Table 2.
Summary of the key differences between techniques.
| HP-MRI | 19F-MRI | OE-MRI | FD-MRI/PREFUL | |
|---|---|---|---|---|
| Implementation | ||||
| Set-up cost | ++++ | +++ | + | + |
| Skilled personnel | ++++ | +++ | + | + |
| Post-processing | ++++ | ++++ | ++++ | ++++ |
| Aspects of lung function assessed | ||||
| Ventilation | Yes | Yes | Yes* | Yes* |
| Microstructure | Yes | No | No | No |
| Gas exchange | Yes | No | Possibly† | No |
| Perfusion | No | No | Possibly† | Yes |
| Patient factors | ||||
| Breath-hold requirement | Yes‡ | Yes‡ | No | No |
| Scanning time | + | ++ | +++ | + |
| Ionizing radiation | No | No | No | No |
| Image resolution | ||||
| Spatial resolution | ++++ | +++ | + | +++ |
| Temporal resolution | NA | NA | + | ++++ |
19F, fluorine-19; FD, Fourier decomposition; HP, hyperpolarized gas; MRI, magnetic resonance imaging; OE, oxygen-enhanced; PREFUL, phased-resolved functional lung.
These methods can only provide an indirect measure of ventilation.
Signal derived from OE-MRI represents a combination of ventilation, diffusion and perfusion.
Limited or no breath hold may be possible with dynamic ventilation.