of Sheffield, C Floor, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, United Kingdom.
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30
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Thomen RP, Walkup LL, Roach DJ, Cleveland ZI, Clancy JP, Woods JC. Hyperpolarized 129Xe for investigation of mild cystic fibrosis lung disease in pediatric patients. J Cyst Fibros 2016; 16:275-282. [PMID: 27477942 DOI: 10.1016/j.jcf.2016.07.008] [Citation(s) in RCA: 101] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2016] [Revised: 07/15/2016] [Accepted: 07/17/2016] [Indexed: 12/19/2022]
Abstract
BACKGROUND Cystic fibrosis (CF) is a genetic disease which carries high morbidity and mortality from lung-function decline. Monitoring disease progression and treatment response in young patients is desirable, but serial imaging via CT is often considered prohibitive, and detailed functional information cannot be obtained using conventional imaging techniques. Hyperpolarized 129Xe magnetic resonance imaging (MRI) can depict and quantify regional ventilation, but has not been investigated in pediatrics. We hypothesized that 129Xe MRI is feasible and would demonstrate ventilation defects in mild CF lung disease with greater sensitivity than FEV1. METHODS 11 healthy controls (age 6-16years) and 11 patients with mild CF (age 8-16years, Forced Expiratory Volume (FEV1) percent predicted >70%) were recruited for this study. Nine CF patients had an FEV1>85%. Each subject was imaged via hyperpolarized 129Xe MRI, and the ventilation defect percentage (VDP) was measured. FEV1 and VDP were compared between the groups. RESULTS FEV1 for controls was 100.3%±8.5% (mean±sd) and for CF patients was 97.9%±16.0% (p=0.67). VDP was 6.4%±2.8% for controls and 18.3%±8.6% for CF (p<0.001). When considering the 9 CF patients with normal FEV1 (>85%), the mean FEV1 was 103.1%±12.3% (p=0.57 compared to controls) and VDP was 15.4%±6.3% (p=0.002). CONCLUSIONS Hyperpolarized 129Xe MRI demonstrated ventilation defects in CF patients with normal FEV1 and more effectively discriminated CF from controls than FEV1. Thus 129Xe may be a useful outcome measure to detect mild CF lung disease, to investigate regional lung function in pediatric lung diseases, and to follow disease progression.
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Affiliation(s)
- Robert P Thomen
- Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Department of Physics, Washington University in St. Louis, St. Louis, MO, United States
| | - Laura L Walkup
- Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States
| | - David J Roach
- Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States
| | - Zackary I Cleveland
- Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, OH, United States
| | - John P Clancy
- Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, OH, United States
| | - Jason C Woods
- Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Department of Physics, Washington University in St. Louis, St. Louis, MO, United States; Division of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, OH, United States.
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31
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Rao M, Stewart NJ, Norquay G, Griffiths PD, Wild JM. High resolution spectroscopy and chemical shift imaging of hyperpolarized (129) Xe dissolved in the human brain in vivo at 1.5 tesla. Magn Reson Med 2016; 75:2227-34. [PMID: 27080441 PMCID: PMC4950000 DOI: 10.1002/mrm.26241] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 03/15/2016] [Accepted: 03/21/2016] [Indexed: 12/01/2022]
Abstract
Purpose Upon inhalation, xenon diffuses into the bloodstream and is transported to the brain, where it dissolves in various compartments of the brain. Although up to five chemically distinct peaks have been previously observed in 129Xe rat head spectra, to date only three peaks have been reported in the human head. This study demonstrates high resolution spectroscopy and chemical shift imaging (CSI) of 129Xe dissolved in the human head at 1.5 Tesla. Methods A 129Xe radiofrequency coil was built in‐house and 129Xe gas was polarized using spin‐exchange optical pumping. Following the inhalation of 129Xe gas, NMR spectroscopy was performed with spectral resolution of 0.033 ppm. Two‐dimensional CSI in all three anatomical planes was performed with spectral resolution of 2.1 ppm and voxel size 20 mm × 20 mm. Results Spectra of hyperpolarized 129Xe dissolved in the human head showed five distinct peaks at 188 ppm, 192 ppm, 196 ppm, 200 ppm, and 217 ppm. Assignment of these peaks was consistent with earlier studies. Conclusion High resolution spectroscopy and CSI of hyperpolarized 129Xe dissolved in the human head has been demonstrated. For the first time, five distinct NMR peaks have been observed in 129Xe spectra from the human head in vivo. Magn Reson Med 75:2227–2234, 2016. © 2016 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Affiliation(s)
- Madhwesha Rao
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
| | - Neil J Stewart
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
| | - Graham Norquay
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
| | - Paul D Griffiths
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
| | - Jim M Wild
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
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Lilburn DML, Lesbats C, Six JS, Dubuis E, Yew-Booth L, Shaw DE, Belvisi MG, Birrell MA, Pavlovskaya GE, Meersmann T. Hyperpolarized 83Kr magnetic resonance imaging of alveolar degradation in a rat model of emphysema. J R Soc Interface 2016; 12:rsif.2015.0192. [PMID: 25994296 PMCID: PMC4587540 DOI: 10.1098/rsif.2015.0192] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Hyperpolarized 83Kr surface quadrupolar relaxation (SQUARE) generates MRI contrast that was previously shown to correlate with surface-to-volume ratios in porous model surface systems. The underlying physics of SQUARE contrast is conceptually different from any other current MRI methodology as the method uses the nuclear electric properties of the spin I = 9/2 isotope 83Kr. To explore the usage of this non-radioactive isotope for pulmonary pathophysiology, MRI SQUARE contrast was acquired in excised rat lungs obtained from an elastase-induced model of emphysema. A significant 83Kr T1 relaxation time increase in the SQUARE contrast was found in the elastase-treated lungs compared with the baseline data from control lungs. The SQUARE contrast suggests a reduction in pulmonary surface-to-volume ratio in the emphysema model that was validated by histology. The finding supports usage of 83Kr SQUARE as a new biomarker for surface-to-volume ratio changes in emphysema.
