Kauczor Hans-Ulrich, Hanke Alexander, Van Beek Edwin J R
Klinik für Radiologie, Johannes Gutenberg-Universität Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany.
Eur Radiol. 2002 Aug;12(8):1962-70. doi: 10.1007/s00330-002-1379-1. Epub 2002 May 24.
The aim of this paper is to review the present status of novel MRI techniques as a new important instrument for functional ventilation imaging. The current status and future perspectives in research and clinical applications are summarized. Morphological lung imaging is based on chest radiography and computed tomography, whereas scintigraphy is used for ventilation imaging. During recent years, MRI has emerged as a new means for functional imaging of ventilation. Aerosolized contrast agents and oxygen are used in proton imaging, whereas non-proton imaging relies on fluorine compounds, such as sulfur hexafluoride and perfluorcarbons, or on hyperpolarized noble gases, such as helium-3 or xenon-129. All the gases are administered as inhaled "contrast agents" for imaging of the airways and airspaces. In general, straightforward images demonstrate the homogeneity of ventilation in a breath-hold and allow for determination of ventilated lung. The different properties of the different compounds enable the measurement of additional functional parameters. They comprise airspace size, regional oxygen partial pressure, and analysis of ventilation distribution, ventilation/perfusion ratios, and gas exchange, including oxygen uptake. Novel MRI techniques provide the potential for functional imaging of ventilation. The next steps include definition of the value and the potential of the different contrast mechanisms as well as determination of the significance of the functional information with regard to physiological research and patient management in chronic obstructive pulmonary disease and others.
本文旨在综述新型MRI技术作为功能通气成像新的重要工具的现状。总结了其在研究及临床应用方面的现状与未来前景。形态学肺部成像基于胸部X线摄影和计算机断层扫描,而闪烁扫描术用于通气成像。近年来,MRI已成为通气功能成像的新手段。质子成像中使用雾化造影剂和氧气,而非质子成像则依赖于氟化合物,如六氟化硫和全氟化碳,或超极化惰性气体,如氦-3或氙-129。所有这些气体均作为吸入“造影剂”用于气道和肺泡腔成像。一般来说,直接图像可显示屏气时通气的均匀性,并可确定通气肺组织。不同化合物的不同特性使得能够测量其他功能参数。这些参数包括肺泡腔大小、局部氧分压,以及通气分布、通气/灌注比和气体交换(包括氧摄取)的分析。新型MRI技术为通气功能成像提供了可能。接下来的步骤包括明确不同对比机制的价值和潜力,以及确定功能信息在慢性阻塞性肺疾病等生理研究和患者管理方面的意义。
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