We measured ventilation heterogeneity in 100 patients (50 asthma, 50 COPD) with hyperpolarized 3He MRI, oscillometry and quality-of-life questionnaires. We showed that MRI-measured ventilation heterogeneity is significantly related to FOT-measured small airways resistance and worsened quality-of-life for asthma and COPD patients. We also showed that MRI-measured ventilation heterogeneity is significantly increased in asthmatic patients with poor disease control. This study directly demonstrates the relationships between 3He MRI ventilation heterogeneity with small airway dysfunction and patient quality-of-life.
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