Comparison of quantitative regional ventilation‐weighted fourier decomposition MRI with dynamic fluorinated gas washout MRI and lung function testing in COPD patients

Background Ventilation‐weighted Fourier decomposition‐MRI (FD‐MRI) has matured as a reliable technique for quantitative measures of regional lung ventilation in recent years, but has yet not been validated in COPD patients. Purpose/Hypothesis To compare regional fractional lung ventilation obtained...

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Veröffentlicht in:Journal of magnetic resonance imaging 2018-06, Vol.47 (6), p.1534-1541
Hauptverfasser: Kaireit, Till F., Gutberlet, Marcel, Voskrebenzev, Andreas, Freise, Julia, Welte, Tobias, Hohlfeld, Jens M., Wacker, Frank, Vogel‐Claussen, Jens
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container_end_page 1541
container_issue 6
container_start_page 1534
container_title Journal of magnetic resonance imaging
container_volume 47
creator Kaireit, Till F.
Gutberlet, Marcel
Voskrebenzev, Andreas
Freise, Julia
Welte, Tobias
Hohlfeld, Jens M.
Wacker, Frank
Vogel‐Claussen, Jens
description Background Ventilation‐weighted Fourier decomposition‐MRI (FD‐MRI) has matured as a reliable technique for quantitative measures of regional lung ventilation in recent years, but has yet not been validated in COPD patients. Purpose/Hypothesis To compare regional fractional lung ventilation obtained by ventilation‐weighted FD‐MRI with dynamic fluorinated gas washout MRI (19F‐MRI) and lung function test parameters. Study Type Prospective study. Population Twenty‐seven patients with chronic obstructive pulmonary disease (COPD, median age 61 [54–67] years) were included. Field Strength/Sequence For FD‐MRI and for 19F‐MRI a spoiled gradient echo sequence was used at 1.5T. Assessment FD‐MRI coronal slices were acquired in free breathing. Dynamic 19F‐MRI was performed after inhalation of 25–30 L of a mixture of 79% fluorinated gas (C3F8) and 21% oxygen via a closed face mask tubing using a dedicated coil tuned to 59.9 MHz. 19F washout times in numbers of breaths (19F‐nbreaths) as well as fractional ventilation maps for both methods (FD‐FV, 19F‐FV) were calculated. Slices were matched using a landmark driven algorithm, and only corresponding slices with an overlap of >90% were coregistered for evaluation. Statistical Tests The obtained parameters were correlated with each other using Spearman's correlation coefficient (r). Results FD‐FV strongly correlated with 19F‐nbreaths on a global (r = –0.72, P < 0.0001) as well as on a lobar level and with lung function test parameters (FD‐FV vs. FEV1, r = 0.76, P < 0.0001). There was a small systematic overestimation of FD‐FV compared to 19F‐FV (mean difference –0.03 (95% confidence interval [CI]: –0.097; –0.045). Data Conclusion Regional ventilation‐weighted Fourier decomposition‐MRI is a promising noninvasive, radiation‐free tool for quantification of regional ventilation in COPD patients. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;47:1534–1541.
doi_str_mv 10.1002/jmri.25902
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Purpose/Hypothesis To compare regional fractional lung ventilation obtained by ventilation‐weighted FD‐MRI with dynamic fluorinated gas washout MRI (19F‐MRI) and lung function test parameters. Study Type Prospective study. Population Twenty‐seven patients with chronic obstructive pulmonary disease (COPD, median age 61 [54–67] years) were included. Field Strength/Sequence For FD‐MRI and for 19F‐MRI a spoiled gradient echo sequence was used at 1.5T. Assessment FD‐MRI coronal slices were acquired in free breathing. Dynamic 19F‐MRI was performed after inhalation of 25–30 L of a mixture of 79% fluorinated gas (C3F8) and 21% oxygen via a closed face mask tubing using a dedicated coil tuned to 59.9 MHz. 19F washout times in numbers of breaths (19F‐nbreaths) as well as fractional ventilation maps for both methods (FD‐FV, 19F‐FV) were calculated. Slices were matched using a landmark driven algorithm, and only corresponding slices with an overlap of &gt;90% were coregistered for evaluation. Statistical Tests The obtained parameters were correlated with each other using Spearman's correlation coefficient (r). Results FD‐FV strongly correlated with 19F‐nbreaths on a global (r = –0.72, P &lt; 0.0001) as well as on a lobar level and with lung function test parameters (FD‐FV vs. FEV1, r = 0.76, P &lt; 0.0001). There was a small systematic overestimation of FD‐FV compared to 19F‐FV (mean difference –0.03 (95% confidence interval [CI]: –0.097; –0.045). Data Conclusion Regional ventilation‐weighted Fourier decomposition‐MRI is a promising noninvasive, radiation‐free tool for quantification of regional ventilation in COPD patients. