Diffusion-weighted MRI of the lung with hyperpolarized helium-3: A study of reproducibility

• Published in: Journal of magnetic resonance imaging Vol. 21; no. 6; pp. 765 - 774
• Main Authors: Morbach, Andreas E., Gast, Klaus K., Schmiedeskamp, Jörg, Dahmen, Anja, Herweling, Annette, Heussel, Claus P., Kauczor, Hans-Ulrich, Schreiber, Wolfgang G.
• Format: Journal Article
• Language: English
• Published: Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.06.2005
• Subjects: Administration, Inhalation; Adult; Aged; diffusion; Diffusion Magnetic Resonance Imaging - methods; emphysema; Female; helium; Helium - administration & dosage; Humans; hyperpolarized gas; Image Processing, Computer-Assisted; lung microstructure; Male; Middle Aged; Pulmonary Emphysema - pathology; reproducibility; Reproducibility of Results; Statistics, Nonparametric
• ISSN: 1053-1807; 1522-2586
• DOI: 10.1002/jmri.20300

Purpose To determine the reproducibility of several parameters of the ADC measurement by calculating the scan‐to‐scan intrasubject variability. Materials and Methods Measurements were performed using a gradient‐echo sequence with a bipolar gradient for diffusion weighting (b = 3.89 sec/cm2). Five patients with pulmonary emphysema, and six healthy‐lung volunteers were included in the study. Images were acquired after inspiration of 3He during a single inspiratory breath‐hold. To assess the reproducibility, the measurement was performed twice (time between measurements = 20 minutes) without repositioning the subjects. Analysis was performed on the basis of region‐of‐interest (ROI) analysis and global lung ADC histograms. Results The mean ADC of a ROI varied by 5.1% between two measurements for volunteers and by 6.1% for patients. In the global evaluation, the 75th percentile demonstrated the best reproducibility (2%), while other parameters showed variations up to 12%. Only the variation of the standard deviation (SD) and the measure of homogeneity of the ADC map showed a significant difference between patients and volunteers. Conclusion Diffusion‐weighted imaging (DWI) is a well‐reproducible method for assessing the lung microstructure. J. Magn. Reson. Imaging 2005;21:765–774. © 2005 Wiley‐Liss, Inc.