Feasibility of free‐breathing 19 F MRI image acquisition to characterize ventilation defects in CF and healthy volunteers at wash‐in

To explore the feasibility of measuring ventilation defect percentage (VDP) using F MRI during free-breathing wash-in of fluorinated gas mixture with postacquisition denoising and to compare these results with those obtained through traditional Cartesian breath-hold acquisitions. Eight adults with c...

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Published inMagnetic resonance in medicine Vol. 90; no. 1; pp. 79 - 89
Main Authors Chung, Sang Hun, Huynh, Khoi Minh, Goralski, Jennifer L., Chen, Yong, Yap, Pew‐Thian, Ceppe, Agathe S., Powell, Margret Z., Donaldson, Scott H., Lee, Yueh Z.
Format Journal Article
LanguageEnglish
Published United States 01.07.2023
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Online AccessGet full text
ISSN0740-3194
1522-2594
1522-2594
DOI10.1002/mrm.29630

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Abstract To explore the feasibility of measuring ventilation defect percentage (VDP) using F MRI during free-breathing wash-in of fluorinated gas mixture with postacquisition denoising and to compare these results with those obtained through traditional Cartesian breath-hold acquisitions. Eight adults with cystic fibrosis and 5 healthy volunteers completed a single MR session on a Siemens 3T Prisma. H Ultrashort-TE MRI sequences were used for registration and masking, and ventilation images with F MRI were obtained while the subjects breathed a normoxic mixture of 79% perfluoropropane and 21% oxygen (O ). F MRI was performed during breath holds and while free breathing with one overlapping spiral scan at breath hold for VDP value comparison. The F spiral data were denoised using a low-rank matrix recovery approach. VDP measured using F VIBE and F spiral images were highly correlated (r = 0.84) at 10 wash-in breaths. Second-breath VDPs were also highly correlated (r = 0.88). Denoising greatly increased SNR (pre-denoising spiral SNR, 2.46 ± 0.21; post-denoising spiral SNR, 33.91 ± 6.12; and breath-hold SNR, 17.52 ± 2.08). Free-breathing F lung MRI VDP analysis was feasible and highly correlated with breath-hold measurements. Free-breathing methods are expected to increase patient comfort and extend ventilation MRI use to patients who are unable to perform breath holds, including younger subjects and those with more severe lung disease.
AbstractList To explore the feasibility of measuring ventilation defect percentage (VDP) using F MRI during free-breathing wash-in of fluorinated gas mixture with postacquisition denoising and to compare these results with those obtained through traditional Cartesian breath-hold acquisitions. Eight adults with cystic fibrosis and 5 healthy volunteers completed a single MR session on a Siemens 3T Prisma. H Ultrashort-TE MRI sequences were used for registration and masking, and ventilation images with F MRI were obtained while the subjects breathed a normoxic mixture of 79% perfluoropropane and 21% oxygen (O ). F MRI was performed during breath holds and while free breathing with one overlapping spiral scan at breath hold for VDP value comparison. The F spiral data were denoised using a low-rank matrix recovery approach. VDP measured using F VIBE and F spiral images were highly correlated (r = 0.84) at 10 wash-in breaths. Second-breath VDPs were also highly correlated (r = 0.88). Denoising greatly increased SNR (pre-denoising spiral SNR, 2.46 ± 0.21; post-denoising spiral SNR, 33.91 ± 6.12; and breath-hold SNR, 17.52 ± 2.08). Free-breathing F lung MRI VDP analysis was feasible and highly correlated with breath-hold measurements. Free-breathing methods are expected to increase patient comfort and extend ventilation MRI use to patients who are unable to perform breath holds, including younger subjects and those with more severe lung disease.
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To explore the feasibility of measuring ventilation defect percentage (VDP) using 19 F MRI during free-breathing wash-in of fluorinated gas mixture with postacquisition denoising and to compare these results with those obtained through traditional Cartesian breath-hold acquisitions.PURPOSETo explore the feasibility of measuring ventilation defect percentage (VDP) using 19 F MRI during free-breathing wash-in of fluorinated gas mixture with postacquisition denoising and to compare these results with those obtained through traditional Cartesian breath-hold acquisitions.Eight adults with cystic fibrosis and 5 healthy volunteers completed a single MR session on a Siemens 3T Prisma. 1 H Ultrashort-TE MRI sequences were used for registration and masking, and ventilation images with 19 F MRI were obtained while the subjects breathed a normoxic mixture of 79% perfluoropropane and 21% oxygen (O2 ). 19 F MRI was performed during breath holds and while free breathing with one overlapping spiral scan at breath hold for VDP value comparison. The 19 F spiral data were denoised using a low-rank matrix recovery approach.METHODSEight adults with cystic fibrosis and 5 healthy volunteers completed a single MR session on a Siemens 3T Prisma. 1 H Ultrashort-TE MRI sequences were used for registration and masking, and ventilation images with 19 F MRI were obtained while the subjects breathed a normoxic mixture of 79% perfluoropropane and 21% oxygen (O2 ). 19 F MRI was performed during breath holds and while free breathing with one overlapping spiral scan at breath hold for VDP value comparison. The 19 F spiral data were denoised using a low-rank matrix recovery approach.VDP measured using 19 F VIBE and 19 F spiral images were highly correlated (r = 0.84) at 10 wash-in breaths. Second-breath VDPs were also highly correlated (r = 0.88). Denoising greatly increased SNR (pre-denoising spiral SNR, 2.46 ± 0.21; post-denoising spiral SNR, 33.91 ± 6.12; and breath-hold SNR, 17.52 ± 2.08).RESULTSVDP measured using 19 F VIBE and 19 F spiral images were highly correlated (r = 0.84) at 10 wash-in breaths. Second-breath VDPs were also highly correlated (r = 0.88). Denoising greatly increased SNR (pre-denoising spiral SNR, 2.46 ± 0.21; post-denoising spiral SNR, 33.91 ± 6.12; and breath-hold SNR, 17.52 ± 2.08).Free-breathing 19 F lung MRI VDP analysis was feasible and highly correlated with breath-hold measurements. Free-breathing methods are expected to increase patient comfort and extend ventilation MRI use to patients who are unable to perform breath holds, including younger subjects and those with more severe lung disease.CONCLUSIONFree-breathing 19 F lung MRI VDP analysis was feasible and highly correlated with breath-hold measurements. Free-breathing methods are expected to increase patient comfort and extend ventilation MRI use to patients who are unable to perform breath holds, including younger subjects and those with more severe lung disease.
Author Huynh, Khoi Minh
Powell, Margret Z.
Ceppe, Agathe S.
Chung, Sang Hun
Chen, Yong
Donaldson, Scott H.
Goralski, Jennifer L.
Yap, Pew‐Thian
Lee, Yueh Z.
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Keywords VDP
free breathing
cystic fibrosis
19F
lung MRI
Language English
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To explore the feasibility of measuring ventilation defect percentage (VDP) using F MRI during free-breathing wash-in of fluorinated gas mixture with...
To explore the feasibility of measuring ventilation defect percentage (VDP) using 19 F MRI during free-breathing wash-in of fluorinated gas mixture with...
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StartPage 79
SubjectTerms Adult
Cystic Fibrosis - diagnostic imaging
Feasibility Studies
Healthy Volunteers
Humans
Lung
Magnetic Resonance Imaging - methods
Oxygen
Respiration
Respiration Disorders
Title Feasibility of free‐breathing 19 F MRI image acquisition to characterize ventilation defects in CF and healthy volunteers at wash‐in
URI https://www.ncbi.nlm.nih.gov/pubmed/36912481
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