Internal cluster validation and primary 129Xe magnetic resonance imaging (MRI) signatures for final clusters. a) Internal cluster validation using Davies–Bouldin index (minimised; 1.1644, 0.9236, 0.9132, 0.9167), Dunn's index (maximised; 0.0356, 0.0535, 0.0832, 0.0786) and silhouette width (maximised; 0.4521, 0.5122, 0.5223, 0.4984) for two to five clusters. Four was the optimal number of clusters across all three indices (bold data values and dashed box). b) Radar plot showing the primary 129Xe MRI signatures associated with each cluster. Scales show minimum and maximum for each MRI metric on one of the four radial axes and points represent mean cluster values. VDP: ventilation defect percent; Mem/Gas: membrane-to-gas ratio (membrane uptake); RBC/Mem: red blood cell-to-membrane ratio; RBC/Gas: red blood cell-to-gas ratio (red blood cell transfer).