Reproducibility of 19 F-MR ventilation imaging in healthy volunteers.

PURPOSE: To assess the reproducibility of percentage ventilated lung volume (%VV) measurements in healthy volunteers acquired by fluorine (19 F)-MRI of inhaled perfluoropropane, implemented at two research sites. METHODS: In this prospective, ethically approved study, 40 healthy participants were recruited (May 2018-June 2019) to one of two research sites. Participants underwent a single MRI scan session on a 3T scanner, involving periodic inhalation of a 79% perfluoropropane/21% oxygen gas mixture. Each gas inhalation session lasted about 30 seconds, consisting of three deep breaths of gas followed by a breath-hold. Four 19 F-MR ventilation images were acquired per participant, each separated by approximately 6 minutes. The value of %VV was determined by registering separately acquired 1 H images to ventilation images before semi-automated image segmentation, performed independently by two observers. Reproducibility of %VV measurements was assessed by components of variance, intraclass correlation coefficients, coefficients of variation (CoV), and the Dice similarity coefficient. RESULTS: The MRI scans were well tolerated throughout, with no adverse events. There was a high degree of consistency in %VV measurements for each participant (CoVobserver1 = 0.43%; CoVobserver2 = 0.63%), with overall precision of %VV measurements determined to be within ± 1.7% (95% confidence interval). Interobserver agreement in %VV measurements revealed a high mean Dice similarity coefficient (SD) of 0.97 (0.02), with only minor discrepancies between observers. CONCLUSION: We demonstrate good reproducibility of %VV measurements in a group of healthy participants using 19 F-MRI of inhaled perfluoropropane. Our methods have been successfully implemented across two different study sites, supporting the feasibility of performing larger multicenter clinical studies.

The noise factor of receiver coil matching networks in MRI.

In typical MRI applications the dominant noise sources in the received signal are the sample, the coil loop and the preamplifier. We hypothesize that in some cases (e.g. for very small receiver coils) the matching network noise has to be considered explicitly. Considering the difficulties of direct experimental determinations of the noise factor of matching networks with sufficient accuracy, it is helpful to estimate the noise factor by calculation. A useful formula of the coil matching network is obtained by separating commonly used coil matching network into different stages and calculating their noise factor analytically by a combination of the noise from these stages. A useful formula of the coil matching network is obtained. ADS simulations are performed to verify the theoretical predictions. Thereafter carefully-designed proof-of-concept phantom experiments are carried out to qualitatively confirm the predicted SNR behavior. The matching network noise behavior is further theoretically investigated for a variety of scenarios. It is found that in practice the coil matching network noise can be improved by adjusting the coil open port resonant frequency.