Contrast imaging agent with dissolved gas-evolving fluid
A diagnostic contrast composition includes a carrier fluid and a non-decaying gas-evolving fluid incorporated in the carrier fluid. The gas-evolving fluid has a vapor pressure sufficient to evolve the gas from a circulatory system within a lung of a patient. The gas-evolving fluid is a composition containing a sufficient quantity of atoms with an atomic number higher than 8 to provide an increased absorption sufficient to increase a Hounsfield Unit measurement in an image in a CT imaging system. The gas-evolving fluid is selected from the group consisting of xenon gas, krypton gas, sulfur hexafluoride, a perfluorocarbon, a brominated perfluorocarbon, and combinations thereof. The carrier fluid is selected from the group consisting of water, saline, saline comprising one or more blood proteins, and saline comprising dissolved lipids.
1. A method for imaging an airspace of a lung of a patient, the method comprising:
injecting a diagnostic contrast composition comprising a carrier fluid and a CT-active amount of a non-decaying gas-evolving liquid into a circulatory system of the patient wherein the gas-evolving liquid is sulfur hexafluoride, a perfluorocarbon, a bromoperfluorocarbon, or a combination of any thereof and has a vapor pressure sufficient to evolve as a gas from a circulatory system within the airspace of the lung of the patient;
waiting a predetermined delay period after injection of the diagnostic contrast composition to allow the gas-evolving liquid to be delivered to the lungs by the circulatory system of the patient and to allow the gas to evolve into the airspace of the lung of the patient, wherein the predetermined delay period is less than about 5 minutes; and
imaging at least a portion of the lung and the airspace of the lung using a CT or MR medical imager at the end of the predetermined delay period to produce at least a first contrast enhanced image of the at least the portion of the lung and the airspace of the lung,
wherein imaging at least the portion of the lung and the airspace of the lung is performed during at least one of an inhalation phase, a breath-hold phase, and an exhalation phase.
2. The method of claim 1 , further comprising imaging the at least the portion of the lung and the airspace of the lung to produce at least a second image of the at least the portion of the lung and the airspace of the lung after a predetermined period after injection of the diagnostic contrast composition,
wherein the at least the second image is collected during at least one of a second inhalation phase, a second breath-hold phase, and a second exhalation phase.
3. The method of claim 1 , wherein the gas-evolving liquid is a composition containing a sufficient quantity of atoms with an atomic number higher than 8 to provide a Hounsfield Unit measurement to affect an image in a CT imaging system.
4. The method of claim 1 , wherein the diagnostic contrast composition further comprises at least one liquid or dissolved X-ray contrast imaging agent in the carrier fluid and wherein imaging at least the portion of the lung comprises computed tomographic imaging of the at least one liquid or dissolved X-ray contrast imaging agent in at least a portion of a tissue of the lung.
5. The method of claim 4 , wherein at least one of the first image and a second image are a combined image of the at least one liquid or dissolved X-ray contrast imaging agent in the tissue of the lung and the gas evolved from the CT-active amount of the non-decaying gas-evolving liquid in the airspace of the lung.
6. The method of claim 1 , wherein the non-decaying gas-evolving liquid is a perfluorocarbon.
7. The method of claim 1 , wherein imaging at least the portion of the lung and the airspace of the lung using the CT or MR medical imager to produce at least the first image of the at least the portion of the lung and the airspace of the lung comprises taking one or more high-dose, high resolution first image of the at least the portion of the lung and the airspace of the lung.
8. The method of claim 7 , wherein imaging at least the portion of the lung and the airspace of the lung using the CT or MR medical imager comprises taking at least one or more low-dose, low resolution second image of the at least the portion of the lung and the airspace of the lung.
9. The method of claim 8 , further comprising dynamically analyzing data associated with the one or more high-dose, high resolution first image of the at least the portion of the lung and the airspace of the lung; and the at least one or more low-dose, low resolution second image of the at least the portion of the lung and the airspace of the lung.
10. The method of claim 9 , wherein dynamically analyzing data comprises performing one or more of a pharmacokinetic analysis and a compartmental analysis of the airspace of the lung.
11. The method of claim 2 , wherein the at least one second image comprises a plurality of images taken at a predetermined constant spacing after the end of the breath-hold phase.
12. The method of claim 11 , wherein the plurality of images are taken at predetermined constant spacings of 2 second spacings, 5 second spacings, 10 second spacings, or up to 30 second spacings for a total time of about 5 minutes after the breath-hold phase.
13. The method of claim 2 , wherein the at least one second image is taken at a predetermined variable spacing after the end of the breath-hold phase.