• J Magn Reson Imaging · Dec 2013

    Randomized Controlled Trial Comparative Study

    Hyperpolarized (3) He and (129) Xe MRI: differences in asthma before bronchodilation.

    • Sarah Svenningsen, Miranda Kirby, Danielle Starr, Del Leary, Andrew Wheatley, Geoffrey N Maksym, David G McCormack, and Grace Parraga.
    • Imaging Research Laboratories, Robarts Research Institute, London, Canada; Department of Medical Biophysics, The University of Western Ontario, London, Canada.
    • J Magn Reson Imaging. 2013 Dec 1; 38 (6): 1521-30.

    PurposeTo compare hyperpolarized helium-3 ((3) He) and xenon-129 ((129) Xe) MRI in asthmatics before and after salbutamol inhalation.Materials And MethodsSeven asthmatics provided written informed consent and underwent spirometry, plethysmography, and MRI before and after salbutamol inhalation. (3) He and (129) Xe ventilation defect percent (VDP) and ventilation coefficient of variation (COV) were measured. To characterize the airways spatially related to ventilation defects, wall area percent (WA%) and lumen area (LA) were evaluated for two subjects who had thoracic x-ray computed tomography (CT) acquired 1 year before MRI.ResultsBefore salbutamol inhalation, (129) Xe VDP (8 ± 5%) was significantly greater than (3) He VDP (6 ± 5%, P = 0.003). Post-salbutamol, there was a significant improvement in both (129) Xe (5 ± 4%, P < 0.0001) and (3) He (4 ± 3%, P = 0.001) VDP, and the improvement in (129) Xe VDP was significantly greater (P = 0.008). (129) Xe MRI COV (Pre: 0.309 ± 0.028, Post: 0.296 ± 0.036) was significantly greater than (3) He MRI COV (Pre: 0.282 ± 0.018, Post: 0.269 ± 0.024), pre- (P < 0.0001) and post-salbutamol (P < 0.0001) and the decrease in COV post-salbutamol was significant ((129) Xe, P = 0.002; (3) He, P < 0.0001). For a single asthmatic, a sub-segmental (129) Xe MRI ventilation defect that was visible only before salbutamol inhalation but not visible using (3) He MRI was spatially related to a remodeled fourth generation sub-segmental airway (WA% = 78%, LA = 2.9 mm(2) ).ConclusionIn asthma, hyperpolarized (129) Xe MRI may help reveal ventilation abnormalities before bronchodilation that are not observed using hyperpolarized (3) He MRI.Copyright © 2013 Wiley Periodicals, Inc.

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