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Author Spotlight: Standardization and Best Practices for Advancing Lung Imaging Using 129Xe MRI
Published on: November 21, 2023
Magnetic Resonance Imaging in the Clinical Evaluation of Lung Disorders: Current Status and Future Prospects
Linyu Wu1,2, Chen Gao1,2, Ting Wu1,2
1Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.
Abstract:
The low proton density and high signal decay rate of pulmonary tissue have previously hampered the application of magnetic resonance imaging (MRI) in the clinical evaluation of lung disorders. With the continuing technical advances in scanners, coils, pulse sequences, and image postprocessing, pulmonary MRI can provide structural and functional information with faster imaging speed and improved image quality, which has shown potential to be an alternative and complementary diagnostic method to chest computed tomography (CT). Compared with CT, MRI does not involve ionizing radiation, making it particularly suitable for pediatric patients, pregnant women, and individuals requiring longitudinal monitoring. This narrative review focuses on recent advances in techniques and clinical applications for pulmonary MRI in lung diseases, including lung parenchymal and pulmonary vascular diseases. Future developments, including artificial intelligence-driven technological optimization and assisted diagnosis, hardware advancements, and clinical biomarkers validation, hold the potential to further enhance the clinical utility of pulmonary MRI. EVIDENCE LEVEL: 5 TECHNICAL EFFICACY: Stage 2.
Insights
Pulmonary magnetic resonance imaging (MRI) is improving for lung disorders. Advances offer faster, higher-quality imaging, making MRI a radiation-free alternative to CT scans for various patient groups.
Area of Science:
- Radiology and Imaging Science
- Medical Physics
- Pulmonary Medicine
Background:
- Pulmonary magnetic resonance imaging (MRI) has been limited by low proton density and rapid signal decay in lung tissue.
- Technical advancements are overcoming these limitations, enhancing image quality and speed.
Purpose of the Study:
- To review recent technical and clinical advancements in pulmonary MRI for lung diseases.
- To highlight MRI's potential as a radiation-free alternative to chest CT.
Main Methods:
- Narrative review of recent literature on pulmonary MRI techniques.
- Focus on structural and functional imaging for lung parenchymal and vascular diseases.
Main Results:
- Modern pulmonary MRI offers improved image quality and faster acquisition speeds.
- MRI provides valuable structural and functional information for lung diseases.
- It serves as a radiation-free diagnostic tool, beneficial for specific patient populations.
Conclusions:
- Pulmonary MRI is emerging as a viable complementary diagnostic tool to chest CT.
- Future developments in AI, hardware, and biomarkers will further enhance its clinical utility.
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