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Abstract #1467

Effects of Ventilator Induced Lung Injury on Airspace Distension and Regional Ventilation in Rats Using Hyperpolarized MRI

Yi Xin1, Maurizio Cereda2, Jessie Huang1, Harrilla Profka1, Biao Han1, Jennia Rajaei1, Stephen J. Kadlececk1, Clifford Deutschman2, Rahim Rizi1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States; 2Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, United States

Ventilator induced lung injury (VILI) is an iatrogenic entity that increases mortality in ventilated patients and is caused by regional tissue deformation and stress. However, there is a paucity of instruments that are able to non-invasively quantify the regional effects of lung injury. Using hyperpolarized MRI, we identified regional increases in airspace dimensions and fractional ventilation after the induction of VILI in ventilated rats. These findings may reflect a propensity to focal injury and suggest that hyperpolarized MRI may have a role in the identification of VILI and the assessment of responses to lung protective strategies.

Keywords

additionally aerated affected airspace airspaces airway altered alveolar amount animal animals biology breath breaths capacity care caused combination compatible components compounded computed continuously contribute critical decreased delivery dependent depending described diffusion diffusivity dimensions distension documented dynamic edema either elevations elusive evaluating every expansion explained finding five focal focally form fractional function functional gradient healthy heterogeneity histology hyperventilation ideal identical identified illustrate individual induced induction inflammation injured injury innovative inspired instrument intubated invasive kinetics likely limits loss lung maneuver maps marked measure measured mechanical mechanics minimize minutes mixture monitored mortality occurred onset optical partially patients patterns peep pilot poor positive pressure pressures previously probably process progress protection protective pulmonary radiological radiology rapid rats recorded recruitment regional related representative residual respiratory response reversible risk role sensitivity sensitizing series severe severity slice somehow starting stepwise strategies strategy stress structure sufficient suggests table therapy tidal tissue tomography transverse underwent ventilated ventilation ventilator volume worsening worsens