Flow Volume Loop and Regional Ventilation Assessment Using Phase‐Resolved Functional Lung (PREFUL ) MRI : Comparison With 129Xenon Ventilation MRI and Lung Function Testing
Article Swipe
Till F. Kaireit
,
Agilo Luitger Kern
,
Andreas Voskrebenzev
,
Gesa H. Pöhler
,
Filip Klimeš
,
Lea Behrendt
,
Marcel Gutberlet
,
Tawfik Moher Alsady
,
Anna‐Maria Dittrich
,
Frank Wacker
,
Jens M. Hohlfeld
,
Jens Vogel‐Claussen
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/jmri.27452
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/jmri.27452
Background Regional flow volume loop ventilation‐weighted noncontrast‐enhanced proton lung MRI in free breathing has emerged as a novel technique for assessment of regional lung ventilation, but has yet not been validated with 129 Xenon MRI ( 129 Xe‐MRI), a direct visualization of ventilation in healthy volunteers, cystic fibrosis (CF), and chronic obstructive pulmonary disease (COPD) patients. Purpose To compare regional ventilation and regional flow volume loops measured by noncontrast‐enhanced ventilation‐weighted phase‐resolved functional lung MRI (PREFUL‐MRI) with 129 Xe‐MRI ventilation imaging and with lung function test parameters. Study Type Retrospective study. Population Twenty patients with COPD, eight patients with CF, and six healthy volunteers. Field Strength/Sequence PREFUL and 129 Xe‐MRI gradient echo sequences were acquired at 1.5T. Assessment Coronal slices of PREFUL‐MRI (free breathing) and 129 Xe‐MRI (single breath‐hold) were acquired on the same day, matched by their ventrodorsal position and coregistered for evaluation. Ventilation defect percentage (VDP) was calculated based on regional ventilation (RV), regional flow volume loops (RFVL), or 129 Xe‐MRI with two different threshold methods. A combined VDP was calculated for RV and RFVL. Additionally, lung function testing was performed (such as the forced expiratory volume in 1 second [FEV 1 ]) was used. Statistical Tests The obtained parameters were compared using Wilcoxon tests, correlated using Spearman's correlation coefficient ( r ), and agreement between PREFUL and 129 Xe‐MRI parameters was assessed using Bland–Altman analysis and Dice coefficients. Results VDP measured by PREFUL and 129 Xe were significantly correlated with both thresholding techniques ( r = 0.62–0.69, P < 0.05 for all) and with lung function test parameters. Combined RV and RFVL PREFUL defect maps correlated with lung function testing (eg, with FEV 1 r = –0.87 P < 0.05), and showed better regional agreement to 129 Xe‐MRI ventilation defects (Dice coefficient defect 0.413) with significantly higher VDP values (10.2 ± 27.3, P = 0.04) than either PREFUL defect map alone. Data Conclusion Combined RV and RFVL PREFUL defect maps likely increase sensitivity to mild airway obstruction with increased VDP values compared to 129 Xe‐MRI, and correlate strongly with lung function test parameters. Level of Evidence 3 Technical Efficacy Stage 2
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/jmri.27452
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jmri.27452
- OA Status
- hybrid
- Cited By
- 48
- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W3109367919
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3109367919Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/jmri.27452Digital Object Identifier
- Title
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Flow Volume Loop and Regional Ventilation Assessment Using Phase‐Resolved Functional Lung (
PREFUL )MRI : Comparison With129Xenon VentilationMRI and Lung Function TestingWork title - Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-11-27Full publication date if available
- Authors
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Till F. Kaireit, Agilo Luitger Kern, Andreas Voskrebenzev, Gesa H. Pöhler, Filip Klimeš, Lea Behrendt, Marcel Gutberlet, Tawfik Moher Alsady, Anna‐Maria Dittrich, Frank Wacker, Jens M. Hohlfeld, Jens Vogel‐ClaussenList of authors in order
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https://doi.org/10.1002/jmri.27452Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jmri.27452Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jmri.27452Direct OA link when available
- Concepts
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Ventilation (architecture), COPD, Medicine, Nuclear medicine, Lung, Magnetic resonance imaging, Lung volumes, Population, Radiology, Internal medicine, Physics, Environmental health, ThermodynamicsTop concepts (fields/topics) attached by OpenAlex
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48Total citation count in OpenAlex
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2025: 14, 2024: 13, 2023: 9, 2022: 10, 2021: 1Per-year citation counts (last 5 years)
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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