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Abstract #1183

Ventilation Defect Percent in Helium-3 MRI is Associated with Severe Outcomes in Asthma

David Mummy1, Stanley Kruger1, Michael Evans2, Wei Zha1, Ronald Sorkness3, Nizar Jarjour4, Mark Schiebler5, Loren Denlinger4, and Sean Fain1

1Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Biostatistics & Medical Informatics, University of Wisconsin-Madison, Madison, WI, United States, 3School of Pharmacy, University of Wisconsin-Madison, Madison, WI, United States, 4Medicine, University of Wisconsin-Madison, Madison, WI, United States, 5Radiology, University of Wisconsin-Madison, Madison, WI, United States

We assessed the ventilation defect percent (VDP) on hyperpolarized helium-3 MRI as an indicator of severe clinical outcomes (emergency department [ED] visits and hospitalizations as surrogates for significant asthma exacerbations). We compared VDP with conventional biomarkers of lung function and inflammation and found VDP was more strongly associated with both ED and hospitalizations as outcomes. VDP was correlated with spirometry, air trapping measured on CT, and eosinophil levels in sputum and peripheral blood. These findings suggest that VDP is a candidate biomarker associated with clinical outcomes of asthma exacerbation and stability.

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