3He MRI in healthy volunteers: preliminary correlation with smoking history and lung volumes

MRI with hyperpolarized helium‐3 (3He) provides high‐resolution imaging of ventilated airspaces. The first aim of this 3He‐study was to compare observations of localized signal defects in healthy smokers and non‐smokers. A second aim was to describe relationships between parameters of lung function, volume of inspired 3He and signal‐to‐noise ratio. With Ethics Committee approval and informed consent, 12 healthy volunteers (seven smokers and five non‐smokers) were studied. Imaging was performed in a 1.5 T scanner using a two‐dimensional FLASH sequence at 30V transmitter amplitude (TR/TE/α = 11 ms/4.2 ms/<10°). Known amounts of 3He were inhaled from a microprocessor‐controlled delivery device and imaged during single breath‐holds. Images were evaluated visually, and scored using a prospectively defined ‘defect‐index’. Signal‐to‐noise ratio of the images were correlated with localization, 3He volumes and static lung volumes. Due to poor image quality studies of two smokers were not eligible for the evaluation. Smokers differed from non‐smokers in total number and size of defects: the ‘defect‐index’ of smokers ranged between 0.8 and 6.0 (median = 1.1), that of non‐smokers between 0.1 and 0.8 (median = 0.4). Intraindividually, an anteroposterior gradient of signal‐to‐noise ratio was apparent. Signal‐to‐noise ratio correlated with the estimated amount of hyperpolarization administered (r = 0.77), but not with static lung volumes. We conclude that 3He MRI is a sensitive measure to detect regional abnormalities in the distribution of ventilation in clinically healthy persons with normal pulmonary function tests. Copyright © 2000 John Wiley & Sons, Ltd.