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Affiliation(s)
- David M L Lilburn
- Sir Peter Mansfield Imaging Centre, Division for Respiratory Medicine, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
| | - Clémentine Lesbats
- Sir Peter Mansfield Imaging Centre, Division for Respiratory Medicine, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
| | - Joseph S Six
- Sir Peter Mansfield Imaging Centre, Division for Respiratory Medicine, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
| | - Eric Dubuis
- Respiratory Pharmacology, Pharmacology and Toxicology, Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London SW7 2AZ, UK
| | - Liang Yew-Booth
- Respiratory Pharmacology, Pharmacology and Toxicology, Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London SW7 2AZ, UK
| | - Dominick E Shaw
- City Hospital Nottingham, Nottingham Respiratory Research Unit, Nottingham NG5 1PB, UK
| | - Maria G Belvisi
- Respiratory Pharmacology, Pharmacology and Toxicology, Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London SW7 2AZ, UK
| | - Mark A Birrell
- Respiratory Pharmacology, Pharmacology and Toxicology, Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London SW7 2AZ, UK
| | - Galina E Pavlovskaya
- Sir Peter Mansfield Imaging Centre, Division for Respiratory Medicine, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
| | - Thomas Meersmann
- Sir Peter Mansfield Imaging Centre, Division for Respiratory Medicine, School of Medicine, University of Nottingham, Nottingham NG7 2RD, UK
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Thomen RP, Quirk JD, Roach D, Egan‐Rojas T, Ruppert K, Yusen RD, Altes TA, Yablonskiy DA, Woods JC. Direct comparison of
129
X
e diffusion measurements with quantitative histology in human lungs. Magn Reson Med 2016; 77:265-272. [DOI: 10.1002/mrm.26120] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 12/13/2015] [Accepted: 12/17/2015] [Indexed: 12/22/2022]
Affiliation(s)
- Robert P. Thomen
- Center for Pulmonary Imaging ResearchCincinnati Children's Hospital Medical CenterCincinnati OH USA
- Department of PhysicsWashington University in St. LouisSt. Louis MO USA
| | - James D. Quirk
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. Louis MO USA
| | - David Roach
- Center for Pulmonary Imaging ResearchCincinnati Children's Hospital Medical CenterCincinnati OH USA
| | - Tiffany Egan‐Rojas
- Center for Pulmonary Imaging ResearchCincinnati Children's Hospital Medical CenterCincinnati OH USA
| | - Kai Ruppert
- Center for Pulmonary Imaging ResearchCincinnati Children's Hospital Medical CenterCincinnati OH USA
| | - Roger D. Yusen
- Division of Pulmonary and Critical Care MedicineWashington University School of MedicineSt. Louis MO USA
| | | | - Dmitriy A. Yablonskiy
- Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. Louis MO USA
| | - Jason C. Woods
- Center for Pulmonary Imaging ResearchCincinnati Children's Hospital Medical CenterCincinnati OH USA
- Department of PhysicsWashington University in St. LouisSt. Louis MO USA
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Li H, Zhang Z, Zhao X, Sun X, Ye C, Zhou X. Quantitative evaluation of radiation-induced lung injury with hyperpolarized xenon magnetic resonance. Magn Reson Med 2015; 76:408-16. [PMID: 26400753 DOI: 10.1002/mrm.25894] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Revised: 07/21/2015] [Accepted: 07/25/2015] [Indexed: 12/22/2022]
Abstract
PURPOSE To demonstrate the feasibility of quantitative and comprehensive global evaluation of pulmonary function and microstructural changes in rats with radiation-induced lung injury (RILI) using hyperpolarized xenon MR. METHODS Dissolved xenon spectra were dynamically acquired using a modified chemical shift saturation recovery pulse sequence in five rats with RILI (bilaterally exposed by 6-MV x-ray with a dose of 14 Gy 3 mo. prior to MR experiments) and five healthy rats. The dissolved xenon signals were quantitatively analyzed, and the pulmonary physiological parameters were extracted with the model of xenon exchange. RESULTS The obtained pulmonary physiological parameters and the ratio of (129) Xe signal in red blood cells (RBCs) versus barrier showed a significant difference between the groups. In RILI rats versus controls, the exchange time increased from 44.5 to 112 ms, the pulmonary capillary transit time increased from 0.51 to 1.48 s, and the ratio of (129) Xe spectroscopic signal in RBCs versus barrier increased from 0.294 to 0.484. CONCLUSION Hyperpolarized xenon MR is effective for quantitative and comprehensive global evaluation of pulmonary function and structural changes without the use of radiation. This may open the door for its use in the diagnosis of lung diseases that are related to gas exchange. Magn Reson Med 76:408-416, 2016. © 2015 Wiley Periodicals, Inc.
