Semiautomatic assessment of respiratory dynamics using cine MRI in chronic obstructive pulmonary disease

© 2022 The Authors..

Purpose: The quantitative assessment of impaired lung motions and their association with the clinical characteristics of COPD patients is challenging. The aim of this study was to measure respiratory kinetics, including asynchronous movements, and to analyze the relationship between lung area and other clinical parameters.

Materials and methods: This study enrolled 10 normal control participants and 21 COPD patients who underwent dynamic MRI and pulmonary function testing (PFT). The imaging program was implemented using MATLAB®. Each lung area was detected semi-automatically on a coronal image (imaging level at the aortic valve) from the inspiratory phase to the expiratory phase. The Dice index of the manual measurements was calculated, with the relationship between lung area ratio and other clinical parameters, including PFTs then evaluated. The asynchronous movements of the diaphragm were also evaluated using a sagittal image.

Results: The Dice index for the lung region using the manual and semi-automatic extraction methods was high (Dice index = 0.97 ± 0.03). A significant correlation was observed between the time corrected lung area ratio and percentage of forced expiratory volume in 1 s (FEV1%pred) and residual volume percentage (RV%pred) (r = -0.54, p = 0.01, r = 0.50, p = 0.03, respectively). The correlation coefficient between each point of the diaphragm in the group with visible see-saw like movements was significantly lower than that in the group without see-saw like movements (value = -0.36 vs 0.95, p = 0.001).

Conclusion: Semi-automated extraction of lung area from Cine MRI might be useful for detecting impaired respiratory kinetics in patients with COPD.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

European journal of radiology open - 9(2022) vom: 28., Seite 100442

Sprache:

Englisch

Beteiligte Personen:

Sato, Hirotaka [VerfasserIn]
Kawata, Naoko [VerfasserIn]
Shimada, Ayako [VerfasserIn]
Iwao, Yuma [VerfasserIn]
Ye, Chen [VerfasserIn]
Masuda, Yoshitada [VerfasserIn]
Haneishi, Hideaki [VerfasserIn]
Tatsumi, Koichiro [VerfasserIn]
Suzuki, Takuji [VerfasserIn]

Links:

Volltext

Themen:

Asynchronous movement
BMI, body mass index
CAT, chronic obstructive pulmonary disease assessment test
COPD, chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease (COPD)
DLCO, carbon monoxide diffusing capacity of the lung
Diaphragm
FEV1, forced expiratory volume in 1 s
FEV1/FVC, forced expiratory volume in 1 s per forced vital capacity
FLASH, fast low angle shot
FOV, field of view
FRC, functional residual capacity
FVC, forced vital capacity
GOLD, Global Initiative for Chronic Pulmonary Obstructive Lung Disease
HASTE, Half Fourier Acquisition Single-shot Turbo spin Echo
ICC, intraclass correlation coefficient
ICS, inhaled corticosteroid
Journal Article
LAA, low attenuation area
LABA, long-acting β-2 agonist
LAMA, long-acting muscarinic antagonists
LAV, low attenuation volume
LV, lung volume
Lung area
MDCT, multi-detector row computed tomography
MRI, magnetic resonance imaging
Magnetic resonance imaging (MRI)
PFT, pulmonary function testing
Pulmonary function
RV, residual volume
RV/TLC, residual volume per total lung capacity
SSFP, steady-state free precession
TLA, total lung area
TLC, total lung capacity
UTE, ultrashort echo time

Anmerkungen:

Date Revised 06.10.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.ejro.2022.100442

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM347089062