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Abstract #3189

129Xe MRS Biomarkers Predict 6-week Response to ICS/LAMA/LABA in Moderate Asthma

Harkiran K Kooner1,2, Maksym Sharma1,2, Ali Mozaffaripour2,3, Sam Tcherner1,2, Cory Yamashita4, and Grace Parraga1,2
1Department of Medical Biophysics, Western University, London, ON, Canada, 2Robarts Research Institute, London, ON, Canada, 3School of Biomedical Engineering, Western University, London, ON, Canada, 4Division of Respirology, Department of Medicine, Western University, London, ON, Canada

Synopsis

Keywords: Hyperpolarized MR (Gas), Hyperpolarized MR (Gas), asthma, gas-exchange, MRS, lung

Motivation: 129Xe MRS quantifies pulmonary gas-exchange by probing inhaled 129Xe transfer from the alveolar-membrane to the red-blood-cells (RBC). Recent work suggested a vascular response to asthma therapy, quantifiable using 129Xe MRS.

Goal(s): We aimed to examine if 129Xe MRS measurements were predictive of significant 6-week response to ICS/LAMA/LABA in moderate asthma patients.

Approach: 129Xe MRS and pulmonary function measurements were acquired prior to and following 6-weeks of therapy.

Results: 129Xe RBC:membrane, measured prior to treatment, was predictive of response to ICS/LAMA/LABA at 6 weeks, measured using the fraction-of-exhaled nitric-oxide and the ratio of forced-expiratory-volume in 1-second to forced-vital-capacity.

Impact: For the first time, 129Xe MRS RBC:membrane has been shown to predict early (6-week) response to ICS/LAMA/LABA in moderate asthma. 129Xe MRS uncovered a novel pathophysiology in asthma patients, with potential for consideration as a new treatable target.

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