Automated MR-based lung volume segmentation in population-based whole-body MR imaging: correlation with clinical characteristics, pulmonary function testing and obstructive lung disease

Objectives: Whole-body MR imaging is increasingly utilised; although for lung dedicated sequences are often not included, the chest is typically imaged. Our objective was to determine the clinical utility of lung volumes derived from non-dedicated MRI sequences in the population-based KORA-FF4 cohor...

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Hauptverfasser: Müller, Jan (VerfasserIn) , Krüchten, Ricarda von (VerfasserIn) , Schlett, Christopher L. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2019
In: European radiology
Year: 2018, Jahrgang: 29, Heft: 3, Pages: 1595-1606
ISSN:1432-1084
DOI:10.1007/s00330-018-5659-9
Online-Zugang:Verlag, Pay-per-use, Volltext: https://doi.org/10.1007/s00330-018-5659-9
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Verfasserangaben:Jan Mueller, Stefan Karrasch, Roberto Lorbeer, Tatyana Ivanovska, Andreas Pomschar, Wolfgang G. Kunz, Ricarda von Krüchten, Annette Peters, Fabian Bamberg, Holger Schulz, Christopher L. Schlett

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245 1 0 |a Automated MR-based lung volume segmentation in population-based whole-body MR imaging  |b correlation with clinical characteristics, pulmonary function testing and obstructive lung disease  |c Jan Mueller, Stefan Karrasch, Roberto Lorbeer, Tatyana Ivanovska, Andreas Pomschar, Wolfgang G. Kunz, Ricarda von Krüchten, Annette Peters, Fabian Bamberg, Holger Schulz, Christopher L. Schlett 
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520 |a Objectives: Whole-body MR imaging is increasingly utilised; although for lung dedicated sequences are often not included, the chest is typically imaged. Our objective was to determine the clinical utility of lung volumes derived from non-dedicated MRI sequences in the population-based KORA-FF4 cohort study. Methods: 400 subjects (56.4 ± 9.2 years, 57.6% males) underwent whole-body MRI including a coronal T1-DIXON-VIBE sequence in inspiration breath-hold, originally acquired for fat quantification. Based on MRI, lung volumes were derived using an automated framework and related to common predictors, pulmonary function tests (PFT; spirometry and pulmonary gas exchange, n = 214) and obstructive lung disease. Results: MRI-based lung volume was 4.0 ± 1.1 L, which was 64.8 ± 14.9% of predicted total lung capacity (TLC) and 124.4 ± 27.9% of functional residual capacity. In multivariate analysis, it was positively associated with age, male, current smoking and height. Among PFT indices, MRI-based lung volume correlated best with TLC, alveolar volume and residual volume (RV; r = 0.57 each), while it was negatively correlated to FEV1/FVC (r = 0.36) and transfer factor for carbon monoxide (r = 0.16). Combining the strongest PFT parameters, RV and FEV1/FVC remained independently and incrementally associated with MRI-based lung volume (β = 0.50, p = 0.04 and β = - 0.02, p = 0.02, respectively) explaining 32% of the variability. For the identification of subjects with obstructive lung disease, height-indexed MRI-based lung volume yielded an AUC of 0.673-0.654. Conclusion: Lung volume derived from non-dedicated whole-body MRI is independently associated with RV and FEV1/FVC. Furthermore, its moderate accuracy for obstructive lung disease indicates that it may be a promising tool to assess pulmonary health in whole-body imaging when PFT is not available. Key Points • Although whole-body MRI often does not include dedicated lung sequences, lung volume can be automatically derived using dedicated segmentation algorithms • Lung volume derived from whole-body MRI correlates with typical predictors and risk factors of respiratory function including smoking and represents about 65% of total lung capacity and 125% of the functional residual capacity • Lung volume derived from whole-body MRI is independently associated with residual volume and the ratio of forced expiratory volume in 1 s to forced vital capacity and may allow detection of obstructive lung disease 
534 |c 2018 
650 4 |a Computer-assisted image analysis 
650 4 |a Magnetic resonance imaging 
650 4 |a Obstructive lung disease 
650 4 |a Pulmonary function test 
650 4 |a Whole-body imaging 
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