Three-dimensional Isotropic Functional Imaging of Cystic Fibrosis Using Oxygen-enhanced MRI: Comparison with Hyperpolarized 3He MRI | Zendy

Wei Zha | Zendy; Scott K. Nagle | Zendy; Robert V. Cadman | Zendy; Mark L. Schiebler | Zendy; Sean B. Fain | Zendy

Open Access

Three-dimensional Isotropic Functional Imaging of Cystic Fibrosis Using Oxygen-enhanced MRI: Comparison with Hyperpolarized ³He MRI

Author(s) -

Wei Zha,

Scott K. Nagle,

Robert V. Cadman,

Mark L. Schiebler,

Sean B. Fain

Publication year - 2018

Publication title -

radiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.118

H-Index - 295

eISSN - 1527-1315

pISSN - 0033-8419

DOI - 10.1148/radiol.2018181148

Subject(s) - medicine , magnetic resonance imaging , intraclass correlation , nuclear medicine , repeatability , ventilation (architecture) , radiology , mechanical engineering , clinical psychology , chemistry , chromatography , engineering , psychometrics

Purpose To compare the performance of three-dimensional radial ultrashort echo time (UTE) oxygen-enhanced (OE) MRI with that of hyperpolarized helium 3 ( 3 He) MRI with respect to quantitative ventilation measurements in patients with cystic fibrosis (CF). Materials and Methods In this prospective study conducted from June 2013 to May 2015, 25 participants with CF aged 10-55 years (14 male; age range, 13-55 years; 11 female; age range, 10-37 years) successfully underwent pulmonary function tests, hyperpolarized 3 He MRI, and OE MRI. OE MRI used two sequential 3.5-minute normoxic and hyperoxic steady-state free-breathing UTE acquisitions. Seven participants underwent imaging at two separate examinations 1-2 weeks apart to assess repeatability. Regional ventilation was quantified as ventilation defect percentage (VDP) individually from OE MRI and hyperpolarized 3 He MRI by using the same automated quantification tool. Bland-Altman analysis, intraclass correlation coefficient (ICC), Spearman correlation coefficient, and Wilcoxon signed-rank test were used to evaluate repeatability. Results In all 24 participants, the global VDP measurements from either OE MRI (ρ = -0.66, P < .001) or hyperpolarized 3 He MRI (ρ = -0.75, P < .001) were significantly correlated with the percentage predicted forced expiratory volume in 1 second. VDP reported at OE MRI was 5.0% smaller than (P = .014) but highly correlated with (ρ = 0.78, P < .001) VDP reported at hyperpolarized 3 He MRI. Both OE MRI-based VDP and hyperpolarized 3 He MRI-based VDP demonstrated good repeatability (ICC = 0.91 and 0.95, respectively; P ≤ .001). Conclusion In lungs with cystic fibrosis, ultrashort echo time oxygen-enhanced MRI showed similar performance compared with hyperpolarized 3 He MRI for quantitative measures of ventilation defects and their repeatability. © RSNA, 2018 Online supplemental material is available for this article.

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