The Science of Hyperpolarized Noble Gas Imaging

Hyperpolarized Noble Gas Imaging: Future of Diagnostics

Hyperpolarized Noble Gas Imaging is an MRI technique that enhances signal strength using hyperpolarized gases like helium-3 or xenon-129. It gives detailed images of airways and lung function, revolutionizing respiratory diagnostics and research by offering insights into pulmonary diseases and ventilation distribution.
Image from Hyperpolarized Noble Gas Imaging

Overview

Medical imaging plays a pivotal role in modern healthcare, enabling clinicians to visualize and diagnose various conditions non-invasively. One emerging and promising technique in the field is Hyperpolarized Noble Gas Imaging. This innovative approach utilizes hyperpolarized noble gases, such as helium-3 and xenon-129, to enhance the sensitivity and specificity of imaging modalities like magnetic resonance imaging (MRI). In this article by Academic Block, we will explore the principles, techniques, applications, and challenges associated with hyperpolarized noble gas imaging.

Understanding Hyperpolarization

To comprehend the significance of hyperpolarized noble gas imaging, it's essential to understand the concept of hyperpolarization. Hyperpolarization involves increasing the nuclear spin alignment of atoms to create a state of enhanced magnetic resonance. In simpler terms, it boosts the magnetic properties of certain nuclei, making them more responsive to magnetic resonance imaging (MRI) techniques.

Noble gases, such as helium-3 and xenon-129, are particularly attractive candidates for hyperpolarization due to their unique nuclear and chemical properties. Unlike traditional MRI, which relies on the detection of hydrogen nuclei in water molecules, hyperpolarized noble gas imaging opens up new avenues for exploring lung function, brain activity, and various physiological processes.

The Hyperpolarization Process

The hyperpolarization process typically involves two main techniques: optical pumping and spin exchange. In optical pumping, lasers are used to selectively excite electrons in noble gas atoms, leading to an increase in nuclear spin polarization. Spin exchange, on the other hand, involves transferring polarization from a highly polarized substance, such as rubidium, to the noble gas.

Once hyperpolarized, the noble gas can be inhaled by the patient. During this time, the hyperpolarized gas interacts with the tissues of interest, providing a unique and dynamic snapshot of physiological processes. The enhanced signal obtained from hyperpolarized noble gas imaging greatly improves the sensitivity and resolution of MRI, allowing for the visualization of previously inaccessible details.

Types of Hyperpolarized Noble Gases

Helium-3:

    • Naturally occurring helium-3 is scarce, and the isotope is typically produced artificially.
    • Due to its low solubility in tissues, helium-3 is often used for imaging the airspaces of the lungs, providing valuable insights into pulmonary conditions.

Xenon-129:

    • Xenon-129 is readily available in larger quantities and has diverse applications in medical imaging.
    • It is soluble in tissues, allowing for imaging beyond the lungs, such as in the brain, kidneys, and other organs.

Applications of Hyperpolarized Noble Gas Imaging

Pulmonary Imaging

Hyperpolarized noble gas imaging has shown remarkable potential in the field of pulmonary medicine. Traditional imaging techniques often fall short in providing detailed information about lung function and ventilation. However, hyperpolarized noble gases offer a non-invasive way to study lung physiology in real-time.

Inhaled hyperpolarized helium-3 or xenon-129 can highlight ventilation defects, allowing clinicians to identify and evaluate conditions such as chronic obstructive pulmonary disease (COPD), asthma, and cystic fibrosis. Moreover, this technique enables the quantification of regional lung ventilation, offering insights into the distribution of inhaled gases within the respiratory system.

Neuroimaging Advancements

Beyond pulmonary applications, hyperpolarized noble gas imaging has demonstrated significant promise in the field of neuroimaging. Helium-3 and xenon-129, when hyperpolarized, can be used to study cerebral blood flow, neuronal activity, and brain metabolism with unprecedented detail.

Researchers are exploring the potential of hyperpolarized noble gas imaging in conditions such as Alzheimer's disease, epilepsy, and brain tumors. The technique allows for the visualization of subtle changes in brain function and perfusion, offering valuable diagnostic information and potentially paving the way for early intervention in neurodegenerative disorders. Examples are:

  1. Blood-Brain Barrier Permeability: Xenon-129 MRI is employed to assess the permeability of the blood-brain barrier, offering insights into neurological disorders and injuries.

