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Verfasst von:Müller, Jan [VerfasserIn]   i
 Krüchten, Ricarda von [VerfasserIn]   i
 Schlett, Christopher L. [VerfasserIn]   i
Titel:Automated MR-based lung volume segmentation in population-based whole-body MR imaging
Titelzusatz:correlation with clinical characteristics, pulmonary function testing and obstructive lung disease
Verf.angabe:Jan Mueller, Stefan Karrasch, Roberto Lorbeer, Tatyana Ivanovska, Andreas Pomschar, Wolfgang G. Kunz, Ricarda von Krüchten, Annette Peters, Fabian Bamberg, Holger Schulz, Christopher L. Schlett
Jahr:2019
Jahr des Originals:2018
Umfang:12 S.
Fussnoten:Published online: 27 August 2018 ; Gesehen am 09.05.2019
Titel Quelle:Enthalten in: European radiology
Ort Quelle:Berlin : Springer, 1991
Jahr Quelle:2019
Band/Heft Quelle:29(2019), 3, Seite 1595-1606
ISSN Quelle:1432-1084
 1613-3757
Abstract:Objectives: Whole-body MR imaging is increasingly utilised; although for lung dedicated sequences are often not included, the chest is typically imaged. Our objective was to determine the clinical utility of lung volumes derived from non-dedicated MRI sequences in the population-based KORA-FF4 cohort study. Methods: 400 subjects (56.4 ± 9.2 years, 57.6% males) underwent whole-body MRI including a coronal T1-DIXON-VIBE sequence in inspiration breath-hold, originally acquired for fat quantification. Based on MRI, lung volumes were derived using an automated framework and related to common predictors, pulmonary function tests (PFT; spirometry and pulmonary gas exchange, n = 214) and obstructive lung disease. Results: MRI-based lung volume was 4.0 ± 1.1 L, which was 64.8 ± 14.9% of predicted total lung capacity (TLC) and 124.4 ± 27.9% of functional residual capacity. In multivariate analysis, it was positively associated with age, male, current smoking and height. Among PFT indices, MRI-based lung volume correlated best with TLC, alveolar volume and residual volume (RV; r = 0.57 each), while it was negatively correlated to FEV1/FVC (r = 0.36) and transfer factor for carbon monoxide (r = 0.16). Combining the strongest PFT parameters, RV and FEV1/FVC remained independently and incrementally associated with MRI-based lung volume (β = 0.50, p = 0.04 and β = - 0.02, p = 0.02, respectively) explaining 32% of the variability. For the identification of subjects with obstructive lung disease, height-indexed MRI-based lung volume yielded an AUC of 0.673-0.654. Conclusion: Lung volume derived from non-dedicated whole-body MRI is independently associated with RV and FEV1/FVC. Furthermore, its moderate accuracy for obstructive lung disease indicates that it may be a promising tool to assess pulmonary health in whole-body imaging when PFT is not available. Key Points • Although whole-body MRI often does not include dedicated lung sequences, lung volume can be automatically derived using dedicated segmentation algorithms • Lung volume derived from whole-body MRI correlates with typical predictors and risk factors of respiratory function including smoking and represents about 65% of total lung capacity and 125% of the functional residual capacity • Lung volume derived from whole-body MRI is independently associated with residual volume and the ratio of forced expiratory volume in 1 s to forced vital capacity and may allow detection of obstructive lung disease
DOI:doi:10.1007/s00330-018-5659-9
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1007/s00330-018-5659-9
 DOI: https://doi.org/10.1007/s00330-018-5659-9
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Computer-assisted image analysis
 Magnetic resonance imaging
 Obstructive lung disease
 Pulmonary function test
 Whole-body imaging
K10plus-PPN:1665077484
Verknüpfungen:→ Zeitschrift

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