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Affiliation(s)
- Haidong Li
- Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, 430071, P. R. China
| | - Zhiying Zhang
- Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, 430071, P. R. China
| | - Xiuchao Zhao
- Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, 430071, P. R. China
| | - Xianping Sun
- Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, 430071, P. R. China
| | - Chaohui Ye
- Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, 430071, P. R. China
| | - Xin Zhou
- Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, 430071, P. R. China
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Ruppert K, Altes TA, Mata JF, Ruset IC, Hersman FW, Mugler JP. Detecting pulmonary capillary blood pulsations using hyperpolarized xenon-129 chemical shift saturation recovery (CSSR) MR spectroscopy. Magn Reson Med 2015; 75:1771-80. [PMID: 26017009 DOI: 10.1002/mrm.25794] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Revised: 04/06/2015] [Accepted: 05/05/2015] [Indexed: 01/11/2023]
Abstract
PURPOSE To investigate whether chemical shift saturation recovery (CSSR) MR spectroscopy with hyperpolarized xenon-129 is sensitive to the pulsatile nature of pulmonary blood flow during the cardiac cycle. METHODS A CSSR pulse sequence typically uses radiofrequency (RF) pulses to saturate the magnetization of xenon-129 dissolved in lung tissue followed, after a variable delay time, by an RF excitation and subsequent acquisition of a free-induction decay. Thereby it is possible to monitor the uptake of xenon-129 by lung tissue and extract physiological parameters of pulmonary gas exchange. In the current studies, the delay time was instead held at a constant value, which permitted observation of xenon-129 gas uptake as a function of breath-hold time. CSSR studies were performed in 13 subjects (10 healthy, 2 chronic obstructive pulmonary disease [COPD], 1 second-hand smoke exposure), holding their breath at total lung capacity. RESULTS The areas of the tissue/plasma and the red-blood-cell peaks in healthy subjects varied by an average of 1.7±0.7% and 15.1±3.8%, respectively, during the cardiac cycle. In 2 subjects with COPD these peak pulsations were not detectable during at least part of the measurement period. CONCLUSION CSSR spectroscopy is sufficiently sensitive to detect oscillations in the xenon-129 gas-uptake rate associated with the cardiac cycle.
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Affiliation(s)
- Kai Ruppert
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Virginia, USA.,Department of Pulmonary Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio, USA
| | - Talissa A Altes
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Virginia, USA
| | - Jaime F Mata
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Virginia, USA
| | - Iulian C Ruset
- Xemed, LLC, Durham, New Hampshire, USA.,Department of Physics, University of New Hampshire, Durham, New Hampshire, USA
| | - F William Hersman
- Xemed, LLC, Durham, New Hampshire, USA.,Department of Physics, University of New Hampshire, Durham, New Hampshire, USA
| | - John P Mugler
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, Virginia, USA
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Abstract
A lack of molecular contrast agents has slowed the application of ultrasensitive hyperpolarized (129)Xe NMR methods. Here, we report that commercially available cucurbit[6]uril (CB[6]) undergoes rapid xenon exchange kinetics at 300 K, and is detectable by Hyper-CEST NMR at 1.8 pM in PBS and at 1 μM in human plasma where many molecules, including polyamines, can compete with xenon for CB[6] binding.
