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Published online before print March 27, 2003, 10.1148/radiol.2272012146
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Distal Airways in Humans: Dynamic Hyperpolarized 3He MR Imaging—Feasibility1

Angela C. Tooker, MEng, Kwan Soo Hong, PhD, Erin L. McKinstry, BS, Philip Costello, MD, Ferenc A. Jolesz, MD and Mitchell S. Albert, PhD

1 From the Department of Radiology, Brigham and Women’s Hospital, 221 Longwood Ave, Boston, MA 02115. Received January 10, 2002; revision requested March 4; final revision received August 8; accepted August 21. Address correspondence to M.S.A. (e-mail: malbert@bwh.harvard.edu).



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Figure 1a. Comparison of (a-c) dynamic and (d) static images of the human lung. Dynamic (a) coronal, (b) transverse, and (c) sagittal projection images obtained during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition). (d) Static coronal multisection image obtained during breath hold after inhalation of 1 L of hyperpolarized 3He gas by using GRE pulse sequence (2.8/70, 18° flip angle, 256 x 128 matrix, 39-cm FOV, 0.75 phase FOV, 13-mm section thickness, and 31.25-kHz bandwidth). On dynamic images, the airways are clearly visible; on the static image, the airways are obscured by the lung periphery.

 


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Figure 1b. Comparison of (a-c) dynamic and (d) static images of the human lung. Dynamic (a) coronal, (b) transverse, and (c) sagittal projection images obtained during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition). (d) Static coronal multisection image obtained during breath hold after inhalation of 1 L of hyperpolarized 3He gas by using GRE pulse sequence (2.8/70, 18° flip angle, 256 x 128 matrix, 39-cm FOV, 0.75 phase FOV, 13-mm section thickness, and 31.25-kHz bandwidth). On dynamic images, the airways are clearly visible; on the static image, the airways are obscured by the lung periphery.

 


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Figure 1c. Comparison of (a-c) dynamic and (d) static images of the human lung. Dynamic (a) coronal, (b) transverse, and (c) sagittal projection images obtained during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition). (d) Static coronal multisection image obtained during breath hold after inhalation of 1 L of hyperpolarized 3He gas by using GRE pulse sequence (2.8/70, 18° flip angle, 256 x 128 matrix, 39-cm FOV, 0.75 phase FOV, 13-mm section thickness, and 31.25-kHz bandwidth). On dynamic images, the airways are clearly visible; on the static image, the airways are obscured by the lung periphery.

 


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Figure 1d. Comparison of (a-c) dynamic and (d) static images of the human lung. Dynamic (a) coronal, (b) transverse, and (c) sagittal projection images obtained during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition). (d) Static coronal multisection image obtained during breath hold after inhalation of 1 L of hyperpolarized 3He gas by using GRE pulse sequence (2.8/70, 18° flip angle, 256 x 128 matrix, 39-cm FOV, 0.75 phase FOV, 13-mm section thickness, and 31.25-kHz bandwidth). On dynamic images, the airways are clearly visible; on the static image, the airways are obscured by the lung periphery.

 


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Figure 2. Graph shows the SNRs of the trachea, first- through fourth-generation airways, and the lung periphery for dynamic coronal projection images of the lung obtained by using the fast GRE pulse sequence with a 9° flip angle. The SNR in the central airways increases during inhalation. The SNR in the airways reaches a steady-state value, at which point the SNR in the airways is five to 20 times greater than the SNR in the lung periphery.

 


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Figure 3a. Time series of dynamic coronal projection images of the lung acquired during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence with a flip angle of 16°. As the inhalation continued, the SNR in the airways increased while the SNR in the lung periphery remained constant. On images obtained during (a, b) early inhalation, the distal airways are not as clearly distinguishable from the lung periphery as on images obtained during (c, d) late inhalation.

 


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Figure 3b. Time series of dynamic coronal projection images of the lung acquired during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence with a flip angle of 16°. As the inhalation continued, the SNR in the airways increased while the SNR in the lung periphery remained constant. On images obtained during (a, b) early inhalation, the distal airways are not as clearly distinguishable from the lung periphery as on images obtained during (c, d) late inhalation.

 


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Figure 3c. Time series of dynamic coronal projection images of the lung acquired during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence with a flip angle of 16°. As the inhalation continued, the SNR in the airways increased while the SNR in the lung periphery remained constant. On images obtained during (a, b) early inhalation, the distal airways are not as clearly distinguishable from the lung periphery as on images obtained during (c, d) late inhalation.

 


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Figure 3d. Time series of dynamic coronal projection images of the lung acquired during inhalation of 500 mL of hyperpolarized 3He mixed with 500 mL of 4He by using the fast GRE pulse sequence with a flip angle of 16°. As the inhalation continued, the SNR in the airways increased while the SNR in the lung periphery remained constant. On images obtained during (a, b) early inhalation, the distal airways are not as clearly distinguishable from the lung periphery as on images obtained during (c, d) late inhalation.

 


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Figure 4a. (a-c) Dynamic coronal projection images of the lung acquired by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition) and (a) 9°, (b) 16°, and (c) 21° flip angles. The number of airway generations distinguishable from the lung periphery increased as the flip angle increased from 9° to 16°. As the flip angle continued to increase beyond 16°, the number of visible airway generations decreased.

 


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Figure 4b. (a-c) Dynamic coronal projection images of the lung acquired by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition) and (a) 9°, (b) 16°, and (c) 21° flip angles. The number of airway generations distinguishable from the lung periphery increased as the flip angle increased from 9° to 16°. As the flip angle continued to increase beyond 16°, the number of visible airway generations decreased.

 


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Figure 4c. (a-c) Dynamic coronal projection images of the lung acquired by using the fast GRE pulse sequence (1.2/4.4, 160 x 128 matrix, 46-cm FOV, 0.75 phase FOV, 62.5-kHz bandwidth, and 50-msec delay after acquisition) and (a) 9°, (b) 16°, and (c) 21° flip angles. The number of airway generations distinguishable from the lung periphery increased as the flip angle increased from 9° to 16°. As the flip angle continued to increase beyond 16°, the number of visible airway generations decreased.

 





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