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Time-series hyperpolarized xenon-129 MRI of lobar lung ventilation of COPD in comparison to V/Q-SPECT/CT and CT

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journal contribution
posted on 29.10.2019, 11:52 by Ozkan Doganay, Tahreema Matin, Mitchell Chen, Minsuok KimMinsuok Kim, Anthony McIntyre, Daniel R McGowan, Kevin M Bradley, Thomas Povey, Fergus V Gleeson
Purpose To derive lobar ventilation in patients with chronic obstructive pulmonary disease (COPD) using a rapid time-series hyperpolarized xenon-129 (HPX) magnetic resonance imaging (MRI) technique and compare this to ventilation/perfusion singlephoton emission computed tomography (V/Q-SPECT), correlating the results with high-resolution computed tomography (CT) and pulmonary function tests (PFTs).
Materials and methods Twelve COPD subjects (GOLD stages I–IV) participated in this study and underwent HPX-MRI, V/QSPECT/CT, high-resolution CT, and PFTs. HPX-MRI was performed using a novel time-series spiral k-space sampling approach. Relative percentage ventilations were calculated for individual lobe for comparison to the relative SPECT lobar ventilation and perfusion. The absolute HPX-MRI percentage ventilation in each lobe was compared to the absolute CT percentage emphysema score calculated using a signal threshold method. Pearson’s correlation and linear regression tests were performed to compare each imaging modality.
Results Strong correlations were found between the relative lobar percentage ventilation with HPX-MRI and percentage ventilation SPECT (r = 0.644; p < 0.001) and percentage perfusion SPECT (r = 0.767; p < 0.001). The absolute CT percentage emphysema and HPX percentage ventilation correlation was also statistically significant (r = 0.695, p < 0.001). The whole lung HPX percentage ventilation correlated with the PFT measurements (FEV1 with r = − 0.886, p < 0.001*, and FEV1/FVC with r = − 0.861, p < 0.001*) better than the whole lung CT percentage emphysema score (FEV1 with r = − 0.635, p = 0.027; and FEV1/FVC with r = − 0.652, p = 0.021).
Conclusion Lobar ventilation with HPX-MRI showed a strong correlation with lobar ventilation and perfusion measurements derived from SPECT/CT, and is better than the emphysema score obtained with high-resolution CT.

Funding

Cancer Research UK (Grant Number: C5255)

The Engineering and Physical Sciences Research Council (EPSRC), UK (Grant Number: A16466)

NIHR Biomedical Research Centre, Oxford

History

School

  • Mechanical, Electrical and Manufacturing Engineering

Published in

European Radiology

Volume

29

Issue

8

Pages

4058 - 4067

Publisher

Springer

Version

VoR (Version of Record)

Rights holder

© The Authors

Acceptance date

13/11/2018

Publication date

2018-12-14

Copyright date

2018

ISSN

0938-7994

eISSN

1432-1084

Language

en

Depositor

Dr Minsuok Kim. Deposit date: 28 October 2019