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Affiliation(s)
- Yanfei Wang
- Department of Chemistry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
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37
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Rao M, Wild JM. RF instrumentation for same-breath triple nuclear lung MR imaging of (1)H and hyperpolarized (3)He and (129)Xe at 1.5T. Magn Reson Med 2015; 75:1841-8. [PMID: 25974031 PMCID: PMC5427630 DOI: 10.1002/mrm.25680] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2014] [Revised: 02/10/2015] [Accepted: 02/11/2015] [Indexed: 12/30/2022]
Abstract
Purpose The hyperpolarized gases 3He and 129Xe have distinct properties and provide unique and complementary functional information from the lungs. A triple‐nuclear, same‐breath imaging examination of the lungs with 1H, 3He, and 129Xe can therefore provide exclusive functional information from the gas images. In addition, the 1H images provide complementary co‐registered structural information in the same physiological time frame. The goal of this study was to design an RF system for triple nuclear lung MRI at 1.5T, consisting of a dual‐tuned transceiver coil for 3He and 129Xe, RF switches and a nested 1H receiver array. Methods A dual‐tuned transmit‐receive dual‐Helmholtz RF coil for 3He and 129Xe was designed and constructed to work in unison with a nested 1H receiver array. Results Triple‐nuclear imaging (structural and ventilation) and apparent diffusion coefficient mapping of the human lungs was performed in the same breath‐hold using the integrated RF system. B1 maps and volumetric ventilation imaging using a three‐dimensional, balanced steady‐state free precession pulse sequence performed with both hyperpolarized 3He and 129Xe indicate good stand‐alone performance of the coil for the respective nucleus. Conclusion Triple‐nuclear same‐breath lung imaging with a dual‐tuned coil (3He and 129Xe) and a nested 1H array has been demonstrated with a custom RF system. Magn Reson Med 75:1841–1848, 2016. © © The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine.
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Affiliation(s)
- Madhwesha Rao
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
| | - Jim M Wild
- Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom
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Qing K, Mugler JP, Altes TA, Jiang Y, Mata JF, Miller GW, Ruset IC, Hersman FW, Ruppert K. Assessment of lung function in asthma and COPD using hyperpolarized 129Xe chemical shift saturation recovery spectroscopy and dissolved-phase MRI. NMR IN BIOMEDICINE 2014; 27:1490-501. [PMID: 25146558 PMCID: PMC4233004 DOI: 10.1002/nbm.3179] [Citation(s) in RCA: 82] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2014] [Revised: 07/10/2014] [Accepted: 07/11/2014] [Indexed: 05/03/2023]
Abstract
Magnetic-resonance spectroscopy and imaging using hyperpolarized xenon-129 show great potential for evaluation of the most important function of the human lung -- gas exchange. In particular, chemical shift saturation recovery (CSSR) xenon-129 spectroscopy provides important physiological information for the lung as a whole by characterizing the dynamic process of gas exchange, while dissolved-phase (DP) xenon-129 imaging captures the time-averaged regional distribution of gas uptake by lung tissue and blood. Herein, we present recent advances in assessing lung function using CSSR spectroscopy and DP imaging in a total of 45 subjects (23 healthy, 13 chronic obstructive pulmonary disease (COPD) and 9 asthma). From CSSR acquisitions, the COPD subjects showed red blood cell to tissue-plasma (RBC-to-TP) ratios below the average for the healthy subjects (p < 0.001), but significantly higher septal wall thicknesses as compared with the healthy subjects (p < 0.005); the RBC-to-TP ratios for the asthmatic subjects fell outside two standard deviations (either higher or lower) from the mean of the healthy subjects, although there was no statistically significant difference for the average ratio of the study group as a whole. Similarly, from the 3D DP imaging acquisitions, we found that all the ratios (TP to gas phase (GP), RBC to GP, RBC to TP) measured in the COPD subjects were lower than those from the healthy subjects (p < 0.05 for all ratios), while these ratios in the asthmatic subjects differed considerably between subjects. Despite having been performed at different lung inflation levels, the RBC-to-TP ratios measured by CSSR and 3D DP imaging were fairly consistent with each other, with a mean difference of 0.037 (ratios from 3D DP imaging larger). In ten subjects the RBC-to-GP ratios obtained from the 3D DP imaging acquisitions were also highly correlated with their diffusing capacity of the lung for carbon monoxide per unit alveolar volume ratios measured by pulmonary function testing (R = 0.91).
