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The alveolar air-tissue interface affects the lung NMR signal, because it results in a susceptibility-induced magnetic field inhomogeneity. The air-tissue interface effect can be detected and quantified by measuring the difference signal (Delta) from a pair of NMR images obtained using temporally symmetric and asymmetric spin-echo sequences. The present study describes a multicompartment alveolar model (consisting of a collection of noninteracting spherical water shells) that simulates the behavior of Delta as a function of the level of lung inflation and can be used to predict the NMR response to various types of lung injury. The model was used to predict Delta as a function of the inflation level (with the assumption of sequential alveolar recruitment, partly parallel to distension) and to simulate pulmonary edema by deriving equations that describe Delta for a collection of spherical shells representing combinations of collapsed, flooded, and inflated alveoli. Our theoretical data were compared with those provided by other models and with experimental data obtained from the literature. Our results suggest that NMR Delta measurements can be used to study the mechanisms underlying the lung pressure-volume behavior, to characterize lung injury, and to assess the contributions of alveolar recruitment and distension to the lung volume changes in response to the application of positive airway pressure (e.g., positive end-expiratory pressure).

Inflated lungs are characterized by a short nuclear magnetic resonance (NMR) free induction decay (rapid disappearance of NMR signal), likely due to internal (tissue-induced) magnetic field inhomogeneity produced by the alveolar air-tissue interface. This phenomenon can also be detected using temporally symmetric and asymmetric NMR spin-echo sequences; these sequences generate a pair of NMR images from which a difference signal (delta) is obtained (reflecting the signal from lung water experiencing the air-tissue interface effect). We measured delta in normal excised rat lungs at inflation pressures of 0-30 cmH2O for asymmetry times (a) of 1-6 ms. Delta was low in degassed lungs and increased markedly with alveolar opening when measured at a = 6 ms (delta 6 ms); delta 6 ms varied little during the rest of the inflation-deflation cycle. Delta 1 ms (a = 1 ms) did not vary significantly on inflation and deflation. Measurements of delta at a = 3 and 5 ms generally lay between those of delta 1 ms and delta 6 ms. These findings, which are consistent with theoretical predictions, suggest that measurements of delta at appropriate asymmetry times are particularly sensitive to alveolar opening and may provide a means of distinguishing alveolar recruitment from alveolar distension in the pressure-volume behavior of the lung.

The present study was designed to determine the value of nuclear magnetic resonance (NMR) imaging as a technique for quantifying lung water distribution and to estimate the degree of spatial resolution achieved by this technique. The spatial distribution of water was determined in six small (0.76 ml) rat lung tissue specimens by an NMR line-scan technique. After NMR imaging, each lung specimen was frozen and subdivided into slices; the gravimetric lung water content for each lung slice was compared with the integrated NMR water content over the volume corresponding to the same lung slice. In each tissue specimen, NMR and gravimetric lung water values were significantly correlated; the correlation coefficient for the pooled data for all six lung specimens was 0.91 (P less than 0.01). In two lung specimens, NMR values tended to be slightly higher than the gravimetric values. The magnitude of the difference between NMR and gravimetric values was generally less than 20% and only occasionally exceeded 25%. Our results suggest that the NMR-imaging method provides satisfactory estimates of lung water content and its distribution; the resolving power of the technique is excellent, as shown by its ability to detect water content differences between lung tissue slices of volume as small as 0.076 ml.