The development of bronchiolitis obliterans syndrome (BOS) and other late onset non-infectious pulmonary complications (LONIPCs) following hematopoietic stem cell transplantation (HSCT) is associated with a significantly worse prognosis, high disease burden, and excessive health resource utilization. In this proposal, the investigators plan to examine and compare different diagnostic modalities which can provide detailed physiological and anatomical characterization of LONIPCs.
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The change detected in Ventilation Defect Percent (VDP) on 129Xe MRI imaging in cross-sectional and prospectively followed cohorts.
Timeframe: MRIs will be performed every three months for one year.
The change detected in Apparent Diffusion Coefficients (ADC) on 129Xe MRI imaging in cross-sectional and prospectively followed cohorts.
Timeframe: MRIs will be performed every three months for one year.
The change detected in Signal-to-noice Ration (SNR) on 129Xe MRI imaging in cross-sectional and prospectively followed cohorts.
Timeframe: MRIs will be performed every three months for one year.
The change detected in forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), total lung capacity (TLC), and residual volume (RV) in cross-sectional and prospectively followed cohorts.
Timeframe: Pulmonary Function Tests (PFTs) will be performed as clinically indicated, which in this study population will be every three months for two years.
The change detected in FEV1/FVC ratio and RV/TLC ratio in cross-sectional and prospectively followed cohorts.
Timeframe: PFTs will be performed as clinically indicated, which in this study population will be every three months for two years.
The change detected in diffusion capacity of the lung for carbon monoxide (DLCO) and DLCO corrected for hemoglobin in cross-sectional and prospectively followed cohorts.
Timeframe: PFTs will be performed as clinically indicated, which in this study population will be every three months for two years.
The change detected in DLCO divided by alveolar volume (VA) [DLCO/VA, or transfer coefficient of the lung for carbon monoxide, KCO] in cross-sectional and prospectively followed cohorts.
Timeframe: PFTs will be performed as clinically indicated, which in this study population will be every three months for two years.
The change detected in forced oscillometry technique (FOT) in cross-sectional and prospectively followed cohorts.
Timeframe: Oscillometry will be recorded every three months for one year.