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Affiliation(s)
- Kun Qing
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
| | - John P. Mugler
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
- Department of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA
| | - Talissa A. Altes
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
| | - Yun Jiang
- Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA
| | - Jaime F. Mata
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
| | - G. Wilson Miller
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
| | - Iulian C. Ruset
- Xemed LLC, Durham, NH, USA
- Department of Physics, University of New Hampshire, Durham, NH, USA
| | - F. William Hersman
- Xemed LLC, Durham, NH, USA
- Department of Physics, University of New Hampshire, Durham, NH, USA
| | - Kai Ruppert
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
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Ruppert K. Biomedical imaging with hyperpolarized noble gases. REPORTS ON PROGRESS IN PHYSICS. PHYSICAL SOCIETY (GREAT BRITAIN) 2014; 77:116701. [PMID: 25360484 DOI: 10.1088/0034-4885/77/11/116701] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Hyperpolarized noble gases (HNGs), polarized to approximately 50% or higher, have led to major advances in magnetic resonance (MR) imaging of porous structures and air-filled cavities in human subjects, particularly the lung. By boosting the available signal to a level about 100 000 times higher than that at thermal equilibrium, air spaces that would otherwise appear as signal voids in an MR image can be revealed for structural and functional assessments. This review discusses how HNG MR imaging differs from conventional proton MR imaging, how MR pulse sequence design is affected and how the properties of gas imaging can be exploited to obtain hitherto inaccessible information in humans and animals. Current and possible future imaging techniques, and their application in the assessment of normal lung function as well as certain lung diseases, are described.
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Stewart NJ, Leung G, Norquay G, Marshall H, Parra-Robles J, Murphy PS, Schulte RF, Elliot C, Condliffe R, Griffiths PD, Kiely DG, Whyte MK, Wolber J, Wild JM. Experimental validation of the hyperpolarized129Xe chemical shift saturation recovery technique in healthy volunteers and subjects with interstitial lung disease. Magn Reson Med 2014; 74:196-207. [DOI: 10.1002/mrm.25400] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Revised: 07/15/2014] [Accepted: 07/15/2014] [Indexed: 12/22/2022]
Affiliation(s)
- Neil J. Stewart
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - General Leung
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Graham Norquay
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Helen Marshall
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Juan Parra-Robles
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | | | | | - Charlie Elliot
- Academic Directorate of Respiratory Medicine; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
- Sheffield Pulmonary Vascular Disease Unit; Sheffield Teaching Hospitals, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Robin Condliffe
- Academic Directorate of Respiratory Medicine; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
- Sheffield Pulmonary Vascular Disease Unit; Sheffield Teaching Hospitals, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Paul D. Griffiths
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - David G. Kiely
- Academic Directorate of Respiratory Medicine; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
- Sheffield Pulmonary Vascular Disease Unit; Sheffield Teaching Hospitals, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Moira K. Whyte
- Academic Directorate of Respiratory Medicine; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
| | - Jan Wolber
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
- Medical Diagnostics; GE Healthcare; Amersham United Kingdom
| | - Jim M. Wild
- Academic Unit of Radiology; University of Sheffield, Royal Hallamshire Hospital; Sheffield United Kingdom
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Tetsumoto S, Takeda Y, Imai H, Kimura A, Jin Y, Nakanishi K, Maeda Y, Kuhara H, Tsujino K, Iwasaki T, Shigeta H, Kondo Y, Ito M, Minami T, Hirata H, Takahashi R, Kohmo S, Nagatomo I, Inoue K, Kida H, Kijima T, Tachibana I, Maeda N, Funahashi T, Shimomura I, Fujiwara H, Kumanogoh A. Validation of noninvasive morphological and diffusion imaging in mouse emphysema by micro-computed tomography and hyperpolarized (129)Xe magnetic resonance imaging. Am J Respir Cell Mol Biol 2014; 49:592-600. [PMID: 23668642 DOI: 10.1165/rcmb.2012-0350oc] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Animal disease models are pivotal in investigating the pathogenesis of emphysema and developing novel drugs, but the modalities to evaluate murine emphysema models have been of limited validity and sensitivity. In this study, we evaluated hyperpolarized (129)Xe magnetic resonance imaging (MRI) and micro-computed tomography (micro-CT) compared with traditional methods, such as plethysmography and histology. Elastase-treated mice and adiponectin knockout mice were used as murine emphysema models to evaluate these modalities. Three weeks after elastase administration, significant and heterogeneous emphysema was evaluated according to the mean linear intercept and plethysmography parameters. Notably, the distribution of low-density areas, as examined by micro-CT, correlated with the mean linear intercept and plethysmography parameters in whole lungs. These correlations were also observed in regional areas. Furthermore, we introduced hyperpolarized (129)Xe MRI, which can evaluate gas exchange between the alveoli and blood during spontaneous breathing. Parameters of gas exchange (fD) and alveolar size (Vs/Va) were significantly decreased in elastase-treated mice, and moderately correlated with the plethysmography parameters. Of importance, we could detect a decrease of the fD value in low-density areas with micro-CT, suggesting that gas exchange decreased in emphysematous lesions. Likewise, these parameters (fD and Vs/Va) were also decreased in adiponectin knockout mice, which exhibit emphysema with a homogeneous distribution. We demonstrated the feasibility of (129)Xe MRI and micro-CT in combination with traditional modalities. These noninvasive modalities provide complementary data that can be used for repeated estimations of regional gas exchange and lung morphology.
