Multiple breath washout of hyperpolarized 129Xe and 3He in human lungs with 3D bSSFP imaging

Purpose: (i) To compare quantitative fractional ventilation measurements from multiple breath washout imaging (MBW-I) using hyperpolarized (HP) 3He with both spoiled gradient echo (SPGR) and balanced steady-state free-precession (bSSFP) 3D pulse sequences and (ii) to evaluate the feasibility of MBW-I with HP 129Xe. Methods: Seven healthy volunteers were scanned using 3He MBW-I with 3D SPGR and bSSFP sequences. Five also underwent MBW-I with 129Xe. A dual-tuned coil was used to acquire MBW-I data from both nuclei in the same subject position, enabling direct comparison of regional information. Results: High-quality MBW images were obtained with bSSFP sequences using a reduced dose (100ml) of inhaled hyperpolarized 3He. 3D MBW-I with 129Xe was also successfully demonstrated with a bSSFP sequence. Regional quantitative ventilation measures derived from 3He and 129Xe MBW-I correlated well in all subjects (p<0.001) with mean Pearson’s correlation coefficients of r=0.61 and r=0.52 for 3He SPGR-bSSFP and 129Xe-3He (bSSFP) comparisons. The average inter-volunteer mean difference (and standard deviation) in fractional ventilation in SPGR-bSSFP and 129Xe-3He comparisons was 15% (28%) and 9% (38%), respectively. Conclusions: Improved sensitivity in MBW-I can be achieved with polarization-efficient bSSFP sequences. Same scan-session 3D MBW-I with 3He and 129Xe has been demonstrated using a dual-tuned coil.