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Abstract #4463

High Ventilation Percent on Hyperpolarized Helium-3 MRI is Associated with Reduced One-Year Risk of Asthma Exacerbation

David Mummy1,2, Wei Zha2, Shannon Kehoe3, Guy Olson4, Ronald Sorkness5,6,7, Nizar Jarjour6, Mark Schiebler8, Loren Denlinger6, Michael Evans9, and Sean Fain1,2,8

1Biomedical Engineering, University of Wisconsin -- Madison, Madison, WI, United States, 2Medical Physics, University of Wisconsin -- Madison, Madison, WI, United States, 3Kinesiology, University of Wisconsin -- Madison, Madison, WI, United States, 4Neurobiology, University of Wisconsin -- Madison, Madison, WI, United States, 5Pharmacy, University of Wisconsin -- Madison, Madison, WI, United States, 6Allergy, Pulmonary & Critical Care Medicine, University of Wisconsin -- Madison, Madison, WI, United States, 7Pediatrics, University of Wisconsin -- Madison, Madison, WI, United States, 8Radiology, University of Wisconsin -- Madison, Madison, WI, United States, 9Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, WI, United States

We assessed the high ventilation percent (HVP) as well as the ventilation defect percent (VDP) on hyperpolarized (HP) 3He MRI and found that both measures were associated with exacerbation in the year following imaging, with the HVP exhibiting the stronger association. Both measures were strong predictors relative to other measures of lung function. These findings suggest that HVP is sensitive to one-year risk of asthma exacerbation and is a potential biomarker of asthma instability.

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