Evaluation of 3D Magnetic Resonance Spirometry: Comparison with Spirometry in Healthy Subjects and Patients with Respiratory Pathologies (asthma, COPD, Bilateral Lung Transplant)

Launched by COMMISSARIAT A L'ENERGIE ATOMIQUE · Feb 2, 2023

Keywords

ClinConnect Summary

This clinical trial is investigating a new method called 3D Magnetic Resonance Spirometry, which aims to provide a more detailed understanding of lung function compared to traditional spirometry. Spirometry is a common test that measures how well your lungs work by analyzing your breathing patterns. While it’s effective, it doesn’t give specific information about different areas of the lungs. The researchers hope that this new technique will help doctors better diagnose and treat lung conditions like asthma, chronic obstructive pulmonary disease (COPD), and issues related to lung transplants.

To participate in this trial, you may be eligible if you are between 18 and 90 years old and meet certain criteria based on your lung health. For example, healthy volunteers should not have any lung diseases, while patients with asthma or COPD need to have specific diagnoses and severity levels. Participants will need to lie still in an MRI scanner for a while, but the process is non-invasive and safe. If you decide to join, you will help researchers gain valuable insights that could improve lung disease diagnosis and treatment in the future.

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Eligibility criteria

• Inclusion Criteria:
• • Generic inclusion criteria
• • Ability to understand the nature and objectives of the study
• • Ability to remain immobile in an MRI scanner in supine position for the entire duration of the acquisitions
• • Ability to give free and informed written consent Specific inclusion criteria for healthy volunteers
• • Age: 18-45 years
• • No known and diagnosed pulmonary pathology such as respiratory insufficiency, COPD, asthma or cancer
• • Ability to remain motionless in an MRI scanner in a prone position for a total of 50 min.
• • Non-smoker and non-smoker Specific inclusion criteria for asthma patients
• • Age: 18-80 years
• * Asthma of varying degrees of severity, depending on inhalation required to achieve control:
• • Diagnosis of asthma classified as moderate according to the Global initiative for asthma (GINA) guidelines for at least 6 months
• • Diagnosis of asthma classified as severe according to the Global initiative for asthma (GINA) guidelines for at least 6 months months with initiation of biotherapy planned by their pulmonologist
• • Non-smoker and non-vapourist Specific inclusion criteria for COPD patients
• • Age: 40-80 years
• * COPD of varying degrees of severity:
• • Diagnosis of COPD classified as moderate according to the Global initiative for chronic obstructive lung disease guidelines (GOLD 2: VEMS = 50-79%)
• • Diagnosis of COPD classified as severe according to the guidelines for chronic obstructive lung disease (GOLD 3: VEMS = 30-49%) Specific inclusion criteria for patients with bilateral lung transplants with BOS
• • Age: 18-90 years
• • Irreversible FEV1 \< 80% of baseline with FEV1/FVC ratio FEV1/FVC \< 0.7
• • Absence of visible parenchymal opacity on CT scan (non inclusion of mixed RAS/CLAD)
• • Absence of significant bronchial stenosis (having required endoscopic endoscopic treatment)
• • No diaphragmatic involvement (established by sniff test under fluoroscopy fluoroscopy or diaphragmatic ultrasound) Specific inclusion criteria for patients with bilateral lung transplants without BOS
• • Age: 18-90 years
• • FEV1 \> 90% baseline for more than 24 months after the date of date of lung transplantation
• • Absence of significant bronchial stenosis (requiring endoscopic endoscopic treatment)
• • Absence of diaphragmatic impairment (established by sniff test under fluoroscopy or diaphragmatic ultrasound)