Application unit for the administration of contrast gases for pulmonary magnetic resonance imaging: optimization of ventilation distribution for (3) He-MRI

Magn Reson Med. 2015 Sep;74(3):884-93. doi: 10.1002/mrm.25433. Epub 2014 Sep 11.

Abstract

Purpose: MRI of lung airspaces using gases with MR-active nuclei ((3) He, (129) Xe, and (19) F) is an important area of research in pulmonary imaging. The volume-controlled administration of gas mixtures is important for obtaining quantitative information from MR images. State-of-the-art gas administration using plastic bags (PBs) does not allow for a precise determination of both the volume and timing of a (3) He bolus.

Methods: A novel application unit (AU) was built according to the requirements of the German medical devices law. Integrated spirometers enable the monitoring of the inhaled gas flow. The device is particularly suited for hyperpolarized (HP) gases (e.g., storage and administration with minimal HP losses). The setup was tested in a clinical trial (n = 10 healthy volunteers) according to the German medicinal products law using static and dynamic ventilation HP-(3) He MRI.

Results: The required specifications for the AU were successfully realized. Compared to PB-administration, better reproducibility of gas intrapulmonary distribution was observed when using the AU for both static and dynamic ventilation imaging.

Conclusion: The new AU meets the special requirements for HP gases, which are storage and administration with minimal losses. Our data suggest that gas AU-administration is superior to manual modes for determining the key parameters of dynamic ventilation measurements.

Keywords: 3He; administration; gas; hyperpolarization; lung; ventilation.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Contrast Media / administration & dosage*
  • Contrast Media / chemistry
  • Contrast Media / therapeutic use
  • Equipment Design
  • Helium / administration & dosage*
  • Helium / chemistry
  • Helium / therapeutic use
  • Humans
  • Isotopes / administration & dosage*
  • Isotopes / chemistry
  • Isotopes / therapeutic use
  • Lung / physiology*
  • Magnetic Resonance Imaging / instrumentation
  • Magnetic Resonance Imaging / methods*
  • Male
  • Pulmonary Ventilation / physiology*

Substances

  • Contrast Media
  • Isotopes
  • Helium