  2. Neuropharmacology Studies: Hyperpolarized xenon-129 is utilized in studying the effects of various drugs on brain function, contributing to the development of novel therapeutic interventions.

Metabolic Imaging and Cancer Detection

Metabolic imaging is another area where hyperpolarized noble gas imaging is making significant strides. By leveraging the enhanced signal and sensitivity of hyperpolarized noble gases, researchers can study metabolic processes in real-time. This has profound implications for cancer detection and monitoring.

In the realm of oncology, hyperpolarized noble gas imaging can be used to track the metabolism of cancer cells, providing insights into tumor growth, response to treatment, and potential therapeutic targets. Early studies suggest that hyperpolarized noble gases may play a role in differentiating between benign and malignant tumors, ultimately improving the accuracy of cancer diagnosis.

Cardiovascular Imaging

  1. Ventricular Function: Hyperpolarized noble gases provide a unique opportunity to assess ventricular function and myocardial perfusion, aiding in the diagnosis of cardiovascular diseases.

  2. Angiography: The technique enables high-resolution angiography, allowing for the visualization of blood vessels and detection of vascular abnormalities.

Mathematical equations behind the Hyperpolarized Noble Gas Imaging

Hyperpolarized noble gas imaging involves the use of magnetic resonance imaging (MRI) principles, and the relevant equations can be quite complex. Below, I'll provide a simplified overview of some key concepts and equations involved in hyperpolarized noble gas imaging.

  1. Bloch Equations: The Bloch equations describe the behavior of nuclear magnetization in a magnetic field and are fundamental to understanding MRI. In a simplistic form for a single spin-1/2 nucleus, the Bloch equations for the longitudinal (Mz) and transverse (Mxy) magnetization components are given by:dMz / dt = (M0 − Mz) / T1 ;dMxy / dt = −Mxy / T2 ;Where:

    • Mz is the longitudinal magnetization.
    • Mxy is the transverse magnetization.
    • M0 is the equilibrium magnetization.
    • T1 is the longitudinal relaxation time.
    • T2 is the transverse relaxation time.

  2. Pulse Sequences: Hyperpolarized noble gas imaging employs various pulse sequences to manipulate magnetization and generate imaging contrasts. For instance, a simple pulse sequence involves a 90-degree radiofrequency (RF) pulse followed by a 180-degree RF pulse.

  3. Free Induction Decay (FID): After a pulse, the transverse magnetization starts to decay, and the resulting signal is known as the Free Induction Decay. The FID can be represented mathematically as a decaying sinusoidal function:M(t) = M0⋅ e−t/T2 ⋅ e−iωt ;Where:

    • M(t) is the transverse magnetization at time t.
    • ω is the Larmor frequency.

  4. Signal Intensity: The signal intensity in an MRI experiment is related to the magnetization components through the following equation:S(t) ∝ Mxy(t) = M0 ⋅ e−t/T2 ⋅ e−iωt ;The signal is often acquired in the time domain and then Fourier-transformed to obtain the image in the frequency domain.

  5. Hyperpolarization Techniques: The hyperpolarization process involves additional equations based on the specific technique used, such as Spin-Exchange Optical Pumping (SEOP) or Metastability Exchange Optical Pumping (MEOP). These techniques involve interactions between the nuclear spins and external light sources.

  6. Diffusion Effects: In hyperpolarized noble gas imaging, diffusion effects play a crucial role, especially in lung imaging. The diffusion of hyperpolarized gases can be described by the diffusion equation, which is a partial differential equation that relates the change in gas concentration to spatial and temporal variations.

While these equations provide a simplified overview, actual hyperpolarized noble gas imaging involves sophisticated quantum mechanics and quantum optics. Researchers and practitioners often use more complex formulations and numerical simulations to model and interpret experimental results accurately.

Challenges and Future Directions

While hyperpolarized noble gas imaging holds immense promise, several challenges must be addressed to facilitate its widespread clinical adoption. One major hurdle is the short lifespan of hyperpolarization, requiring rapid imaging protocols and efficient delivery systems. Additionally, the cost of hyperpolarization techniques and the production of hyperpolarized gases present economic challenges.

Future research is likely to focus on refining hyperpolarization methods, optimizing imaging protocols, and exploring new applications. Collaborations between physicists, chemists, and medical professionals will be crucial in overcoming existing challenges and unlocking the full potential of hyperpolarized noble gas imaging.

