Detection of early subclinical lung disease in children with cystic fibrosis by lung ventilation imaging with hyperpolarised gas MRI.

نویسندگان

  • Helen Marshall
  • Alex Horsley
  • Chris J Taylor
  • Laurie Smith
  • David Hughes
  • Felix C Horn
  • Andrew J Swift
  • Juan Parra-Robles
  • Paul J Hughes
  • Graham Norquay
  • Neil J Stewart
  • Guilhem J Collier
  • Dawn Teare
  • Steve Cunningham
  • Ina Aldag
  • Jim M Wild
چکیده

Hyperpolarised 3He ventilation-MRI, anatomical lung MRI, lung clearance index (LCI), low-dose CT and spirometry were performed on 19 children (6-16 years) with clinically stable mild cystic fibrosis (CF) (FEV1>-1.96), and 10 controls. All controls had normal spirometry, MRI and LCI. Ventilation-MRI was the most sensitive method of detecting abnormalities, present in 89% of patients with CF, compared with CT abnormalities in 68%, LCI 47% and conventional MRI 22%. Ventilation defects were present in the absence of CT abnormalities and in patients with normal physiology, including LCI. Ventilation-MRI is thus feasible in young children, highly sensitive and provides additional information about lung structure-function relationships.

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Detection of early subclinical lung disease in children with cystic fibrosis by lung ventilation imaging with hyperpolarised gas MRI

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عنوان ژورنال:
  • Thorax

دوره 72 8  شماره 

صفحات  -

تاریخ انتشار 2017