• Phase-resolved Functional Lung MRI Reveals Distinct Lung Perfusion Phen

    From HeartDoc Andrew@21:1/5 to All on Mon Mar 10 11:41:01 2025
    Source:
    https://pubs.rsna.org/doi/10.1148/radiol.241596

    <begin abstract>

    Abstract

    Background

    Although measurable organic dysfunctions are frequently absent in
    pediatric patients with post–COVID-19 condition (PCC), this condition
    adversely affects quality of life. Free-breathing phase-resolved
    functional lung (PREFUL) MRI may be useful for assessing lung function
    in pediatric patients with PCC.

    Purpose

    To detect lung changes in children and adolescents with PCC compared
    with healthy control participants using PREFUL MRI.

    Materials and Methods

    In this single-center, prospective, cross-sectional study conducted
    between April 2022 and April 2023, children and adolescents (age =17
    years) with PCC and age- and sex-matched healthy participants
    underwent MRI. Subgroup analysis was performed in participants with
    PCC who had cardiopulmonary symptoms. Regional ventilation,
    flow-volume loop correlation metric (FVL-CM), quantified perfusion,
    ventilation and perfusion defect percentages, and
    ventilation-perfusion ratios were compared between participants with
    PCC and controls using the Wilcoxon signed rank test. Correlation of
    imaging parameters with spirometry, heart rate, respiratory rate, and
    Bell score (fatigue severity) in participants with PCC was assessed
    using the Spearman rank correlation coefficient.

    Results

    The final study sample included 54 participants (27 participants with
    PCC and 27 matched control participants; median age, 15 years [IQR,
    11–17 years]; 14 male participants). Twenty-one participants had cardiopulmonary symptoms. Participants with PCC had lower regional
    ventilation (median, 0.2 mL/mL [IQR, 0.1–0.2 mL/mL] vs 0.2 mL/mL [IQR,
    0.2–0.2 mL/mL]; P = .047) and quantified perfusion (49 mL/min per 100
    mL [IQR, 33–60 mL/min per 100 mL] vs 78 mL/min per 100 mL [IQR, 59–89
    mL/min per 100 mL]; P < .001). Participants with PCC and
    cardiopulmonary symptoms had lower FVL-CMs (median, 0.99 arbitrary
    units [au] [IQR, 0.98–0.99 au] vs 0.99 au [IQR, 0.99–0.99 au]; P =
    .01) and higher ventilation defect (median, 7.6% [IQR, 4.5%–15.1%] vs
    5.4% [IQR, 2.7%–7.1%]; P = .047) and perfusion defect percentage
    (median, 3.2% [IQR, 2.4%–4.2%] vs 2.3% [IQR, 1.8%–3.5%]; P = .02)
    compared with matched control participants. In participants with PCC,
    greater lung perfusion correlated with increased chronic fatigue
    severity (? = 0.48; P = .009) and higher ventilation-perfusion
    mismatch correlated with increased heart rate (? = 0.44; P = .02).
    Conclusion

    Free-breathing phase-resolved functional lung MRI–derived parameters
    helped identify a distinct phenotype of lung perfusion in children and adolescents with PCC and were correlated with heart rate and chronic
    fatigue severity.

    Clinical trial registration no. DRKS00028963

    <end abstract>

    Source:
    https://pubs.rsna.org/doi/10.1148/radiol.241596

    In the interim, we are 100% prepared/protected in the "full armor of
    GOD" (Ephesians 6:11) which we put on as soon as we use Apostle Paul's
    secret (Philippians 4:12). Though masking is less protective, it helps
    us avoid the appearance of doing the evil of spreading airborne
    pathogens while there are people getting sick because of not being
    100% protected. It is written that we're to "abstain from **all**
    appearance of doing evil" (1 Thessalonians 5:22 w/**emphasis**).

    Meanwhile, the only *perfect* (Matt 5:47-8 ) way to eradicate the
    COVID-19 virus, thereby saving lives, in the US & elsewhere is by
    rapidly (i.e. use the "Rapid COVID-19 Test" ) finding out at any given
    moment, including even while on-line, who among us are unwittingly
    contagious (i.e pre-symptomatic or asymptomatic) in order to
    "convince it forward" (John 15:12) for them to call their doctor and self-quarantine per their doctor in hopes of stopping this pandemic.
    Thus, we're hoping for the best while preparing for the worse-case
    scenario of the Alpha lineage mutations and others like the Omicron,
    Gamma, Beta, Epsilon, Iota, Lambda, Mu & Delta lineage mutations
    combining via slip-RNA-replication to form hybrids like "Deltamicron"
    that may render current COVID vaccines/monoclonals/medicines/pills no
    longer effective.

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