129Xe ventilation MRI lacks a reference standard. Here, we circumvent this problem in part by comparing and evaluating the robustness of two independent methods for quantifying ventilation – linear-binning and adaptive k-means - by adding MR noise to the source images until the algorithms fail. Results at different noise levels were compared to that quantified using the original high signal-to-noise ratio (SNR) ventilation image. We found that both methods provide robust quantification until SNR is less than 1.7 ± 0.8 for the linear-binning method, and 2.1 ± 1.2 for the uncorrected adaptive k-means method.
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