RT Journal Article SR Electronic T1 K-edge subtraction (KES) synchrotron imaging allows quantitative measurement of regional aerosol deposition, lung ventilation and airway morphology in rabbit JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 4876 VO 38 IS Suppl 55 A1 Sam Bayat A1 Loïc Degrugilliers A1 Liisa Porra A1 Gergely Albu A1 Heikki Suhonen A1 Satu Strengell A1 Gergely Fodor A1 Ferenc Petak A1 Pekka Suortti A1 Walid Habre A1 Anssi R.A. Sovijärvi YR 2011 UL http://erj.ersjournals.com/content/38/Suppl_55/4876.abstract AB Rationale: The simultaneous measurement of regional lung ventilation, aerosol deposition and the anatomic configuration of airways are crucial for the better understanding of the determinants of aerosol deposition heterogeneity. However, no single imaging modality currently allows the acquisition of all such data simultaneously. The goal of this study was to test the feasibility of KES imaging to this end.Methods: We used KES synchrotron radiation imaging [AJRCCM, 2009;180:296–303] to quantify regional lung ventilation, and the deposition of iodine (Iomeprol 88 mg/ml in NaCl 0.9%), delivered using an ultrasonic nebulizer (mass median aerodynamic diameter: 2.6±0.1 μm), in a healthy anesthetized, and mechanically ventilated rabbit (2.8 kg) in upright position. Regional ventilation images were obtained in 4 axial slices during inhalation of 70% Xe in O2. Regional iodine deposition images were obtained in 45 contiguous slices after 0, 5, 10, 15 and 20 minutes of nebulization.Results: See figure. Aerosol deposition showed significant spatial heterogeneity in normal lung. Inset: 3D rendering of central conducting airways (dark) and iodine (medium) and parenchyma (light grey).Conclusions: These data demonstrate the feasibility of K-edge subtraction imaging for the quantitative measurement of regional aerosol deposition, lung ventilation and airway morphology in vivo.