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Abstract #1460

Asthma Airway Morphology and Hyperpolarized 3He Magnetic Resonance Imaging Ventilation Defects

Sarah Svenningsen1, 2, Danielle Starr1, Harvey Coxson3, Nigel Paterson4, David G. McCormack4, Miranda Kirby1, 2, Grace Parraga1, 2

1Imaging Research Laboratories, Robarts Research Institute, London, Ontario, Canada; 2Department of Medical Biophysics, The University of Western Ontario, London, Ontario, Canada; 3James Hogg Research Centre, University of British Columbia, Vancouver, British Columbia, Canada; 4Division of Respirology, Department of Medicine, The University of Western Ontario, London, Ontario, Canada

In a group of asthmatic and healthy volunteers (HV), we quantitatively evaluated the relationship between hyperpolarized 3He MRI ventilation abnormalities and computed tomography (CT) airway measurements in a non-random region-of-interest (ROI) spatially identified by 3He MRI to contain ventilation defects. CT-derived regional WA% (p=.009) and LA (p=.01) and 3He MRI-derived whole lung VDP (p=.01) and regional VDP (p=.02) were significantly different between asthmatics and HV. Regional VDP was significantly correlated with WA% (r=.48, p=.02) and LA (r=-.51, p=.01). These results provide a better understanding of the underlying airway morphology related to heterogeneous ventilation abnormalities in asthma.

Keywords

abnormalities acquisition ages airway airways anatomical anatomy approved asthma asthmatic asthmatics audience automated better blue board body breath care cavity central characteristics classified clearly clinicians cluster coefficients computed configuration considered constricted contain coronal correlated correlation custom defect defects degrees delineation delivered demographic derived described detector determine deviation discovery dotted electric ethics etiology evaluated fast field five forced foundation function functional general generated gradient health healthy helium hold hypothesize identified informed inspiration intensity intervals linear local lumen lung lungs major making male mass matrix medical medicine morphological morphology multivariate percent pitch previously prism proof protocol providing pulmonary quantitatively random ranging recalled reduce regional register registered registering regression related relationship repetition report residual scanner segment segmental segmentation segmented selection side significance significantly slice slices software spatial spatially static statistical subject subjects system table taken target thick thoracic together tube underlying understanding variance ventilation versus view void volume volunteer volunteers wall western white whole