V/Q MRI_Version 1.0

  • Research type

    Research Study

  • Full title

    Assessing pulmonary ventilation and perfusion properties with MRI

  • IRAS ID

    242337

  • Contact name

    A John Simpson

  • Contact email

    j.simpson@ncl.ac.uk

  • Sponsor organisation

    The Newcastle upon Tyne Hospitals NHS Foundation Trust

  • Duration of Study in the UK

    1 years, 1 months, 1 days

  • Research summary

    In this study, we intend to demonstrate the feasibility of a novel approach to combined ventilation and perfusion imaging using MRI. This will involve optimising an established approach to perfusion imaging, known as dynamic contrast enhanced (DCE) MRI, in conjunction with a relatively new approach to ventilation imaging, using 19F-MRI of an inert gas (perfluoropropane). Our study represents the first time these two MRI techniques will have been used in combination.

    The primary aim of our study is to assess the ability of these two methods to detect ventilation and/or perfusion defects in patients with chronic obstructive pulmonary disease (COPD) or pulmonary embolism (PE), compared to healthy volunteers. To achieve this, participants will be recruited to one of four study groups:

    Group 1 will comprise 5 healthy volunteers, who will be recruited to optimise scan protocols for perfusion imaging using a 3T MRI scanner. Group 2 and Group 3 will comprise 5 patients with COPD, and 5 patients with PE, respectively. Patients will be recruited to undergo combined perfusion imaging (using an optimized DCE MRI protocol developed in study Group 1) and ventilation imaging (using 19F-MRI of inhaled perfluoroproane gas) within a single MR scan session. Group 4 will comprise a control group of 5 healthy volunteers. This will allow us to assess any differences in ventilation and/or perfusion properties measured in patients with respiratory disease (COPD and PE), compared to healthy volunteers.

    If successful, our study offers potential for a novel approach to combined ventilation and perfusion imaging using MRI, with scope for providing an alternative to existing clinical ventilation/perfusion assessments that rely on radioisotopes or ionising radiation.

  • REC name

    North East - Newcastle & North Tyneside 2 Research Ethics Committee

  • REC reference

    18/NE/0297

  • Date of REC Opinion

    25 Oct 2018

  • REC opinion

    Further Information Favourable Opinion