Hyperpolarized 129Xe MRI is capable of regional mapping of gas-exchange and has found application in a wide range of lung disorders. Here, we apply 129Xe gas exchange MRI and dynamic spectroscopy at 7 Tesla to study a rat model of pulmonary arterial hypertension. 129Xe spectroscopy and gas-exchange imaging showed reduced uptake by RBCs early in the progression of the disease, and at later time points was accompanied with increased uptake by barrier tissues, structural abnormalities, edema, and ventilation defects. Imaging results were compared to H&E histology, which showed evidence of vascular remodeling.
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