Quantitative evaluation of radiation-induced lung injury with hyperpolarized xenon magnetic resonance

• Published in: Magnetic resonance in medicine Vol. 76; no. 2; pp. 408 - 416
• Main Authors: Li, Haidong, Zhang, Zhiying, Zhao, Xiuchao, Sun, Xianping, Ye, Chaohui, Zhou, Xin
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01.08.2016; Wiley Subscription Services, Inc
• Subjects: Administration, Inhalation; Algorithms; Animals; Contrast Media; CSSR; Feasibility Studies; gas exchange time; hyperpolarized xenon; Image Interpretation, Computer-Assisted - methods; lung physiology; Magnetic Resonance Imaging - methods; pulmonary function; Radiation Pneumonitis - diagnostic imaging; Radiation Pneumonitis - pathology; Rats; Rats, Sprague-Dawley; Reproducibility of Results; Respiratory Function Tests - methods; RILI; Sensitivity and Specificity; Xenon Isotopes; CSSR; hyperpolarized xenon; pulmonary function; RILI; gas exchange time; lung physiology
• ISSN: 0740-3194; 1522-2594
• DOI: 10.1002/mrm.25894

Purpose To demonstrate the feasibility of quantitative and comprehensive global evaluation of pulmonary function and microstructural changes in rats with radiation‐induced lung injury (RILI) using hyperpolarized xenon MR. Methods Dissolved xenon spectra were dynamically acquired using a modified chemical shift saturation recovery pulse sequence in five rats with RILI (bilaterally exposed by 6‐MV x‐ray with a dose of 14 Gy 3 mo. prior to MR experiments) and five healthy rats. The dissolved xenon signals were quantitatively analyzed, and the pulmonary physiological parameters were extracted with the model of xenon exchange. Results The obtained pulmonary physiological parameters and the ratio of 129Xe signal in red blood cells (RBCs) versus barrier showed a significant difference between the groups. In RILI rats versus controls, the exchange time increased from 44.5 to 112 ms, the pulmonary capillary transit time increased from 0.51 to 1.48 s, and the ratio of 129Xe spectroscopic signal in RBCs versus barrier increased from 0.294 to 0.484. Conclusion Hyperpolarized xenon MR is effective for quantitative and comprehensive global evaluation of pulmonary function and structural changes without the use of radiation. This may open the door for its use in the diagnosis of lung diseases that are related to gas exchange. Magn Reson Med 76:408–416, 2016. © 2015 Wiley Periodicals, Inc.