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Departments of 1 Electrical Engineering, 2 Medicine, and 3 Physics, University of Utah, Salt Lake City, Utah 84112
The
alveolar air-tissue interface affects the lung NMR signal, because it
results in a susceptibility-induced magnetic field inhomogeneity. The
air-tissue interface effect can be detected and quantified by measuring
the difference signal (
) from a pair of NMR images obtained using
temporally symmetric and asymmetric spin-echo sequences. The present
study describes a multicompartment alveolar model (consisting of a
collection of noninteracting spherical water shells) that simulates the
behavior of
as a function of the level of lung inflation and can be
used to predict the NMR response to various types of lung injury. The
model was used to predict
as a function of the inflation level
(with the assumption of sequential alveolar recruitment, partly
parallel to distension) and to simulate pulmonary edema by deriving
equations that describe
for a collection of spherical shells
representing combinations of collapsed, flooded, and inflated alveoli.
Our theoretical data were compared with those provided by other models
and with experimental data obtained from the literature. Our results
suggest that NMR
measurements can be used to study the mechanisms
underlying the lung pressure-volume behavior, to characterize lung
injury, and to assess the contributions of alveolar recruitment and
distension to the lung volume changes in response to the application of
positive airway pressure (e.g., positive end-expiratory pressure).
alveolar air-tissue interface; lung magnetic resonance imaging; lung pressure-volume behavior; alveolar recruitment; pulmonary edema
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