Evidence map›Paper›PMID 42332603›Full record

Observational studyBMC medical imaging2026

Characteristics of pulmonary perfusion and ventilation in healthy adults: a prospective observational study with phase-resolved functional lung magnetic resonance imaging.

Anqi Liu, Yifei Ni, Jianping Wang, Linfeng Xi, Haoyu Yang, Hongyi Wang, Jie Du, Ling Zhang, Jinzhu Dai, Ke Huang and 8 more

Abstract readObservational Study
In one paragraph

Observational study in BMC medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Anqi Liu *Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100005, China.
Yifei Ni *Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100005, China.
Jianping WangDepartment of Radiology, China-Japan Friendship Hospital, No.2 Yinghua Dong Street, Hepingli, Chao Yang District, Beijing, 100029, China.
Linfeng XiCapital Medical University, Beijing, 100069, China.
Haoyu YangDepartment of Radiology, China-Japan Friendship Hospital, No.2 Yinghua Dong Street, Hepingli, Chao Yang District, Beijing, 100029, China.
Hongyi WangChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100005, China.
Jie DuChinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100005, China.
Ling ZhangDepartment of Radiology, China-Japan Friendship Hospital, No.2 Yinghua Dong Street, Hepingli, Chao Yang District, Beijing, 100029, China.
Jinzhu DaiDepartment of Radiology, China-Japan Friendship Hospital, No.2 Yinghua Dong Street, Hepingli, Chao Yang District, Beijing, 100029, China.
Ke HuangDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.
Yanhong RenDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.
Shiyao WangDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.
Jingen XiaDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029, China.
Jing AnDL Department, Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China.
Robert GrimmResearch & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
Andreas VoskrebenzevDepartment of Diagnostic and Interventional Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Jens Vogel-ClaussenDepartment of Diagnostic and Interventional Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Min LiuDepartment of Radiology, China-Japan Friendship Hospital, No.2 Yinghua Dong Street, Hepingli, Chao Yang District, Beijing, 100029, China. mikie0763@126.com.

Funding

Clinical Technology Innovation Project of the "Sailing" Program of Beijing Hospital Management Center ZLRK202306
6 · The paper itself

Abstract

backgroundPhase-resolved functional lung magnetic resonance imaging (PREFUL-MRI) enables simultaneous, free-breathing, radiation-free assessment of regional lung perfusion and ventilation. This study aimed to provide preliminary reference data for lung perfusion and ventilation using PREFUL-MRI in healthy adults, and to characterize the physiological dependencies of these metrics on two breathing patterns, sex, and age.

methodsIn this prospective observational study, 87 healthy adults underwent PREFUL-MRI at 1.5 T during both normal and deep-slow breathing. Perfusion- and ventilation-related metrics were quantified via an automated pipeline. Paired comparisons between breathing states were performed using Wilcoxon signed-rank tests; unpaired comparisons between sexes and age groups (< 45 vs. ≥45 years) used Mann-Whitney U tests, with Holm-Bonferroni and Benjamini-Hochberg false-discovery-rate corrections applied to control for multiple comparisons.

resultsMean perfusion (7.7% vs. 6.0%, Holm-Bonferroni adjusted p < 0.001) and ventilation defects (8.6% vs. 5.1%, Holm-Bonferroni adjusted p = 0.010) were decreased, and mean ventilation (15.8% vs. 48.3%, Holm-Bonferroni adjusted p < 0.001) and perfusion defects (1.9% vs. 7.9%, Holm-Bonferroni adjusted p = 0.005) increased during deep breathing compared with normal breathing. Twenty-eight participants had increased lung perfusion while 59 had reduced perfusion during deep breathing relative to normal breathing. During normal breathing, men exhibited higher mean ventilation than women (20.2% vs. 14.2%, Holm-Bonferroni adjusted p = 0.018). During deep breathing, men demonstrated higher total perfusion defect percentage and matched ventilation-perfusion defects than women (FDR adjusted q < 0.05). Total perfusion defect percentage was lower in participants aged ≥ 45 years than in those aged < 45 years (1.8% vs. 2.7%, FDR adjusted q = 0.036). Mean flow-volume loop correlations were similar between breathing patterns, sexes, and age groups after multiple comparison correction (p > 0.05).

conclusionsPREFUL-MRI can captures physiological variations related to breathing pattern, sex, and age in healthy adults. These findings provide a framework for distinguishing normal physiological heterogeneity from pathological change in clinical PREFUL-MRI interpretation. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

LungMagnetic Resonance ImagingPulmonary VentilationAdultAgedFemaleHumansMaleMiddle AgedPerfusion Magnetic Resonance ImagingProspective StudiesReference ValuesRespirationYoung AdultBreathFlow-volume loopLungPerfusionPhase-resolved functional lung magnetic resonance imagingVentilation

Identifiers

PMID42332603
PMCPMC13540945

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.