129Xe Gas Exchange MRI to Visualize Cardiopulmonary Function
The goal of this NIH-sponsored study is to characterize three biomarkers derived from 129Xe gas exchange MRI and to understand how they change in response to interventions.
∙ (Inclusion Criteria: Subjects must meet all of the following inclusion criteria to be eligible for enrollment into the trial)
• Outpatients of either gender, age \> 18
• Willing and able to give informed consent and adhere to visit/protocol (Consent must be given before any study procedures are performed.)
• Subject has no diagnosed pulmonary conditions
• Subject has not smoked in the previous 5 years
• Smoking history, if any, is less than or equal to 5 pack-years
• No history of using other inhaled products more than 1/week for \> 1 year
• In-patient or outpatients of either sex, age \> 18
• Willing and able to give informed consent and adhere to visit/protocol
∙ And one of the following:
• Patients who are scheduled to receive a red cell transfusion for anemia.
• Patients who are scheduled to undergo therapeutic phlebotomy to treat erythrocytosis or polycythemia
• Healthy volunteers undergoing voluntary whole blood donation (healthy volunteer inclusion criteria noted above)
• In-patient or outpatients of either sex, age \> 18
• Willing and able to give informed consent and adhere to visit/protocol
∙ And one of the following categories (ILD, Dyspnea, CTEPH, or Healthy):
• Interstitial Lung Disease or Dyspnea
‣ Physician diagnosis of Interstitial Lung Disease by a pulmonologist using established criteria or physician referral of patient with dyspnea
• OR
• Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
‣ Patients with a diagnosis of CTEPH, defined as mean PA pressure \>20 mmHg with a pulmonary vascular resistance \>2 WU and pulmonary capillary wedge pressure ≤15 mmHg at right heart catheterization with evidence of chronic thromboembolic disease on clinical imaging after 3 months of anticoagulation
⁃ Scheduled for pulmonary thromboendoarterectomy (PTE) surgery and willing to re-turn 3-6 months after for optional follow-up scans
• OR
• Healthy Volunteer (criteria noted above)
• In-patient or outpatients of either sex, age \> 18
• Willing and able to give informed consent and adhere to visit/protocol
∙ And one of the following categories (Acute or Chronic)
• Acute Pulmonary Embolism
‣ Patients presenting with acute PE 24-48hrs post-admission
⁃ Willing to return after 3-6 months of anti-coagulation therapy
• OR
• Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
‣ Patients with a diagnosis of CTEPH, defined as mean PA pressure \>20 mmHg with a pulmonary vascular resistance \>2 WU and pulmonary capillary wedge pressure ≤15 mmHg at right heart catheterization with evidence of chronic thromboembolic disease on clinical imaging after 3 months of anticoagulation
⁃ Scheduled for pulmonary thromboendoarterectomy (PTE) surgery and willing to re-turn 3-6 months after for optional follow-up scans