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Affiliation(s)
- Satoshi Tetsumoto
- 1 Department of Respiratory Medicine, Allergy, and Rheumatic Diseases, Graduate School of Medicine
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Palaniappan KK, Francis MB, Pines A, Wemmer DE. Molecular Sensing Using Hyperpolarized Xenon NMR Spectroscopy. Isr J Chem 2014. [DOI: 10.1002/ijch.201300128] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Leung G, Norquay G, Schulte RF, Wild JM. Radiofrequency pulse design for the selective excitation of dissolved 129Xe. Magn Reson Med 2014; 73:21-30. [PMID: 24395490 DOI: 10.1002/mrm.25089] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2013] [Revised: 10/30/2013] [Accepted: 11/27/2013] [Indexed: 12/25/2022]
Abstract
PURPOSE To optimize radiofrequency (RF) pulses for the selective excitation of dissolved phase (129)Xe that take into account the very short T2*, while simultaneously, minimally exciting the much larger gas signal. METHODS Numerical simulations of Shinnar le-Roux pulses and binomial coefficient composite-element pulses were performed and experimentally implemented on a 1.5 Tesla (T) clinical scanner. These were compared with pulses commonly used for short T2* imaging from the literature. The pulses were then experimentally tested in vivo with healthy volunteers inhaling hyperpolarized (129)Xe using nuclear MR spectroscopy on a 1.5T clinical scanner. RESULTS Standard RF excitation pulses inadvertently excite the gas compartment, or are long enough that the T2* of the dissolved compartment deteriorates the received signal. Amplitude modulated binomial composite pulses perform well being short and having high selectivity, however, deteriorate at high amplifier gain setting. Composite pulses using pulse width modulation provide the desired frequency response even in these nonlinear, high gain regimes. CONCLUSION Composite pulses provide a means of very narrow band frequency selectivity in a short duration pulse that is well suited to dissolved (129)Xe imaging. Pulse width modulation maintains the desired frequency response even in the presence of amplitude distortion.
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Affiliation(s)
- General Leung
- Unit of Academic Radiology, University of Sheffield, Sheffield, United Kingdom
| | - Graham Norquay
- Unit of Academic Radiology, University of Sheffield, Sheffield, United Kingdom
| | | | - Jim M Wild
- Unit of Academic Radiology, University of Sheffield, Sheffield, United Kingdom
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Chang YV, Quirk JD, Ruset IC, Atkinson JJ, Hersman FW, Woods JC. Quantification of human lung structure and physiology using hyperpolarized 129Xe. Magn Reson Med 2013; 71:339-44. [PMID: 24155277 DOI: 10.1002/mrm.24992] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2013] [Revised: 09/13/2013] [Accepted: 09/17/2013] [Indexed: 12/23/2022]
Abstract
PURPOSE To present in vivo, human validation of a previously proposed method to measure key pulmonary parameters related to lung microstructure and physiology. Some parameters, such as blood-air barrier thickness, cannot be measured readily by any other noninvasive modality. METHODS Healthy volunteers (n = 12) were studied in 1.5T and 3T whole body human scanners using hyperpolarized xenon. Xenon uptake by lung parenchyma and blood was measured using a chemical shift saturation recovery sequence. Both dissolved-xenon peaks at 197 ppm and 217-218 ppm were fitted against a model of xenon exchange (MOXE) as functions of exchange time. Parameters related to lung function and structure can be obtained by fitting to this model. RESULTS The following results were obtained from xenon uptake (averaged over all healthy volunteers): surface-area-to-volume ratio = 210 ± 50 cm(-1) ; total septal wall thickness = 9.2 ± 6.5 μm; blood-air barrier thickness = 1.0 ± 0.3 μm; hematocrit = 27 ± 4%; pulmonary capillary blood transit time = 1.3 ± 0.3 s, in good agreement with literature values from invasive experiments. More detailed fitting results are listed in the text. CONCLUSION The initial in vivo human results demonstrate that our proposed methods can be used to noninvasively determine lung physiology by simultaneous quantification of a few important pulmonary parameters. This method is highly promising to become a versatile screening method for lung diseases.