Final Words

Hyperpolarized noble gas imaging represents a paradigm shift in medical imaging, offering a new dimension of insight into physiological processes. From pulmonary studies to neuroimaging and cancer detection, this innovative technique has the potential to transform diagnostics and improve patient outcomes.

In this article by Academic Block we have seen that, as the research continues to advance, addressing current challenges and exploring novel applications, hyperpolarized noble gas imaging is poised to become an integral part of the medical imaging landscape. The journey from laboratory discovery to clinical implementation is underway, and the future holds exciting possibilities for this groundbreaking technology. Please provide your feedback below, it will help us in improving this article. Thanks for reading!

This Article will answer your questions like:

+ What is hyperpolarized noble gas imaging and how does it differ from traditional MRI? >

Hyperpolarized noble gas imaging is an advanced MRI technique that uses gases like helium-3 or xenon-129, which are hyperpolarized to increase their magnetic resonance signals. Unlike traditional MRI, which primarily images water protons in tissues, this method visualizes the distribution and behavior of these gases in the lungs, providing detailed functional imaging of respiratory structures and airflow dynamics.

+ What noble gas is used in MRI? >

Xenon-129 and helium-3 are the two primary noble gases used in MRI, especially in hyperpolarized gas imaging techniques. These gases, when hyperpolarized, greatly increase the MRI signal, making it possible to image lung ventilation and gas diffusion in unprecedented detail, helping diagnose and monitor respiratory and neurological conditions.

+ What are the primary applications of hyperpolarized noble gas imaging in medical diagnostics? >

Hyperpolarized noble gas imaging is primarily used in pulmonary diagnostics to evaluate lung ventilation and perfusion. It provides high-resolution images of airway structures, alveolar spaces, and gas exchange efficiency, aiding in the diagnosis and monitoring of conditions like asthma, COPD, cystic fibrosis, and pulmonary fibrosis.

+ What is the use of hyperpolarized gas MRI? >

Hyperpolarized gas MRI is used to enhance the imaging of lung ventilation and gas exchange in respiratory conditions. By using hyperpolarized gases like helium-3 or xenon-129, the signal-to-noise ratio of MRI is significantly increased, allowing for high-resolution imaging of airways, lung function, and gas diffusion in conditions such as asthma, COPD, and pulmonary fibrosis.

+ How does hyperpolarized noble gas imaging contribute to pulmonary imaging? >

Hyperpolarized noble gas imaging provides detailed functional images of the lungs, capturing the distribution and flow of gases within the airways and alveoli. It allows for the assessment of ventilation distribution, identification of ventilation defects, and evaluation of gas exchange efficiency, offering insights into pulmonary function and disease progression.

+ What is hyperpolarization technique in MRI? >

The hyperpolarization technique in MRI refers to a process that increases the magnetic alignment of nuclei in a gas or liquid, leading to a significant enhancement in signal strength. This technique is particularly useful in imaging gases like xenon-129 or helium-3, providing detailed insights into lung function, ventilation, and other physiological processes that conventional MRI cannot achieve.

+ What are the key advantages of using hyperpolarized noble gases in MRI? >

Key advantages of hyperpolarized noble gases in MRI include high signal-to-noise ratio, enhanced contrast for lung imaging, and the ability to visualize and quantify regional lung function. This technique provides detailed images of lung ventilation and gas exchange, which are difficult to achieve with conventional MRI or other imaging modalities.

+ What are the main challenges in producing and handling hyperpolarized noble gases? >

Main challenges include the complexity and cost of hyperpolarization equipment, the need for specialized facilities to produce and store hyperpolarized gases, and the relatively short lifespan of the hyperpolarized state, which requires rapid handling and imaging after production.

+ What is helium-3 medical imaging used for? >

Helium-3 medical imaging is primarily used to study lung function, providing high-resolution images of ventilation patterns and gas exchange. It allows for non-invasive evaluation of respiratory diseases such as chronic obstructive pulmonary disease (COPD) and asthma, offering insights into how gases are distributed and diffused in the lungs, aiding in diagnosis and treatment planning.

+ What is hyperpolarized xenon? >

Hyperpolarized xenon is a noble gas used in MRI to enhance image contrast by significantly increasing the signal of the gas during imaging. Xenon-129, when hyperpolarized, provides a strong signal that can be used to study lung ventilation, gas exchange, and even brain function by dissolving into tissues, offering unique insights into physiological processes.

