Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease

A 73-year-old exsmoker with Global initiative for chronic Obstructive Lung Disease stage III chronic obstructive pulmonary disease underwent airway bypass (AB) as part of the Exhale Airway Stents for Emphysema (EASE) trial, and was the only EASE subject to undergo hyperpolarized 3He magnetic resonan...

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Main Authors: Lindsay Mathew, Miranda Kirby, Donald Farquhar, Christopher Licskai, Giles Santyr, Roya Etemad-Rezai, Grace Parraga, David G McCormack
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2012/675743
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author Lindsay Mathew
Miranda Kirby
Donald Farquhar
Christopher Licskai
Giles Santyr
Roya Etemad-Rezai
Grace Parraga
David G McCormack
author_facet Lindsay Mathew
Miranda Kirby
Donald Farquhar
Christopher Licskai
Giles Santyr
Roya Etemad-Rezai
Grace Parraga
David G McCormack
author_sort Lindsay Mathew
collection DOAJ
description A 73-year-old exsmoker with Global initiative for chronic Obstructive Lung Disease stage III chronic obstructive pulmonary disease underwent airway bypass (AB) as part of the Exhale Airway Stents for Emphysema (EASE) trial, and was the only EASE subject to undergo hyperpolarized 3He magnetic resonance imaging for evaluation of lung function pre- and post-AB. 3He magnetic resonance imaging was acquired twice previously (32 and eight months pre-AB) and twice post-AB (six and 12 months post-AB). Six months post-AB, his increase in forced vital capacity was <12% predicted, and he was classified as an AB nonresponder. However, post-AB, he also demonstrated improvements in quality of life scores, 6 min walk distance and improvements in 3He gas distribution in the regions of stent placement. Given the complex relationship between well-established pulmonary function and quality of life measurements, the present case provides evidence of the value-added information functional imaging may provide in chronic obstructive pulmonary disease interventional studies.
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institution Kabale University
issn 1198-2241
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Canadian Respiratory Journal
spelling doaj-art-c4c23cc73ff54908937bd03117fd0bf32025-02-03T01:24:40ZengWileyCanadian Respiratory Journal1198-22412012-01-01191414310.1155/2012/675743Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary DiseaseLindsay Mathew0Miranda Kirby1Donald Farquhar2Christopher Licskai3Giles Santyr4Roya Etemad-Rezai5Grace Parraga6David G McCormack7Imaging Research Laboratories, Robarts Research Institute, CanadaImaging Research Laboratories, Robarts Research Institute, CanadaDivision of Respirology, Department of Medicine, University of Western Ontario, London, Ontario, CanadaDivision of Respirology, Department of Medicine, University of Western Ontario, London, Ontario, CanadaImaging Research Laboratories, Robarts Research Institute, CanadaDepartment of Medical Imaging, University of Western Ontario, London, Ontario, CanadaImaging Research Laboratories, Robarts Research Institute, CanadaDivision of Respirology, Department of Medicine, University of Western Ontario, London, Ontario, CanadaA 73-year-old exsmoker with Global initiative for chronic Obstructive Lung Disease stage III chronic obstructive pulmonary disease underwent airway bypass (AB) as part of the Exhale Airway Stents for Emphysema (EASE) trial, and was the only EASE subject to undergo hyperpolarized 3He magnetic resonance imaging for evaluation of lung function pre- and post-AB. 3He magnetic resonance imaging was acquired twice previously (32 and eight months pre-AB) and twice post-AB (six and 12 months post-AB). Six months post-AB, his increase in forced vital capacity was <12% predicted, and he was classified as an AB nonresponder. However, post-AB, he also demonstrated improvements in quality of life scores, 6 min walk distance and improvements in 3He gas distribution in the regions of stent placement. Given the complex relationship between well-established pulmonary function and quality of life measurements, the present case provides evidence of the value-added information functional imaging may provide in chronic obstructive pulmonary disease interventional studies.http://dx.doi.org/10.1155/2012/675743
spellingShingle Lindsay Mathew
Miranda Kirby
Donald Farquhar
Christopher Licskai
Giles Santyr
Roya Etemad-Rezai
Grace Parraga
David G McCormack
Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease
Canadian Respiratory Journal
title Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease
title_full Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease
title_fullStr Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease
title_full_unstemmed Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease
title_short Hyperpolarized 3He Functional Magnetic Resonance Imaging of Bronchoscopic Airway Bypass in Chronic Obstructive Pulmonary Disease
title_sort hyperpolarized 3he functional magnetic resonance imaging of bronchoscopic airway bypass in chronic obstructive pulmonary disease
url http://dx.doi.org/10.1155/2012/675743
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