Evaluation of regional pulmonary perfusion using ultrafast magnetic resonance imaging

An ultrafast MR sequence was used to measure changes in signal intensity during the first pass of intravascular contrast through the pulmonary circulation. From this, mean transit time, relative blood volume, and relative blood flow were calculated. Data were collected in an isogravitational plane in six healthy subjects. A slight but significant gradient in transit time was present, with faster times at the lung apex. A significant decrease in blood volume, compared with the lung base, was also seen in the apex. Significant decreases in blood volume and blood flow, compared with central portions of the lung, were seen in the lung periphery. Six additional subjects were imaged along a gravitational plane. A significant gradient in transit time was seen, with faster transit in dependent regions of the lung. MRI is able to evaluate regional differences in pulmonary perfusion with high spatial and temporal resolution. Magn Reson Med 46:166–171, 2001. © 2001 Wiley‐Liss, Inc.

[1]  T. Jones,et al.  Interrelationships between regional blood flow, blood volume, and ventilation in supine humans. , 1994, Journal of applied physiology.

[2]  R W Glenny,et al.  Validation of fluorescent-labeled microspheres for measurement of regional organ perfusion. , 1993, Journal of applied physiology.

[3]  Y Wang,et al.  Concepts of myocardial perfusion imaging in magnetic resonance imaging. , 1994, Magnetic resonance quarterly.

[4]  R R Edelman,et al.  Quantitative assessment of pulmonary perfusion with dynamic contrast‐enhanced MRI , 1999, Magnetic resonance in medicine.

[5]  C. Starmer,et al.  Indicator Transit Time Considered as a Gamma Variate , 1964, Circulation research.

[6]  R. Lisbona,et al.  Effect of body posture on spatial distribution of pulmonary blood flow. , 1988, Journal of applied physiology.

[7]  S. Mijailovich,et al.  Contributions of pulmonary perfusion and ventilation to heterogeneity in V(A)/Q measured by PET. , 1997, Journal of applied physiology.

[8]  G N Stewart,et al.  Researches on the Circulation Time in Organs and on the Influences which affect it , 1893, The Journal of physiology.

[9]  J. Hogg,et al.  Regional pulmonary transit times in humans. , 1989, Journal of applied physiology.

[10]  D. McKenzie,et al.  Pulmonary transit time and diffusion limitation during heavy exercise in athletes. , 1996, Respiration physiology.

[11]  R R Edelman,et al.  Pulmonary perfusion: Qualitative assessment with dynamic contrast‐enhanced MRI using ultra‐short TE and inversion recovery turbo FLASH , 1996, Magnetic resonance in medicine.

[12]  A. Haase,et al.  Rapid NMR Imaging Using Low Flip-Angle Pulses , 2004 .

[13]  M. Bahn,et al.  A Single‐Step Method for Estimation of Local Cerebral Blood Volume from Susceptibility Contrast MRI Images , 1995, Magnetic resonance in medicine.

[14]  S. Lindahl,et al.  Pulmonary perfusion is more uniform in the prone than in the supine position: scintigraphy in healthy humans. , 1999, Journal of applied physiology.

[15]  E. Ruden,et al.  Rayleigh–Taylor stability criteria for elastic-plastic solid plates and shells , 1997 .

[16]  G W Dean,et al.  Gravity-independent inequality in pulmonary blood flow in humans. , 1987, Journal of applied physiology.

[17]  W. Wagner,et al.  Direct measurement of pulmonary capillary transit times. , 1982, Science.

[18]  R. Wilson,et al.  Magnetic resonance quantification of the myocardial perfusion reserve with a Fermi function model for constrained deconvolution. , 1998, Medical physics.

[19]  R. Edelman,et al.  Demonstration of gravity‐dependent lung perfusion with contrast‐enhanced magnetic resonance imaging , 1999, Journal of magnetic resonance imaging : JMRI.

[20]  R. Edelman,et al.  Pulmonary disorders: ventilation-perfusion MR imaging with animal models. , 1999, Radiology.

[21]  R M Weisskoff,et al.  Water diffusion and exchange as they influence contrast enhancement , 1997, Journal of magnetic resonance imaging : JMRI.

[22]  B. Rosen,et al.  Pitfalls in MR measurement of tissue blood flow with intravascular tracers: Which mean transit time? , 1993, Magnetic resonance in medicine.

[23]  K. Uğurbil,et al.  Contrast‐enhanced first pass myocardial perfusion imaging: Correlation between myocardial blood flow in dogs at rest and during hyperemia , 1993, Magnetic resonance in medicine.

[24]  J. West Distribution of pulmonary blood flow. , 1999, American journal of respiratory and critical care medicine.