Persistent, long-term COVID-19 symptoms and pulmonary function abnormalities, beyond the acute infectious pulmonary disease phase, is now recognized in certain patients and referred to as long-haul or long COVID. We used hyperpolarized 129Xe MRI ventilation defect percent (VDP) and texture analysis to evaluate and characterize second-order 129Xe MRI ventilation texture features in a pilot study of participants with long-haul COVID-19. We observed statistically significant differences in 129Xe MRI VDP and ventilation texture features between COVID-19 survivors and volunteers who were not infected. Second-order 129Xe MRI ventilation texture features dichotomized long-haul COVID-19 and volunteers in the absence of qualitative VDP differences.
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