Physiological Measurement, May 2015, Vol. 36 Issue: Number 5 p N85-N94, 10p
The purposes of this study were: (1) to evaluate feasibility and acceptability of MRI augmented cardiopulmonary
exercise testing (MR-CPET) in healthy adults and (2) to test whether peak values obtained at conventional and MR-CPET correlate and to demonstrate variation in peak oxygen consumption (VO2) relates to both
peak cardiac output (CO) and peak oxygen extraction (DcO2).
Seventeen healthy adults underwent CPET and MR-CPET using an MR compatible ergometer and CPET system customised for MR use. Continuous aortic flow measurement used a validated UNFOLD-SENSE spiral phase contrast magnetic resonance (PCMR) sequence.Fifteen of 17 volunteers completed exercise; exclusions were due to claustrophobia and inability to
effectively master exercise technique. Measures of acceptability were lower but still satisfactory for MR-CPET.There were strong correlations between conventional and MR-CPET for peak VO2 (r = 0.94, p < 0.001); VCO2 (r = 0.87, p < 0.001) and VE (r = 0.88, p < 0.001).Multiple linear regression analysis demonstrated peak CO and DcO2 were independent
predictors of peak VO2 measured during MR-CPET (b = 0.73 and 0.38 p < 0.0001) and conventional CPET (b = 0.78, 0.28 p < 0.0001).MR-CPET is feasible, acceptable and demonstrates physiology not apparent with
conventional CPET. MR-CPET allows differentiation of the contributions of CO and DcO2 to variation in peak VO2. We believe that this will be useful in understanding the origin of reduced exercise capacity in cardiac disease.