Design and Implementation of a Multi‐Center Trial of 129 Xe Gas Exchange MRI and MRS to Evaluate Longitudinal Progression of COPD
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· 2025
· Open Access
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· DOI: https://doi.org/10.1002/jmri.29769
MR imaging holds the potential to enhance drug development efficiency by de‐risking early phase studies and increasing confidence in results. It can improve patient selection, increase repeatability, and provide greater sensitivity to change, thereby enabling smaller, faster clinical trials. For trials in the pulmonary space, hyperpolarized 129 Xe MRI is appealing because it provides 3‐dimensional imaging of pulmonary ventilation and gas exchange in a brief, non‐invasive exam. Metrics derived from 129 Xe MRI may be more sensitive to disease progression than conventional lung function assessments and may thus provide a valuable means to evaluate numerous novel pharmacologic and biologic therapies now in development. However, despite the acute need for better patient selection and for prognostic and monitoring biomarkers, 129 Xe MR imaging is not yet widely utilized in pulmonary drug development, partly because such trials must be conducted at multiple centers to enroll enough participants. Thus, incorporating 129 Xe MRI requires broader dissemination, harmonized image acquisition protocols, standardized dose delivery, visualization, and quantification. Multi‐site trials must also be able to operate across all major MRI vendor platforms and diverse software/hardware revisions. To this end, the 129 Xe MRI Clinical trials consortium has published a harmonized protocol describing four recommended acquisitions. Here we report on the first industry‐sponsored study to deploy this 129 Xe MRI/MRS protocol in a multi‐center, multi‐platform, multi‐national study to evaluate longitudinal progression of chronic obstructive pulmonary disease (COPD). We demonstrate the steps necessary to implement standardized 129 Xe‐MRI acquisition techniques across multiple sites and discuss the practices implemented, quality control approaches, and lessons learned for facilitating and accelerating the implementation of future trials that incorporate this technology. Level of Evidence: 5.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/jmri.29769
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jmri.29769
- OA Status
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- Cited By
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4409697145Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/jmri.29769Digital Object Identifier
- Title
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Design and Implementation of a Multi‐Center Trial of
129 Xe Gas ExchangeMRI andMRS to Evaluate Longitudinal Progression ofCOPD Work title - Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-23Full publication date if available
- Authors
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Bastiaan Driehuys, Shuo Zhang, Aryil Bechtel, Andrew D. Hahn, Guilhem Collier, Peter Niedbalski, Yuh-Chin T. Huang, Zackary I. Cleveland, Matthew M. Willmering, John P. Mugler, Jaime F. Mata, Yun M. Shim, Mario Castro, Sarah Svenningsen, Yonni Friedlander, Terence Ho, Sean B. Fain, Eric A. Hoffman, Jim M. Wild, Robert P. Thomen, Talissa A. Altes, Ummul Afia Shammi, William Proctor Harris, Yixuan Zou, Alexandre Fernandez Coimbra, Paula Belloni, Laura C. Bell, David MummyList of authors in order
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https://doi.org/10.1002/jmri.29769Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jmri.29769Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jmri.29769Direct OA link when available
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Clinical trial, Medicine, Protocol (science), COPD, Medical physics, Pathology, Internal medicine, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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