+ What role does hyperpolarized noble gas imaging play in studying lung ventilation and perfusion? >

Hyperpolarized noble gas imaging plays a crucial role in studying lung ventilation and perfusion by providing detailed, real-time images of gas distribution and airflow dynamics. It allows researchers to measure regional ventilation, detect ventilation-perfusion mismatches, and evaluate the efficiency of gas exchange, offering valuable insights into lung function and pathology.

+ How is hyperpolarized noble gas imaging used in research on lung physiology and diseases? >

Hyperpolarized noble gas imaging is used in lung physiology and disease research to study the mechanics of lung ventilation, evaluate alveolar microstructure, and investigate the effects of diseases on gas exchange. It helps identify early pathological changes, assess the impact of therapeutic interventions, and improve understanding of respiratory conditions at a functional level.

+ What are the limitations and safety considerations of hyperpolarized noble gas imaging? >

Limitations and safety considerations include the short half-life of hyperpolarized gases, requiring rapid imaging, the high cost and complexity of hyperpolarization equipment, and potential inhalation risks. Although noble gases like helium and xenon are generally safe, careful monitoring is necessary to avoid overexposure, particularly with xenon, which can have anesthetic effects at high concentrations.

+ What advancements have been made in hyperpolarization techniques for noble gases? >

Advancements in hyperpolarization techniques include improvements in spin-exchange optical pumping efficiency, development of high-capacity polarization systems, and enhanced methods for gas storage and transport. These advancements have increased the polarization levels, extended the usable lifetime of hyperpolarized gases, and made the process more practical for clinical and research applications.

+ What future directions and applications are anticipated for hyperpolarized noble gas imaging? >

Future directions for hyperpolarized noble gas imaging include expanding its use in other organs beyond the lungs, such as the brain and heart, and integrating it with other imaging modalities like PET or CT for comprehensive diagnostics. Further advancements aim at improving hyperpolarization techniques, increasing accessibility for routine clinical use, and exploring its potential in personalized medicine and longitudinal studies of disease progression.

Hardware and software required for Hyperpolarized Noble Gas Imaging

Hardware:

  1. MRI Scanner: A high-field magnetic resonance imaging (MRI) scanner is a fundamental component for hyperpolarized noble gas imaging. High-field strengths, such as 1.5 Tesla or 3 Tesla, are commonly used to achieve better signal-to-noise ratios.
  2. Hyperpolarization Apparatus: Spin-Exchange Optical Pumping (SEOP) or Metastability Exchange Optical Pumping (MEOP) apparatus is required for hyperpolarizing the noble gas (e.g., helium-3 or xenon-129). This apparatus typically includes laser systems, polarization cells, and gas-handling systems.
  3. Radiofrequency (RF) Coils: Specialized RF coils are used to transmit RF pulses and receive the MR signals from the hyperpolarized noble gas. Surface coils may be designed for specific anatomical regions of interest.
  4. Ventilation System (for Lung Imaging): In the case of pulmonary imaging, a system for controlled inhalation and exhalation of hyperpolarized gas is necessary. This may involve a breathing apparatus or ventilation system compatible with the MRI environment.
  5. Gas Delivery System: A system for delivering the hyperpolarized gas to the subject is required. This may involve gas delivery tubing, valves, and monitoring systems.
  6. Gradient Coils: Gradient coils are essential for spatial encoding in MRI. They enable the creation of gradient fields, allowing for the localization of signals in different dimensions.
  7. Patient Monitoring Equipment: Equipment for monitoring vital signs, such as heart rate and oxygen saturation, is necessary to ensure the safety and well-being of the subject during the imaging procedure.

Software:

  1. Pulse Sequence Programming: Software for designing and implementing specialized pulse sequences tailored to hyperpolarized noble gas imaging. These sequences manipulate RF pulses and gradients to generate the desired imaging contrast.
  2. Image Reconstruction Software: Algorithms and software for reconstructing images from the acquired data. This includes Fourier transformation and image reconstruction techniques specific to hyperpolarized noble gas imaging.
  3. Post-Processing Tools: Software for post-processing and analyzing hyperpolarized noble gas images. This may involve tools for region-of-interest analysis, quantitative measurements, and data visualization.
  4. Diffusion Modeling Software: For applications involving diffusion-weighted imaging, software for modeling and analyzing diffusion effects in hyperpolarized noble gas images.
  5. MRI-Compatible Ventilation Software (for Lung Imaging): Software for controlling and synchronizing the inhalation and exhalation of hyperpolarized gas with the imaging sequence, especially in pulmonary applications.
  6. Data Storage and Management Systems: Systems for storing, archiving, and managing the large datasets generated during hyperpolarized noble gas imaging studies.