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Affiliation(s)
- Yulin V Chang
- Biomedical Magnetic Resonance Laboratory, Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri, USA; Department of Physics, Washington University, St. Louis, Missouri, USA
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Liszewski MC, Hersman FW, Altes TA, Ohno Y, Ciet P, Warfield SK, Lee EY. Magnetic resonance imaging of pediatric lung parenchyma, airways, vasculature, ventilation, and perfusion: state of the art. Radiol Clin North Am 2013; 51:555-82. [PMID: 23830786 DOI: 10.1016/j.rcl.2013.04.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Magnetic resonance (MR) imaging is a noninvasive imaging modality, particularly attractive for pediatric patients given its lack of ionizing radiation. Despite many advantages, the physical properties of the lung (inherent low signal-to-noise ratio, magnetic susceptibility differences at lung-air interfaces, and respiratory and cardiac motion) have posed technical challenges that have limited the use of MR imaging in the evaluation of thoracic disease in the past. However, recent advances in MR imaging techniques have overcome many of these challenges. This article discusses these advances in MR imaging techniques and their potential role in the evaluation of thoracic disorders in pediatric patients.
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Affiliation(s)
- Mark C Liszewski
- Department of Radiology, Boston Children's Hospital, Harvard Medical School, 330 Longwood Avenue, Boston, MA 02115, USA
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Mugler JP, Altes TA. Hyperpolarized 129Xe MRI of the human lung. J Magn Reson Imaging 2013; 37:313-31. [PMID: 23355432 DOI: 10.1002/jmri.23844] [Citation(s) in RCA: 240] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2012] [Accepted: 08/29/2012] [Indexed: 11/07/2022] Open
Abstract
By permitting direct visualization of the airspaces of the lung, magnetic resonance imaging (MRI) using hyperpolarized gases provides unique strategies for evaluating pulmonary structure and function. Although the vast majority of research in humans has been performed using hyperpolarized (3)He, recent contraction in the supply of (3)He and consequent increases in price have turned attention to the alternative agent, hyperpolarized (129) Xe. Compared to (3)He, (129)Xe yields reduced signal due to its smaller magnetic moment. Nonetheless, taking advantage of advances in gas-polarization technology, recent studies in humans using techniques for measuring ventilation, diffusion, and partial pressure of oxygen have demonstrated results for hyperpolarized (129)Xe comparable to those previously demonstrated using hyperpolarized (3)He. In addition, xenon has the advantage of readily dissolving in lung tissue and blood following inhalation, which makes hyperpolarized (129)Xe particularly attractive for exploring certain characteristics of lung function, such as gas exchange and uptake, which cannot be accessed using (3)He. Preliminary results from methods for imaging (129) Xe dissolved in the human lung suggest that these approaches will provide new opportunities for quantifying relationships among gas delivery, exchange, and transport, and thus show substantial potential to broaden our understanding of lung disease. Finally, recent changes in the commercial landscape of the hyperpolarized-gas field now make it possible for this innovative technology to move beyond the research laboratory.
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Affiliation(s)
- John P Mugler
- Center for In-vivo Hyperpolarized Gas MR Imaging, Department of Radiology and Medical Imaging, University of Virginia School of Medicine, Charlottesville, Virginia 22908, USA.
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Qing K, Ruppert K, Jiang Y, Mata JF, Miller GW, Shim YM, Wang C, Ruset IC, Hersman FW, Altes TA, Mugler JP. Regional mapping of gas uptake by blood and tissue in the human lung using hyperpolarized xenon-129 MRI. J Magn Reson Imaging 2013; 39:346-59. [PMID: 23681559 DOI: 10.1002/jmri.24181] [Citation(s) in RCA: 132] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2012] [Accepted: 03/28/2013] [Indexed: 12/11/2022] Open
Abstract
PURPOSE To develop a breathhold acquisition for regional mapping of ventilation and the fractions of hyperpolarized xenon-129 (Xe129) dissolved in tissue (lung parenchyma and plasma) and red blood cells (RBCs), and to perform an exploratory study to characterize data obtained in human subjects. MATERIALS AND METHODS A three-dimensional, multi-echo, radial-trajectory pulse sequence was developed to obtain ventilation (gaseous Xe129), tissue, and RBC images in healthy subjects, smokers, and asthmatics. Signal ratios (total dissolved Xe129 to gas, tissue-to-gas, RBC-to-gas, and RBC-to-tissue) were calculated from the images for quantitative comparison. RESULTS Healthy subjects demonstrated generally uniform values within coronal slices, and a gradient in values along the anterior-to-posterior direction. In contrast, images and associated ratio maps in smokers and asthmatics were generally heterogeneous and exhibited values mostly lower than those in healthy subjects. Whole-lung values of total dissolved Xe129 to gas, tissue-to-gas, and RBC-to-gas ratios in healthy subjects were significantly larger than those in diseased subjects. CONCLUSION Regional maps of tissue and RBC fractions of dissolved Xe129 were obtained from a short breathhold acquisition, well tolerated by healthy volunteers and subjects with obstructive lung disease. Marked differences were observed in spatial distributions and overall amounts of Xe129 dissolved in tissue and RBCs among healthy subjects, smokers and asthmatics.
