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Abstract #1980

Joint relaxometry-diffusion imaging and spectra of the fetal lungs.

Carla Avena-Zampieri1, Paddy J Slator2, Alena Uus1, Mary Rutherford1, Anne Greenough3,4,5, Jana Hutter1, and Lisa Story1,6
1Perinatal imaging, King's College London, London, United Kingdom, 2Centre for Medical Image Computing and Department of Computer Science, University College London, London, United Kingdom, 3Asthma UK Centre for Allergic Mechanisms in Asthma, King's College London, London, United Kingdom, 4Neonatal Unit, King’s College Hospital, London, United Kingdom, 5NIHR Biomedical Research Centre, Guy’s & St Thomas NHS Foundation Trusts and King’s College London, London, United Kingdom, 6Fetal Medicine Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom

Synopsis

Keywords: Data Analysis, Fetus, Prenatal lungs, non-invasive toolWe scanned the fetal lungs of healthy controls and fetuses that subsequently delivered preterm, to characterise typical and atypical lung development in-utero, with a combined T2*-diffusion protocol. We analysed our data with a joint T2*-ADC model, yielding voxelwise maps of T2* and ADC, plus calculated whole-lung T2*-ADC spectra. A reduction in both T2* and ADC values was demonstrated in the preterm cohort, potentially reflecting alterations in pulmonary development commencing in-utero. Our study demonstrates that voxelwise T2* and ADC maps, and whole-lung T2*-ADC spectra have the potential to provide additional information on fetal lung microstructure and improve detection of atypical development.

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Keywords