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Abstract #3970

Automated Registration-Segmentation Pipeline to Generate Lobar Ventilation Measurements in Diffuse and Localized Bronchiectasis

Sarah Svenningsen 1,2 , Fumin Guo 1,3 , Roya Etemad-Rezai 4 , David G McCormack 5 , and Grace Parraga 1,2

1 Imaging Research Laboratories, Robarts Research Institute, London, Ontario, Canada, 2 Department of Medical Biophysics, The University of Western Ontario, London, Ontario, Canada, 3 Graduate Program in Biomedical Engineering, The University of Western Ontario, London, Ontario, Canada, 4 Department of Medical Imaging, The University of Western Ontario, London, Ontario, Canada, 5 Division of Respirology, Department of Medicine, The University of Western Ontario, London, Ontario, Canada

MRI provides a way to generate a rich mosaic of regional ventilation measurements that enable regional quantification of pulmonary functional abnormalities and their response to therapy. Until now, respiratory intermediate endpoints have relied on global lung function measurements, although in general respiratory disease is regionally heterogeneous. Accordingly, our objective was to provide a way to regionally quantify lobar lung ventilation measurements in bronchiectasis patients using an automated registration-segmentation pipeline. For patients with localized bronchiectasis, regional measurements of ventilation were significantly worse in lobes with CT evidence of bronchiectasis. These regional measurements provide a novel intermediate endpoint for therapy studies.

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