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Affiliation(s)
- Kun Qing
- Department of Biomedical Engineering, University of Virginia School of Medicine, Charlottesville, Virginia, USA
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Lilburn DM, Pavlovskaya GE, Meersmann T. Perspectives of hyperpolarized noble gas MRI beyond 3He. JOURNAL OF MAGNETIC RESONANCE (SAN DIEGO, CALIF. : 1997) 2013; 229:173-86. [PMID: 23290627 PMCID: PMC3611600 DOI: 10.1016/j.jmr.2012.11.014] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2012] [Revised: 11/12/2012] [Accepted: 11/15/2012] [Indexed: 05/29/2023]
Abstract
Nuclear Magnetic Resonance (NMR) studies with hyperpolarized (hp) noble gases are at an exciting interface between physics, chemistry, materials science and biomedical sciences. This paper intends to provide a brief overview and outlook of magnetic resonance imaging (MRI) with hp noble gases other than hp (3)He. A particular focus are the many intriguing experiments with (129)Xe, some of which have already matured to useful MRI protocols, while others display high potential for future MRI applications. Quite naturally for MRI applications the major usage so far has been for biomedical research but perspectives for engineering and materials science studies are also provided. In addition, the prospects for surface sensitive contrast with hp (83)Kr MRI is discussed.
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Affiliation(s)
| | | | - Thomas Meersmann
- University of Nottingham, School of Clinical Sciences, Sir Peter Mansfield Magnetic Resonance Centre, Nottingham NG7 2RD, United Kingdom
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Dregely I, Ruset IC, Wiggins G, Mareyam A, Mugler JP, Altes TA, Meyer C, Ruppert K, Wald LL, Hersman FW. 32-channel phased-array receive with asymmetric birdcage transmit coil for hyperpolarized xenon-129 lung imaging. Magn Reson Med 2012; 70:576-83. [PMID: 23132336 DOI: 10.1002/mrm.24482] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2011] [Revised: 08/06/2012] [Accepted: 08/11/2012] [Indexed: 11/09/2022]
Abstract
Hyperpolarized xenon-129 has the potential to become a noninvasive contrast agent for lung MRI. In addition to its utility for imaging of ventilated airspaces, the property of xenon to dissolve in lung tissue and blood upon inhalation provides the opportunity to study gas exchange. Implementations of imaging protocols for obtaining regional parameters that exploit the dissolved phase are limited by the available signal-to-noise ratio, excitation homogeneity, and length of acquisition times. To address these challenges, a 32-channel receive-array coil complemented by an asymmetric birdcage transmit coil tuned to the hyperpolarized xenon-129 resonance at 3 T was developed. First results of spin-density imaging in healthy subjects and subjects with obstructive lung disease demonstrated the improvements in image quality by high-resolution ventilation images with high signal-to-noise ratio. Parallel imaging performance of the phased-array coil was demonstrated by acceleration factors up to three in 2D acquisitions and up to six in 3D acquisitions. Transmit-field maps showed a regional variation of only 8% across the whole lung. The newly developed phased-array receive coil with the birdcage transmit coil will lead to an improvement in existing imaging protocols, but moreover enable the development of new, functional lung imaging protocols based on the improvements in excitation homogeneity, signal-to-noise ratio, and acquisition speed.
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Affiliation(s)
- Isabel Dregely
- Department of Physics, University of New Hampshire, Durham, New Hampshire, USA
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The importance of imaging and physiology measurements in assessing the delivery of peripherally targeted aerosolized drugs. Ther Deliv 2012; 3:1329-45. [DOI: 10.4155/tde.12.113] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Considerable recent effort has been directed towards developing new aerosol formulations and delivery devices that can target drugs to the lung periphery. In order to determine the efficacy of targeted drug therapy, it is essential that the peripheral lung region be adequately assessed. Imaging of the airways structure and pathology has greatly advanced in the last decade and this rate of growth is accelerating as new technologies become available. Lung imaging continues to play an important role in the study of the peripheral airways and, when combined with state-of-the-art lung function measurements and computational modeling, can be a powerful tool for investigating the effects of inhaled medication. This article focuses on recent strategies in imaging and physiological measurements of the lungs that allow the assessment of inhaled medication delivered to the periphery and discusses how these methods may help to further optimize and refine future aerosol delivery technology.
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