Synopsis
This lecture covers 1) state of the art pulmonary MR techniques for
morphological and functional assessment, 2) its clinical applications in COPD
and 3) future direction of pulmonary functional MR imaging. We believe that the findings of further basic studies
as well as clinical applications of this new technique will validate the real
significance of pulmonary MRI for the future of COPD assessment and its usefulness for diagnostic radiology and pulmonary medicine.Abstract
Pulmonary magnetic resonance imaging (MRI) has been put forward as a
new research and diagnostic tool mainly to overcome the limitations of CT and
nuclear medicine study in various pulmonary diseases. However, pulmonary MRI has been difficult to
use because of inherently low proton density, a multitude of air-tissue
interfaces, which create significant magnetic field distortions and are
commonly referred to as susceptibility artifacts, diminishing signal in the
lung, and respiratory and/ or cardiac motion artifacts. To overcome these drawbacks, various technical
advances made during the last decade have been reported as useful for
functional and morphological assessment of various pulmonary diseases.
Pulmonary
MRI in COPD subjects currently
provides not only morphology related, but also pulmonary function
related information. It has the
potential to replace nuclear medicine studies for the identification of regional
pulmonary function and may perform a complementary role in various pulmonary disease
assessments and patient managements instead of nuclear medicine study. In addition, pulmonary functional MRI can
provide morphological and functional changes of lung structures, circulation,
ventilation and oxygen diffusion using qualitative and quantitative assessments.
This lecture covers 1)
state of the art pulmonary MR techniques for morphological and
functional assessment, 2) its clinical applications in COPD and 3) future
direction of pulmonary functional MR imaging.
We believe that the findings of further
basic studies as well as clinical applications of this new technique will validate
the real significance of pulmonary MRI
for the future of COPD assessment and its usefulness for
diagnostic radiology and pulmonary medicine.
Acknowledgements
No acknowledgement found.References
No reference found.