Keywords: Hyperpolarized MR (Gas), Heart, Lung129Xe MRS measures static and dynamic spectral parameters from 129Xe signal in airspaces, membrane tissues, and red blood cells (RBC) and has the potential to characterize cardiopulmonary diseases. However, a better understanding of measurement repeatability is needed, and different approaches to quantifying cardiogenic oscillations have been proposed. Here, we compare quantification of oscillations using sine-fitting and a peak-finding algorithm and use reader ratings to identify acceptable study quality. Across a range of cardiopulmonary disease groups, measurements of static parameters showed good intra-session repeatability while the peak-finding algorithm generally yielded higher repeatability than sine fits for most dynamic parameters.
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