Hyperpolarized noble gases are a new class of MR contrast agent. Since the
first hyperpolarized gas MR images of the lung were reported, there has bee
n considerable interest in using hyperpolarized gas to obtain high spatial
and temporal resolution images of the air spaces of the lung. In addition t
o static images of lung ventilation, new techniques are being developed usi
ng hyperpolarized gas to obtain dynamic, diffusion and oxygen concentration
images of the lung. In this article, we review the potential clinical appl
ications of pulmonary hyperpolarized gas MRI and discuss the preliminary fi
ndings in a variety of lung diseases. Hyperpolarized gas MRI has the potent
ial to provide a comprehensive morphologic and functional assessment of the
lung. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.