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      Microstructural Analysis of Peripheral Lung Tissue through CPMG Inter-Echo Time R2 Dispersion

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          Abstract

          Since changes in lung microstructure are important indicators for (early stage) lung pathology, there is a need for quantifiable information of diagnostically challenging cases in a clinical setting, e.g. to evaluate early emphysematous changes in peripheral lung tissue. Considering alveoli as spherical air-spaces surrounded by a thin film of lung tissue allows deriving an expression for Carr-Purcell-Meiboom-Gill transverse relaxation rates R 2 with a dependence on inter-echo time, local air-tissue volume fraction, diffusion coefficient and alveolar diameter, within a weak field approximation. The model relaxation rate exhibits the same hyperbolic tangent dependency as seen in the Luz-Meiboom model and limiting cases agree with Brooks et al. and Jensen et al. In addition, the model is tested against experimental data for passively deflated rat lungs: the resulting mean alveolar radius of R A = 31.46 ± 13.15 μm is very close to the literature value (∼34 μm). Also, modeled radii obtained from relaxometer measurements of ageing hydrogel foam (that mimics peripheral lung tissue) are in good agreement with those obtained from μCT images of the same foam (mean relative error: 0.06 ± 0.01). The model’s ability to determine the alveolar radius and/or air volume fraction will be useful in quantifying peripheral lung microstructure.

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          Site and nature of airway obstruction in chronic obstructive lung disease.

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            Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary.

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              Non-contrast-enhanced perfusion and ventilation assessment of the human lung by means of fourier decomposition in proton MRI.

              Assessment of regional lung perfusion and ventilation has significant clinical value for the diagnosis and follow-up of pulmonary diseases. In this work a new method of non-contrast-enhanced functional lung MRI (not dependent on intravenous or inhalative contrast agents) is proposed. A two-dimensional (2D) true fast imaging with steady precession (TrueFISP) pulse sequence (TR/TE = 1.9 ms/0.8 ms, acquisition time [TA] = 112 ms/image) was implemented on a 1.5T whole-body MR scanner. The imaging protocol comprised sets of 198 lung images acquired with an imaging rate of 3.33 images/s in coronal and sagittal view. No electrocardiogram (ECG) or respiratory triggering was used. A nonrigid image registration algorithm was applied to compensate for respiratory motion. Rapid data acquisition allowed observing intensity changes in corresponding lung areas with respect to the cardiac and respiratory frequencies. After a Fourier analysis along the time domain, two spectral lines corresponding to both frequencies were used to calculate the perfusion- and ventilation-weighted images. The described method was applied in preliminary studies on volunteers and patients showing clinical relevance to obtain non-contrast-enhanced perfusion and ventilation data.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                2015
                6 November 2015
                : 10
                : 11
                : e0141894
                Affiliations
                [1 ]Department of Neuroradiology, Heidelberg University, Heidelberg, Germany
                [2 ]Department of Radiology, German Cancer Research Center, Heidelberg, Germany
                [3 ]Department of Experimental Physics 5, Würzburg University, Würzburg, Germany
                University Hospital of Würzburg, GERMANY
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: FTK TK CHZ. Performed the experiments: FTK. Analyzed the data: FTK CHZ. Contributed reagents/materials/analysis tools: FTK TK LRB CHZ. Wrote the paper: FTK TK SH HPS MB CHZ.

                Article
                PONE-D-15-17122
                10.1371/journal.pone.0141894
                4636373
                26544068
                c72661ed-d667-46d6-80a0-258a8038ea03
                Copyright @ 2015

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

                History
                : 20 April 2015
                : 14 October 2015
                Page count
                Figures: 6, Tables: 1, Pages: 22
                Funding
                This work was supported by a grant from the Deutsche Forschungsgemeinschaft (contract grant number: DFG ZI 1295/2-1) and by a postdoctoral fellowship granted to F.T.K. from the medical faculty of Heidelberg University. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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