Document Detail


Three-dimensional imaging of ventilation dynamics in asthmatics using multiecho projection acquisition with constrained reconstruction.
MedLine Citation:
PMID:  19785015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this work is to detect dynamic gas trapping in three dimensions during forced exhalation at isotropic high spatial resolution and high temporal resolution using hyperpolarized helium-3 MRI. Ten subjects underwent hyperpolarized helium-3 MRI and multidetector CT. MRI was performed throughout inspiration, breath-hold, and forced expiration. A multiecho three-dimensional projection acquisition was used to improve data collection efficiency and an iterative constrained reconstruction was implemented to improve signal to noise ratio (SNR) and increase robustness to motion. Two radiologists evaluated the dynamic MRI and breath-held multidetector CT data for gas and air trapping, respectively. Phantom studies showed the proposed technique significantly improved depiction of moving objects compared to view-sharing methods. Gas trapping was detected using MRI in five of the six asthmatic subjects who displayed air trapping with multidetector CT. Locations in disagreement were found to represent small to moderate regions of air trapping. The proposed technique provides whole-lung three-dimensional imaging of respiration dynamics at high spatial and temporal resolution and compares well to the current standard, multidetector CT. While multidetector CT can provide information about static regional air trapping, it is unable to depict dynamics in a setting more comparable to a spirometry maneuver and explore the longitudinal time evolution of the trapped regions.
Authors:
James H Holmes; Rafael L O'Halloran; Ethan K Brodsky; Thorsten A Bley; Christopher J Francois; Julia V Velikina; Ronald L Sorkness; William W Busse; Sean B Fain
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Magnetic resonance in medicine : official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine     Volume:  62     ISSN:  1522-2594     ISO Abbreviation:  Magn Reson Med     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-30     Completed Date:  2010-02-22     Revised Date:  2011-05-18    
Medline Journal Info:
Nlm Unique ID:  8505245     Medline TA:  Magn Reson Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1543-56     Citation Subset:  IM    
Copyright Information:
(c) 2009 Wiley-Liss, Inc.
Affiliation:
Department of Medical Physics, University of Wisconsin-Madison, Madison, Wisconsin, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Asthma / diagnosis*,  physiopathology*
Contrast Media
Echo-Planar Imaging / methods*
Female
Helium / diagnostic use*
Humans
Image Enhancement / methods
Image Interpretation, Computer-Assisted / methods*
Imaging, Three-Dimensional / methods*
Isotopes / diagnostic use
Male
Middle Aged
Pulmonary Gas Exchange*
Reproducibility of Results
Sensitivity and Specificity
Young Adult
Grant Support
ID/Acronym/Agency:
2T32-CA09206-26/CA/NCI NIH HHS; R01 HL069116-01/HL/NHLBI NIH HHS; R01-HL069116/HL/NHLBI NIH HHS; T32 CA009206-26/CA/NCI NIH HHS; T32 CA009206-31/CA/NCI NIH HHS; T32 CA009206-32/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Isotopes; 7440-59-7/Helium
Comments/Corrections

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