Hyperpolarized 129Xe lung MRI is an efficient technique used to investigate and assess pulmonary diseases. However, the longitudinal observation of the emphysema progression using hyperpolarized gas MRI-based ADC can be problematic, as the disease-progression can lead to increasing unventilated-lung areas, which likely excludes the largest ADC estimates. One solution to this problem is to combine static-ventilation and ADC measurements following the idea of 3He MRI ventilatory ADC (vADC). We have demonstrated this method adapted for 129Xe MRI to help overcome the above-mentioned shortcomings and provide an accurate assessment of the emphysema progression.
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