Study of Airflow in the Lungs Using Helium MRI
Primary Purpose
COPD, Healthy, Constrictive Bronchitis
Status
Active
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
hyperpolarized helium MRI of the chest
Sponsored by
About this trial
This is an interventional basic science trial for COPD focused on measuring Hyperpolarized gas MRI
Eligibility Criteria
Inclusion Criteria:
Healthy subjects:
- Normal PFT values: FEV1 > 90% predicted; and Forced vital capacity (FVC) > 90% predicted
- Normal chest x-ray (CXR)
- Medical history: No active pulmonary symptoms (cough, shortness of breath, sputum); Negative history of pulmonary disease; Negative smoking history (never smoked)
Pulmonary Disease Subjects:
- PFT values: FEV1/FVC < 70% (indicative of obstruction); and 30% < FEV1 < 50% predicted
- CXR normal except hyperinflation
- Symptoms - chronic shortness of breath
All test subjects, healthy and with COPD should have similar physical anthropometric characteristics:
- Similar age with age difference less than 3 years
- Similar height (within 3-4 inches)
Exclusion Criteria:
- Any condition for which a MRI procedure is contraindicated.
- Presence of any non-MRI compatible metallic material in the body, such as pacemakers, metallic clips, etc.
- Likelihood of claustrophobia
- Chest circumference greater than that of the helium MR coil.
- Pregnancy, by report of subject. Clinically in the Department of radiology at UVA, self report is used when screening patients for MR scans as well as CT scans and fluoroscopy studies. If the subject reports there is any chance of their being pregnant a urine pregnancy test will be performed prior to any imaging.
Sites / Locations
- University of Virginia Health System
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Hyperpolarized helium MRI of the chest
Arm Description
Outcomes
Primary Outcome Measures
Hyperpolarized helium MRI flow velocity map
Using hyperpolarized helium as an inhaled contrast agent for MRI, we will measure the velocity of inhaled breath in the trachea.
Secondary Outcome Measures
Hyperpolarized helium MRI flow velocity map
Spirometry (FEV1)
Hyperpolarized helium MRI flow velocity map
Spirometry (FVC)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02154568
Brief Title
Study of Airflow in the Lungs Using Helium MRI
Official Title
Flow Quantification in the Human Airways Using Hyperpolarized Helium 3 MRI
Study Type
Interventional
2. Study Status
Record Verification Date
March 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 2013 (undefined)
Primary Completion Date
June 15, 2025 (Anticipated)
Study Completion Date
July 1, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Virginia
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Computer simulations are being developed to predict air flow abnormalities in the airways of patients with lung disease. The purpose of this study is to obtain actual gas flow measurements in the lungs of healthy patients and patients with lung disease and use these measurements to validate the computer models.
Detailed Description
The Biotechnology High Performance Computing Software Applications Institute (BHSAI) of the Department of Defense (DoD) is studying airflow in the lungs using computational fluid dynamics in order to characterize disease-specific airflow patterns and provide useful information for medical applications. To validate these models, they are seeking to obtain experimental data of airflow in human lungs, both healthy and diseased. An assessment of airflow can be obtained by using hyperpolarized noble gas (HNG) magnetic resonance imaging (MRI) or, more specifically, hyperpolarized helium-3 (HHe) MRI in conjunction with flow-encoding schemes that are well-established in conventional proton MRI
Four chronic obstructive pulmonary disease (COPD) patients and four healthy subjects will undergo pulmonary function tests (PFTs), computed tomography (CT) scan covering the mouth, neck, and chest, and hyperpolarized helium 3 MRI. Before and after the MRI scans, three spirometry readings will be taken while the subject is lying in the same position as in the MR scanners. Data will be analyzed by the BHSAI. UVa will provide the de-identified raw image data and the de-identified results of the spirometry and other tests to BHSAI
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COPD, Healthy, Constrictive Bronchitis
Keywords
Hyperpolarized gas MRI
7. Study Design
Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Hyperpolarized helium MRI of the chest
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
hyperpolarized helium MRI of the chest
Intervention Description
Using hyperpolarized helium as an inhaled gaseous contrast agent for MRI, we will measure the velocity of inhaled breath in the trachea.
Primary Outcome Measure Information:
Title
Hyperpolarized helium MRI flow velocity map
Description
Using hyperpolarized helium as an inhaled contrast agent for MRI, we will measure the velocity of inhaled breath in the trachea.
Time Frame
Day 1
Secondary Outcome Measure Information:
Title
Hyperpolarized helium MRI flow velocity map
Description
Spirometry (FEV1)
Time Frame
Day1
Title
Hyperpolarized helium MRI flow velocity map
Description
Spirometry (FVC)
Time Frame
Day 1
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy subjects:
Normal PFT values: FEV1 > 90% predicted; and Forced vital capacity (FVC) > 90% predicted
Normal chest x-ray (CXR)
Medical history: No active pulmonary symptoms (cough, shortness of breath, sputum); Negative history of pulmonary disease; Negative smoking history (never smoked)
Pulmonary Disease Subjects:
PFT values: FEV1/FVC < 70% (indicative of obstruction); and 30% < FEV1 < 50% predicted
CXR normal except hyperinflation
Symptoms - chronic shortness of breath
All test subjects, healthy and with COPD should have similar physical anthropometric characteristics:
Similar age with age difference less than 3 years
Similar height (within 3-4 inches)
Exclusion Criteria:
Any condition for which a MRI procedure is contraindicated.
Presence of any non-MRI compatible metallic material in the body, such as pacemakers, metallic clips, etc.
Likelihood of claustrophobia
Chest circumference greater than that of the helium MR coil.
Pregnancy, by report of subject. Clinically in the Department of radiology at UVA, self report is used when screening patients for MR scans as well as CT scans and fluoroscopy studies. If the subject reports there is any chance of their being pregnant a urine pregnancy test will be performed prior to any imaging.
Facility Information:
Facility Name
University of Virginia Health System
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States
12. IPD Sharing Statement
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Study of Airflow in the Lungs Using Helium MRI
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