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;47:1534–1541.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.25902</identifier><identifier>PMID: 29160020</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>19F ; Breathing ; Chronic obstructive pulmonary disease ; Confidence intervals ; COPD ; Correlation coefficient ; Correlation coefficients ; Decomposition ; Field strength ; Fluorination ; Fourier decomposition ; free breathing ; Inhalation ; Lung diseases ; lung function tests ; Magnetic resonance imaging ; Mathematical analysis ; Obstructive lung disease ; Parameters ; Patients ; Population (statistical) ; Population studies ; Protective equipment ; Radiation ; Respiration ; Respiratory function ; Statistical analysis ; Statistical tests ; Ventilation ; washout</subject><ispartof>Journal of magnetic resonance imaging, 2018-06, Vol.47 (6), p.1534-1541</ispartof><rights>2017 International Society for Magnetic Resonance in Medicine</rights><rights>2017 International Society for Magnetic Resonance in Medicine.</rights><rights>2018 International Society for Magnetic Resonance in Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3572-65355a4892c466a6ee96af0c2c55279c1ecfb4f0a022bc37d779c85fea0801aa3</citedby><cites>FETCH-LOGICAL-c3572-65355a4892c466a6ee96af0c2c55279c1ecfb4f0a022bc37d779c85fea0801aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.25902$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.25902$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27923,27924,45573,45574,46408,46832</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29160020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaireit, Till F.</creatorcontrib><creatorcontrib>Gutberlet, Marcel</creatorcontrib><creatorcontrib>Voskrebenzev, Andreas</creatorcontrib><creatorcontrib>Freise, Julia</creatorcontrib><creatorcontrib>Welte, Tobias</creatorcontrib><creatorcontrib>Hohlfeld, Jens M.</creatorcontrib><creatorcontrib>Wacker, Frank</creatorcontrib><creatorcontrib>Vogel‐Claussen, Jens</creatorcontrib><title>Comparison of quantitative regional ventilation‐weighted fourier decomposition MRI with dynamic fluorinated gas washout MRI and lung function testing in COPD patients</title><title>Journal of magnetic resonance imaging</title><addtitle>J Magn Reson Imaging</addtitle><description>Background Ventilation‐weighted Fourier decomposition‐MRI (FD‐MRI) has matured as a reliable technique for quantitative measures of regional lung ventilation in recent years, but has yet not been validated in COPD patients. Purpose/Hypothesis To compare regional fractional lung ventilation obtained by ventilation‐weighted FD‐MRI with dynamic fluorinated gas washout MRI (19F‐MRI) and lung function test parameters. Study Type Prospective study. Population Twenty‐seven patients with chronic obstructive pulmonary disease (COPD, median age 61 [54–67] years) were included. Field Strength/Sequence For FD‐MRI and for 19F‐MRI a spoiled gradient echo sequence was used at 1.5T. Assessment FD‐MRI coronal slices were acquired in free breathing. Dynamic 19F‐MRI was performed after inhalation of 25–30 L of a mixture of 79% fluorinated gas (C3F8) and 21% oxygen via a closed face mask tubing using a dedicated coil tuned to 59.9 MHz. 19F washout times in numbers of breaths (19F‐nbreaths) as well as fractional ventilation maps for both methods (FD‐FV, 19F‐FV) were calculated. Slices were matched using a landmark driven algorithm, and only corresponding slices with an overlap of &gt;90% were coregistered for evaluation. Statistical Tests The obtained parameters were correlated with each other using Spearman's correlation coefficient (r). Results FD‐FV strongly correlated with 19F‐nbreaths on a global (r = –0.72, P &lt; 0.0001) as well as on a lobar level and with lung function test parameters (FD‐FV vs. FEV1, r = 0.76, P &lt; 0.0001). There was a small systematic overestimation of FD‐FV compared to 19F‐FV (mean difference –0.03 (95% confidence interval [CI]: –0.097; –0.045). Data Conclusion Regional ventilation‐weighted Fourier decomposition‐MRI is a promising noninvasive, radiation‐free tool for quantification of regional ventilation in COPD patients. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;47:1534–1541.