AI Article Synopsis

  • The study aims to assess how effective ultra-short echo time (UTE) MRI sequences are for imaging the distribution of nebulized contrast agents in lungs that are similar in size to humans.
  • Researchers used a jet nebulizer to deliver gadolinium-based contrast agents into ventilated porcine lungs and acquired MR images using 3D UTE sequences, achieving high-resolution images in under 4 minutes.
  • Results showed significant MR signal enhancement after nebulization, allowing visualization of aerosol deposition in lung structures, with a correlation found between MRI measurements and the amount of gadolinium used, indicating potential for future clinical applications without using ionizing radiation.

Article Abstract

Purpose: The objective of this study is to evaluate the suitability and performance of ultra-short echo time (UTE) sequences for imaging and quantifying the deposition of nebulized MRI contrast agents in human-sized lungs.

Methods: Nebulization of clinically used contrast agent or gadolinium-based nanoparticles were performed using a commercial jet nebulizer in isolated and ventilated porcine lungs connected to a 3D-printed human upper airways replica. MR images of isolated lungs were acquired on a 3T clinical MR scanner using 3D UTE sequences at different flip angles.

Results: 3D acquisitions with isotropic millimetric resolution were obtained in less than 4 min. Images exhibit homogeneous and large MR signal enhancement (above 200%) following nebulization of both types of aerosols. Deposition of aerosol down to the level of the bronchi of secondary lobules was visualized. T values and the concentration of nanoparticles obtained by MRI were found to correlate with the amount of nebulized gadolinium ions.

Conclusion: The distribution of aerosolized gadolinium-based contrast agent or nanoparticles can be visualized and quantified using UTE MRI in large animal ventilated lung model on a clinical MRI scanner. This protocol can be used for assessing and quantifying aerosol regional deposition with high spatial resolution (1 mm 3D isotropic) without ionizing radiation and could be applied in the future for diagnostic or therapeutic applications in patients.

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http://dx.doi.org/10.1002/mrm.28041DOI Listing

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Article Synopsis
  • The study aims to assess how effective ultra-short echo time (UTE) MRI sequences are for imaging the distribution of nebulized contrast agents in lungs that are similar in size to humans.
  • Researchers used a jet nebulizer to deliver gadolinium-based contrast agents into ventilated porcine lungs and acquired MR images using 3D UTE sequences, achieving high-resolution images in under 4 minutes.
  • Results showed significant MR signal enhancement after nebulization, allowing visualization of aerosol deposition in lung structures, with a correlation found between MRI measurements and the amount of gadolinium used, indicating potential for future clinical applications without using ionizing radiation.
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