Science and Research

Effect of intravenously injected gadolinium-based contrast agents on functional lung parameters derived by PREFUL MRI

PURPOSE: To evaluate the influence of intravenously administered gadolinium-based contrast agents on functional ventilation and perfusion parameters derived by phase-resolved functional lung (PREFUL) MRI. METHODS: Fourteen participants underwent functional MRI at 1.5T using a 2D spoiled gradient echo sequence during free breathing. Three data sets of PREFUL images were obtained-the 1st data set was acquired in mean 33:46 min (SD = 6:20 min) prior, the 2nd and 3rd data sets 43 and 91 s (both SD = 1.9 s), respectively, after i.v. application of gadobutrol. Full respiratory and cardiac cycles were reconstructed and functional parameters of regional ventilation (RV), perfusion (Q), and quantified perfusion (QQuant ) together with perfusion-defected percentages (QDP), ventilation-defected percentages (VDP), and ventilation-perfusion match (VQM) were calculated and compared for systematic differences between the acquired data sets. RESULTS: RV- and Q-values presented no significant alteration after gadobutrol administration. Consequently, QDP, VDP, and VQ maps were not significantly different. Sorensen-Dice coefficients of QDP and VDP maps between the different series varied up to +/-9%. QQuant was significantly increased after the application of gadobutrol (1st vs. 2nd series, P = 0.0021; 1st vs. 3rd, P = 0.0188), which can be explained by the velocity-dependent signal in the completely blood-filled voxel (ROI of the aorta) after shortening of T1 relaxation time (1st vs. 2nd series, P = 0.0003; 1st vs. 3rd series, P = 0.0008). CONCLUSION: Except for quantified perfusion, all evaluated functional parameters including ventilation- and perfusion-weighted maps derived by PREFUL MRI were independent of gadolinium-based contrast agents, which is important for the design of MRI protocols in future studies.

  • Glandorf, J.
  • Klimes, F.
  • Voskrebenzev, A.
  • Gutberlet, M.
  • Wacker, F.
  • Vogel-Claussen, J.

Keywords

  • *Fourier decomposition
  • *preful
  • *functional parameters
  • *gadolinium
Publication details
DOI: 10.1002/mrm.27991
Journal: Magn Reson Med
Pages: 1045-1054 
Number: 3
Work Type: Original
Location: BREATH
Disease Area: PLI
Partner / Member: MHH
Access-Number: 31517406
See publication on PubMed

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