</description><subject>19F</subject><subject>Breathing</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Confidence intervals</subject><subject>COPD</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Decomposition</subject><subject>Field strength</subject><subject>Fluorination</subject><subject>Fourier decomposition</subject><subject>free breathing</subject><subject>Inhalation</subject><subject>Lung diseases</subject><subject>lung function tests</subject><subject>Magnetic resonance imaging</subject><subject>Mathematical analysis</subject><subject>Obstructive lung disease</subject><subject>Parameters</subject><subject>Patients</subject><subject>Population (statistical)</subject><subject>Population studies</subject><subject>Protective equipment</subject><subject>Radiation</subject><subject>Respiration</subject><subject>Respiratory function</subject><subject>Statistical analysis</subject><subject>Statistical tests</subject><subject>Ventilation</subject><subject>washout</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kc1OGzEUhS0EAkrZ8ACVJXZIA9ee8fwsUVraoKCgql2Pbjx24mjGDvZMouz6CH2MPlefpE5CWbKydfSdc-17CLlicMsA-N2y8-aWiwr4ETlngvOEizI_jncQacJKKM7IhxCWAFBVmTglZ7xieXTCOfkzct0KvQnOUqfpy4C2Nz32Zq2oV3PjLLZ0raLYRtHZv79-b5SZL3rVUO0Gb5SnjZIxxAWzA-jT9zHdmH5Bm63Fzkiq28F5Y3FnmWOgGwwLN_R7EG1D28HOqR6s3Nt7FXoTBWPpaPr8ma7i2Dg-fCQnGtugLl_PC_Lz4cuP0bdkMv06Ht1PEpmKgie5SIXArKy4zPIcc6WqHDVILoXgRSWZknqWaUDgfCbToimiWAqtEEpgiOkFuT7krrx7GeJj6mX8ZtxCqDlkRcZFIYpI3Rwo6V0IXul65U2HflszqHel1LtS6n0pEf70GjnMOtW8of9biAA7ABvTqu07UfVjXNoh9B9q4Zw9</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Kaireit, Till F.</creator><creator>Gutberlet, Marcel</creator><creator>Voskrebenzev, Andreas</creator><creator>Freise, Julia</creator><creator>Welte, Tobias</creator><creator>Hohlfeld, Jens M.</creator><creator>Wacker, Frank</creator><creator>Vogel‐Claussen, Jens</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope></search><sort><creationdate>201806</creationdate><title>Comparison of quantitative regional ventilation‐weighted fourier decomposition MRI with dynamic fluorinated gas washout MRI and lung function testing in COPD patients</title><author>Kaireit, Till F. ; 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Purpose/Hypothesis To compare regional fractional lung ventilation obtained by ventilation‐weighted FD‐MRI with dynamic fluorinated gas washout MRI (19F‐MRI) and lung function test parameters. Study Type Prospective study. Population Twenty‐seven patients with chronic obstructive pulmonary disease (COPD, median age 61 [54–67] years) were included. Field Strength/Sequence For FD‐MRI and for 19F‐MRI a spoiled gradient echo sequence was used at 1.5T. Assessment FD‐MRI coronal slices were acquired in free breathing. Dynamic 19F‐MRI was performed after inhalation of 25–30 L of a mixture of 79% fluorinated gas (C3F8) and 21% oxygen via a closed face mask tubing using a dedicated coil tuned to 59.9 MHz. 19F washout times in numbers of breaths (19F‐nbreaths) as well as fractional ventilation maps for both methods (FD‐FV, 19F‐FV) were calculated. Slices were matched using a landmark driven algorithm, and only corresponding slices with an overlap of &gt;90% were coregistered for evaluation. Statistical Tests The obtained parameters were correlated with each other using Spearman's correlation coefficient (r). Results FD‐FV strongly correlated with 19F‐nbreaths on a global (r = –0.72, P &lt; 0.0001) as well as on a lobar level and with lung function test parameters (FD‐FV vs. FEV1, r = 0.76, P &lt; 0.0001). There was a small systematic overestimation of FD‐FV compared to 19F‐FV (mean difference –0.03 (95% confidence interval [CI]: –0.097; –0.045). Data Conclusion Regional ventilation‐weighted Fourier decomposition‐MRI is a promising noninvasive, radiation‐free tool for quantification of regional ventilation in COPD patients. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2018;47:1534–1541.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29160020</pmid><doi>10.1002/jmri.25902</doi><tpages>8</tpages></addata></record>
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subjects 19F
Breathing
Chronic obstructive pulmonary disease
Confidence intervals
COPD
Correlation coefficient
Correlation coefficients
Decomposition
Field strength
Fluorination
Fourier decomposition
free breathing
Inhalation
Lung diseases
lung function tests
Magnetic resonance imaging
Mathematical analysis
Obstructive lung disease
Parameters
Patients
Population (statistical)
Population studies
Protective equipment
Radiation
Respiration
Respiratory function
Statistical analysis
Statistical tests
Ventilation
washout
title Comparison of quantitative regional ventilation‐weighted fourier decomposition MRI with dynamic fluorinated gas washout MRI and lung function testing in COPD patients
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