The purpose of this study is to compare the performances of ultra-low dose computed tomography (CT) and lung magnetic resonance imaging (MRI) for morphological assessment of cystic fibrosis-related lung disease and to compare their performances to conventional low dose CT
Cystic fibrosis (CF) is a recessive autosomal disease caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene that encodes for an epithelial chloride channel involved in ion and fluid transport. CF is the most common inherited disease in Caucasians and disease severity mainly depends on the degree of lung involvement, which can lead to terminal respiratory failure Disease monitoring of CF-related lung disease rely on functional assessment and complimentary morphological assessment. Conventional low-dose chest computed tomography (CT) is currently the gold standard for the morphological assessment of CF-related lung disease but ultra-low dose chest CT and high-resolution magnetic resonance imaging (MRI) of the lung using UTE sequences have been recently developed and allow important radiation reduction of radiation dose exposure. However the performances of these 2 competing imaging methods remains to be compared.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
185
1 conventional low dose inspiratory acquisition and 1 ultra-low-dose inspiratory acquisition
3 UTE sequences (free breathing, inspiratory and expiratory) and 1 T2 sequence
Cochin hospital
Paris, France
Reproducibility of visual score between imaging modalities
Reproducibility disease severity measured by the Helbich scoring system with conventional CT as gold standard
Time frame: 1 day
Intra and interobserver reproducibility of visual scores
Intra and interobserver reproducibility of the Helbich score for each imaging modality
Time frame: 1 day
Correlation between visual scores and pulmonary function
Correlation between the Helbich score for each imaging modality and forced expiratory volume in 1 second (FEV1)
Time frame: 1 day
Correlation between air trapping at MRI and pulmonary function test
Correlation between air trapping, measured by comparing inspiratory to expiratory MRI images, and forced expiratory volume at one second (FEV1)
Time frame: 1 day
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.