129Xe MRI ventilation images consist of embedded texture features that may help explain ventilation heterogeneity. We previously showed that 129Xe MRI ventilation features predicted response to biologic therapy in asthma and thus, we postulated that texture features may help explain central and peripheral airways resistance. We employed machine-learning techniques to identify specific 129Xe MRI features that were related to airway resistance. Ventilation texture analysis yielded four unique and two common features that independently explained central and peripheral airways resistance, respectively. These promising results suggest that 129Xe ventilation texture analysis may reveal hidden anatomic-physiologic measurements that lead to ventilation heterogeneity.
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