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Abstract #1993

Out-of-phase Ventiilation Observed With Dynamic Hyperpolarized Xenon-129 Mri In A Pig Thoracic Insu!ciency Syndrome Model

Hooman Hamedani1, Faraz Amzajerdian1, Stephen Kadlecek1, Kai Ruppert1, Mostafa Ismail1, Luis Loza1, Ian Duncan1, Madeline Boyes2, Klaus Hopster2, Rachel Hilliard2, Thomas Schaer2, Benjamin Sinder 3, Brian Snyder4, Axel Moore5, Dawn Elliott5, Kyle Meadows5, and Rahim Rizi1
1University of Pennsylvania, Philadelphia, PA, United States, 2University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, United States, 3Children’s Hospital of Philadelphia, Philadelphia, PA, United States, 4Boston Children’s Hospital, Boston, MA, United States, 5University of Delaware, Newark, DE, United States

Synopsis

Keywords: Body, SkeletalIn a pilot study of thoracic insufficiency syndrome in a pig model, we demonstrated dynamic hyperpolarized xenon-129 (HXe) MRI’s ability to noninvasively measure respiratory dysfunction in terms of gas distribution and mixing in the lungs, and specifically showed ‘out of phase’ ventilation in constricted regions of the lung. This marker of ventilation—i.e., the temporal characteristic of signal build-up during inhalation and its wash-out during exhalation—is inaccessible without our dynamic imaging technique. This technique can be implemented clinically to enhance our understanding of TIS pathophysiology and evaluate treatment strategies aimed at fostering age appropriate alveolarization.

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