H. Hatabu et al., PULMONARY PERFUSION - QUALITATIVE ASSESSMENT WITH DYNAMIC CONTRAST-ENHANCED MRI USING ULTRA-SHORT TE AND INVERSION-RECOVERY TURBO FLASH, Magnetic resonance in medicine, 36(4), 1996, pp. 503-508
The accurate assessment of pulmonary perfusion is especially important
in the evaluation of patients with suspected pulmonary embolism, a co
mmon and potentially lethal disorder that can be treated by aggressive
anticoagulation. In this study, we demonstrate for the first time the
use of MR to image pulmonary perfusion in humans by using dynamic ima
ging after contrast administration, The technique, which uses an inver
sion recovery turbo FLASH sequence with ultra short TE (1.4 ms) and 1-
s temporal resolution, was tested in a series of eight healthy subject
s and in a porcine model of pulmonary embolism. After the administrati
on of gadopentetate dimeglumine in humans and animal models, there was
serial enhancement of the systemic veins, right atrium, right ventric
le, and pulmonary arteries. The pulmonary arterial tree was visualized
beyond the segmental branches, followed by a gradual diffuse increase
in signal intensity of the lung parenchyma over a period of 4.0-7.0 s
. Pulmonary circulation times ranged from 3.03.4 s. Whereas a high dos
e (20 or 40 ml) of contrast agent tended to produce the most intense p
arenchymal enhancement, a low dose (5 ml) was best for showing recircu
lation, In the animal model, a perfusion defect due to a pulmonary emb
olus was clearly shown and confirmed by cine angiography, It is conclu
ded that MRI of lung perfusion is feasible, With further development,
perfusion MRI could eventually have a significant clinical role in the
diagnostic evaluation of pulmonary embolism.