Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI

ObjectivesFunctional imaging of the lungs enables a spatially resolved examination of pulmonary ventilation and perfusion. Non-contrast-enhanced (NCE) magnetic resonance imaging (MRI) techniques do not require specialized set-ups (e.g., hyperpolarized gases), but are applicable on standard clinical...

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Main Authors: Carmen Streibel, Grzegorz Bauman, Oliver Bieri, Orso Pusterla, Enno Stranzinger, C. Corin Willers, Marion Curdy, Carmen Casaulta, Bettina Sarah Frauchiger, Insa Korten, Sophie Yammine, Yasmin Salem, Philipp Latzin, Elisabeth Kieninger
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1519148/full
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author Carmen Streibel
Carmen Streibel
Carmen Streibel
Grzegorz Bauman
Grzegorz Bauman
Oliver Bieri
Oliver Bieri
Orso Pusterla
Orso Pusterla
Orso Pusterla
Enno Stranzinger
C. Corin Willers
Marion Curdy
Carmen Casaulta
Bettina Sarah Frauchiger
Insa Korten
Sophie Yammine
Yasmin Salem
Philipp Latzin
Elisabeth Kieninger
author_facet Carmen Streibel
Carmen Streibel
Carmen Streibel
Grzegorz Bauman
Grzegorz Bauman
Oliver Bieri
Oliver Bieri
Orso Pusterla
Orso Pusterla
Orso Pusterla
Enno Stranzinger
C. Corin Willers
Marion Curdy
Carmen Casaulta
Bettina Sarah Frauchiger
Insa Korten
Sophie Yammine
Yasmin Salem
Philipp Latzin
Elisabeth Kieninger
author_sort Carmen Streibel
collection DOAJ
description ObjectivesFunctional imaging of the lungs enables a spatially resolved examination of pulmonary ventilation and perfusion. Non-contrast-enhanced (NCE) magnetic resonance imaging (MRI) techniques do not require specialized set-ups (e.g., hyperpolarized gases), but are applicable on standard clinical MRI scanners. Since patients are not exposed to ionizing radiation during the examinations, NCE-MRI is highly attractive for use in pediatrics, especially in children with chronic lung diseases requiring repeated follow-up measurements.Study designWe report on our own experience of more than 900 NCE-MRI measurements in children over seven years using matrix pencil decomposition (MP-)MRI. We present original data, i.e., clinical cases in which MP-MRI helped in clinical decision-making together with valuable practical points.ResultsAt our center, an optimized workflow including a child-friendly setting and automated provision of outcome protocols led to great acceptance of functional NCE-MRI in patients and clinicians. Within this setting, regular MP-MRI measurements were successfully implemented into clinical routine and proved to be very helpful for surveillance and specific clinical decision-making. We present exemplary cases illustrating the potential of NCE-MRI as a diagnostic tool.ConclusionIn this article, we summarize our unique experience of a large number of MP-MRI measurements. We give an overview on our workflow including standardized and automated analysis and reporting. The exemplary cases from different disease groups illustrate its value in the clinical setting. In conclusion, visualizing regional functional deficits and respective underlying pathophysiological nature of lung impairment seems promising for increasing use of NCE-MRI in the future.
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spelling doaj-art-4dbc889a3a8f43e28647812c4370c8512025-08-20T02:59:20ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-03-011310.3389/fped.2025.15191481519148Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRICarmen Streibel0Carmen Streibel1Carmen Streibel2Grzegorz Bauman3Grzegorz Bauman4Oliver Bieri5Oliver Bieri6Orso Pusterla7Orso Pusterla8Orso Pusterla9Enno Stranzinger10C. Corin Willers11Marion Curdy12Carmen Casaulta13Bettina Sarah Frauchiger14Insa Korten15Sophie Yammine16Yasmin Salem17Philipp Latzin18Elisabeth Kieninger19Division of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandGraduate Schoolfor Health Sciences, University of Bern, Bern, SwitzerlandDepartment of General Internal Medicine and Psychosomatic, Heidelberg University Hospital, University of Heidelberg, Heidelberg, GermanyDepartment of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, SwitzerlandDepartment of Biomedical Engineering, University of Basel, Allschwil, SwitzerlandDepartment of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, SwitzerlandDepartment of Biomedical Engineering, University of Basel, Allschwil, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Radiology, Division of Radiological Physics, University of Basel Hospital, Basel, SwitzerlandDepartment of Biomedical Engineering, University of Basel, Allschwil, SwitzerlandDepartment of Diagnostic and Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDivision of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandObjectivesFunctional imaging of the lungs enables a spatially resolved examination of pulmonary ventilation and perfusion. Non-contrast-enhanced (NCE) magnetic resonance imaging (MRI) techniques do not require specialized set-ups (e.g., hyperpolarized gases), but are applicable on standard clinical MRI scanners. Since patients are not exposed to ionizing radiation during the examinations, NCE-MRI is highly attractive for use in pediatrics, especially in children with chronic lung diseases requiring repeated follow-up measurements.Study designWe report on our own experience of more than 900 NCE-MRI measurements in children over seven years using matrix pencil decomposition (MP-)MRI. We present original data, i.e., clinical cases in which MP-MRI helped in clinical decision-making together with valuable practical points.ResultsAt our center, an optimized workflow including a child-friendly setting and automated provision of outcome protocols led to great acceptance of functional NCE-MRI in patients and clinicians. Within this setting, regular MP-MRI measurements were successfully implemented into clinical routine and proved to be very helpful for surveillance and specific clinical decision-making. We present exemplary cases illustrating the potential of NCE-MRI as a diagnostic tool.ConclusionIn this article, we summarize our unique experience of a large number of MP-MRI measurements. We give an overview on our workflow including standardized and automated analysis and reporting. The exemplary cases from different disease groups illustrate its value in the clinical setting. In conclusion, visualizing regional functional deficits and respective underlying pathophysiological nature of lung impairment seems promising for increasing use of NCE-MRI in the future.https://www.frontiersin.org/articles/10.3389/fped.2025.1519148/fullfunctional lung MRIchildrenlung functionMP-MRIpulmonology
spellingShingle Carmen Streibel
Carmen Streibel
Carmen Streibel
Grzegorz Bauman
Grzegorz Bauman
Oliver Bieri
Oliver Bieri
Orso Pusterla
Orso Pusterla
Orso Pusterla
Enno Stranzinger
C. Corin Willers
Marion Curdy
Carmen Casaulta
Bettina Sarah Frauchiger
Insa Korten
Sophie Yammine
Yasmin Salem
Philipp Latzin
Elisabeth Kieninger
Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI
Frontiers in Pediatrics
functional lung MRI
children
lung function
MP-MRI
pulmonology
title Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI
title_full Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI
title_fullStr Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI
title_full_unstemmed Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI
title_short Non-contrast enhanced functional lung MRI in children: report on 900 own measurements using matrix-pencil decomposition (MP-) MRI
title_sort non contrast enhanced functional lung mri in children report on 900 own measurements using matrix pencil decomposition mp mri
topic functional lung MRI
children
lung function
MP-MRI
pulmonology
url https://www.frontiersin.org/articles/10.3389/fped.2025.1519148/full
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