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Abstract #3190

129Xe MR Spectroscopy reveals Abnormal Gas-exchange in Moderate and Severe Asthma

Maksym Sharma1, Harkiran K Kooner1, Ali Mozaffaripour1, Sam Tcherner1, Cory Yamashita1, and Grace Parraga1
1Western University, London, ON, Canada

Synopsis

Keywords: Hyperpolarized MR (Gas), Hyperpolarized MR (Gas), Lung, Asthma, Spectroscopy

Motivation: Airways disease in asthma is characterized by airway wall thickening, luminal obstruction and smooth muscle hyper-responsiveness. Abnormal CT pulmonary vascular pruning has also been reported. We wondered if 129Xe MRS could identify functional abnormalities related to the pulmonary vascular tree, via the measurement of gas-exchange across the alveolar-capillary membranes, into the red-blood-cells.

Goal(s): Measure and compare 129Xe MRS RBC:membrane in healthy volunteers, and patients with moderate or severe asthma.

Approach: 129Xe MRI, MRS and pulmonary function measures were acquired in healthy-volunteers and asthma participants.

Results: 129Xe MR RBC:membrane was significantly different in healthy-volunteers, moderate and severe asthma.

Impact: To our knowledge, this is the first demonstration of significantly different 129Xe MRS RBC:membrane values in healthy volunteers, and patients with moderate or severe asthma. Abnormal pulmonary gas-exchange may play a role in asthma, regardless of disease-severity.

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