title: [Oxygen-enhanced MRI of the lung: optimized calculation of difference images].
abstract: BACKGROUND
  In oxygen-enhanced lung MRI, difference maps of acquisitions during inhalation of room air and pure oxygen are calculated to assess lung function. The purpose of this study was to analyze how the calculation of these difference maps depends on the delayed signal change after switching the gas supply.
  
  
  METHODS
  Ten healthy volunteers were examined with an ECG and respiratory-triggered T1-weighting inversion recovery HASTE sequence with parallel imaging. Four blocks with 20 repetitions of up to 6 coronal slices were continuously acquired; in blocks 1 and 3 room air was supplied, in blocks 2 and 4 oxygen. Data were postprocessed, discarding between 0 and 19 repetitions after each change of gas supply before calculating the relative signal difference.
  
  
  RESULTS
  The averaged relative signal difference increases from 9.4 to 17.4% when the number of discarded acquisitions increases; the ratio of signal difference and spatial standard deviation reaches a maximum at 5-8 discarded acquisitions.
  
  
  CONCLUSIONS
  An optimized ratio of signal difference and statistical error is found if about 5-8 of 20 respiratory-triggered repetitions are discarded after each change of gas supply for the calculation of difference maps.
authors.affiliation: Institut für Klinische Radiologie - Grosshadern, Klinikum der Ludwig-Maximilians-Universität, München. od@dtrx.de
authors.forename: O
authors.initials: O
authors.lastname: Dietrich
authors.forename: C
authors.initials: C
authors.lastname: Losert
authors.forename: U
authors.initials: U
authors.lastname: Attenberger
authors.forename: C
authors.initials: C
authors.lastname: Reuter
authors.forename: U
authors.initials: U
authors.lastname: Fasol
authors.forename: M
authors.initials: M
authors.lastname: Peller
authors.forename: K
authors.initials: K
authors.lastname: Nikolaou
authors.forename: M F
authors.initials: MF
authors.lastname: Reiser
authors.forename: S O
authors.initials: SO
authors.lastname: Schoenberg
mesh_terms: D000328:Adult; D003287:Contrast Media / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D007090:Image Interpretation, Computer-Assisted / Q000379:methods*; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008168:Lung / Q000033:anatomy & histology*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D010100:Oxygen / Q000008:administration & dosage; D015203:Reproducibility of Results; D015656:Respiratory Mechanics; D012680:Sensitivity and Specificity; D013382:Subtraction Technique
chemical_list: D003287:Contrast Media; D010100:Oxygen