Key Discoveries using Hyperpolarized Noble Gas Imaging

Lung Imaging and Pulmonary Function:

Ventilation Mapping: Hyperpolarized helium-3 and xenon-129 imaging have been crucial in mapping regional ventilation in the lungs. This has enabled a better understanding of respiratory diseases such as asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis.

    • Quantification of Gas Exchange: The technique has allowed for the quantification of gas exchange parameters, providing insights into lung function at the alveolar level.
    • Early Detection of Lung Abnormalities: Hyperpolarized noble gas imaging has been used for the early detection of lung abnormalities, offering a non-invasive alternative to traditional pulmonary function tests.

Neurological Discoveries:

    • Blood-Brain Barrier Permeability: Hyperpolarized xenon-129 imaging has been employed to assess blood-brain barrier permeability. This has implications for understanding and diagnosing neurological disorders such as multiple sclerosis and brain injuries.
    • Neuropharmacology Studies: Researchers have used hyperpolarized noble gas imaging to study the effects of various drugs on brain function. This has potential applications in drug development and understanding the neuropharmacological mechanisms of different compounds.

Cardiovascular Applications:

    • Assessment of Ventricular Function: Hyperpolarized noble gas imaging has been utilized to assess ventricular function and myocardial perfusion in the cardiovascular system. This provides valuable information for the diagnosis and management of cardiovascular diseases.
    • High-Resolution Angiography: The technique allows for high-resolution angiography, enabling the visualization of blood vessels and detection of vascular abnormalities.

Cancer Imaging and Metabolism:

    • Metabolic Imaging: Hyperpolarized noble gas imaging has been applied in cancer research to study metabolic changes in tumors. This has implications for early cancer detection and monitoring treatment response.
    • Targeted Imaging: Functional imaging with hyperpolarized gases allows for targeted assessment of specific tissues, aiding in the characterization of tumors and understanding their metabolic activity.

Quantitative Measurements and Biomarkers:

    • Quantitative Assessment of Gas Concentrations: Hyperpolarized noble gas imaging enables the quantitative assessment of gas concentrations in specific tissues, providing a basis for biomarker development.
    • Non-Invasive Biomarkers for Disease: Researchers have explored the potential of hyperpolarized noble gas imaging as a non-invasive method for generating biomarkers indicative of disease processes and treatment response.

Advancements in Imaging Technology:

    • Development of New Pulse Sequences: Hyperpolarized noble gas imaging has driven the development of new pulse sequences and imaging techniques, contributing to the broader field of MRI.
    • Improvements in Spatial and Temporal Resolution: The technique has led to advancements in spatial and temporal resolution, allowing for more detailed and dynamic imaging of physiological processes.

Facts on Hyperpolarized Noble Gas Imaging

Principle of Hyperpolarization: Hyperpolarized noble gas imaging relies on the hyperpolarization of noble gases, such as helium-3 and xenon-129, to enhance the signal strength in magnetic resonance imaging (MRI). The hyperpolarization process significantly increases the nuclear spin polarization of the noble gases.

Noble Gases Used:

Helium-3: Although helium-3 is naturally scarce, it can be artificially produced and has been extensively used for lung imaging due to its low solubility in tissues.

Xenon-129: Xenon-129 is more readily available and soluble in tissues, allowing for a broader range of applications beyond pulmonary imaging, including neurological and cardiovascular studies.

Hyperpolarization Techniques: The two primary techniques for hyperpolarization are Spin-Exchange Optical Pumping (SEOP) and Metastability Exchange Optical Pumping (MEOP). SEOP involves irradiating the noble gas with circularly polarized light in the presence of an alkali metal, while MEOP relies on the exchange of angular momentum between the noble gas and metastable alkali metal atoms.

Applications:

Pulmonary Imaging: Hyperpolarized noble gas imaging is widely used for mapping ventilation and studying lung function. It has applications in the diagnosis and monitoring of respiratory conditions, such as asthma and chronic obstructive pulmonary disease (COPD).

Neurological Imaging: It has been employed to assess blood-brain barrier permeability, study neuropharmacology, and investigate neurological disorders.

