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Abstract #0004

Using 129Xenon MR Imaging and Spectroscopic Signatures to Differentiate Pulmonary Arterial Hypertension from Other Cardiopulmonary Diseases

Elianna Ada Bier1,2, Ziyi Wang1,2, Aparna Swaminathan3, John Nouls2, Mu He2,4, Joseph Mammarappallil5, Sheng Lou6, Sudarshan Rajagopal7, and Bastiaan Driehuys1,2,5

1Biomedical Engineering, Duke University, Durham, NC, United States, 2Center for In Vivo Microscopy, Duke University, Durham, NC, United States, 3Department of Medicine, Duke University Medical Center, Durham, NC, United States, 4Electrical and Computer Engineering, Duke University, Durham, NC, United States, 5Radiology, Duke University Medical Center, Durham, NC, United States, 6Biostatistics & Bioinformatics, Duke University Medical Center, Durham, NC, United States, 7Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, United States

This work sought to identify a non-invasive means to detect pulmonary arterial hypertension (PAH). 129Xenon MRI and dynamic spectroscopy were acquired in healthy volunteers and subjects with chronic obstructive pulmonary disease (COPD), idiopathic pulmonary fibrosis (IPF), left heart failure (LHF), and PAH. COPD was differentiated from PAH by increased ventilation and barrier defects, while IPF was differentiated by increased barrier uptake. PAH and LHF subjects had similar imaging features but could be differentiated by their RBC signal oscillation amplitudes. 129Xe MR imaging and spectroscopy appears capable of differentiating PAH from COPD, IPF, and LHF.

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