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Abstract #4660

129Xe MRS Gas-Exchange Abnormalities in Poorly-controlled Asthma

Alexander M Matheson1, Marrissa J McIntosh1, Narinder Paul2, Anurag Bhalla3, Cory Yamashita3, and Grace Parraga1,2,3
1Medical Biophysics, Robarts Research Institute, Western University, London, ON, Canada, 2Department of Medical Imaging, Western University, London, ON, Canada, 3Division of Respirology, Department of Medicine, Western University, London, ON, Canada

Synopsis

Keywords: Lung, Hyperpolarized MR (Gas)Large and small airway-wall and lumen abnormalities and occlusion are hallmark findings in asthma, but pathologic abnormalities have also been reported in the pulmonary vasculature. 129Xe MR-spectroscopy provides a way to quantify 129Xe gas in the airways and as it diffuses through the alveolar tissue-membrane and binds to red-blood-cells in the pulmonary capillaries. Static and dynamic 129Xe MR-spectroscopy were undertaken in participants with poorly controlled asthma in whom there was significantly different 129Xe MR RBC:membrane ratio compared to healthy-volunteers. Cardiopulmonary oscillations were observed in all 129Xe compartments; the oscillation amplitude in the gas-compartment was related to oscillometry airways impedance measurements.

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