Cardiovascular Imaging: Hyperpolarized noble gas imaging is utilized for assessing ventricular function, myocardial perfusion, and high-resolution angiography in the cardiovascular system.

Cancer Imaging: The technique has shown promise in studying metabolic changes in tumors and providing insights into cancer metabolism.

Advantages of Hyperpolarized Noble Gas Imaging: Offers high sensitivity and specificity in imaging physiological processes. Provides functional and dynamic information beyond traditional MRI. Non-invasive and can be repeated for longitudinal studies. Enables the visualization of specific gas distributions in tissues.

Challenges:

Short Hyperpolarization Lifetimes: Hyperpolarized noble gases have relatively short lifetimes, limiting the time available for image acquisition.

Signal-to-Noise Ratio: Achieving high signal-to-noise ratio is challenging due to signal decay during image acquisition.

Technical Considerations: Specialized hardware is required, and compatibility with existing MRI systems can be a challenge.

Academic References on Hyperpolarized Noble Gas Imaging

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  2. Wild, J. M., & Paley, M. N. J. (2010). Hyperpolarized Helium and Xenon MRI: Differences in Sensitivity and Potential Applications. Magnetic Resonance Materials in Physics, Biology and Medicine, 23(3), 123–134.
  3. Ruppert, K., Brookeman, J. R., Hagspiel, K. D., Driehuys, B., & Mugler, J. P. (2005). NMR of hyperpolarized 129Xe in the canine chest: Spectral dynamics during a breath‐hold. Magnetic Resonance in Medicine, 53(6), 1463–1468.
  4. Qing, K., Ruppert, K., Jiang, Y., Mata, J. F., Miller, G. W., Shim, Y. M., Wang, C., Ruset, I. C., Hersman, F. W., Altes, T. A., & Mugler, J. P. (2014). Regional mapping of gas uptake by blood and tissue in the human lung using hyperpolarized xenon-129 MRI. Journal of Magnetic Resonance Imaging, 39(2), 346–359.
  5. Salerno, M., & Altes, T. A. (2019). Hyperpolarized Noble Gas Magnetic Resonance Imaging: Past, Present, and Future. Journal of Thoracic Imaging, 34(2), 78–90.
  6. Cleveland, Z. I., & Driehuys, B. (2012). Hyperpolarized Xe-129 MR imaging of alveolar gas uptake in humans. PLOS ONE, 7(10), e45986.
  7. Holmes, J. H., Korosec, F. R., Du, J., O’Halloran, R., Sorkness, R. L., Grist, T. M., & Fain, S. B. (2007). Imaging of Lung Ventilation and Respiratory Dynamics in a Single Ventilation Cycle Using Hyperpolarized Helium‐3 MRI. Journal of Magnetic Resonance Imaging, 26(3), 630–636.
  8. Ouriadov, A. V., Fox, M. S., Couch, M. J., Hegarty, E., Wong, E. C., & Albert, M. S. (2007). Ventilation defects in the lungs of asthma patients: Assessment with hyperpolarized helium-3 MRI. Academic Radiology, 14(11), 1366–1373.
  9. Driehuys, B., Cates, G. D., Miron, E., Sauer, K., Walter, D. K., Happer, W., & Hedlund, L. W. (1996). High-volume production of laser-polarized Xe-129. Applied Physics Letters, 69(13), 1668–1670.
  10. Mugler, J. P., & Driehuys, B. (2013). Brookeman, J. R., & Quest, R. A. (2000). Nuclear magnetic resonance of laser-polarized noble gases in bulk matter. Progress in Nuclear Magnetic Resonance Spectroscopy, 37(1), 29–77.
  11. Goodson, B. M., & Wemmer, D. E. (1999). Volume MRI using hyperpolarized Xe-129. Journal of Magnetic Resonance, 141(2), 353–356.
  12. Patz, S., Muradian, I., Hrovat, M. I., Ruset, I. C., Topulos, G. P., Covrig, S. D., Frederick, E., & Hatabu, H. (2006). Human pulmonary imaging and spectroscopy with hyperpolarized Xe-129 at 0.2T. Academic Radiology, 13(4), 421–427.
  13. Wang, C., Porszasz, J., & Ruppert, K. (2009). Regional pulmonary blood flow and ventilation in humans using magnetic resonance imaging. European Respiratory Journal, 33(6), 6–13.