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Continuous quantitative measurement of the proximal airway dimensions and lung density on four-dimensional dynamic-ventilation CT in smokers.

Yamashiro T, Moriya H, Tsubakimoto M, Matsuoka S, Murayama S - Int J Chron Obstruct Pulmon Dis (2016)

Bottom Line: Concordance between the time curve of the MLD and that of the airway Ai values was expressed by cross-correlation coefficients.This suggested that the synchrony between the airway and lung movement was lost in patients with severe airflow limitation.Respiratory changes in the MLD and synchrony between the airway Ai and the MLD measured with dynamic-ventilation CT were correlated with patient's spirometric values.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Nishihara, Okinawa, Japan.

ABSTRACT

Purpose: Four-dimensional dynamic-ventilation computed tomography (CT) imaging demonstrates continuous movement of the airways and lungs, which cannot be depicted with conventional CT. We aimed to investigate continuous changes in lung density and airway dimensions and to assess the correlation with spirometric values in smokers.

Materials and methods: This retrospective study was approved by the Institutional Review Board, and informed consent was waived. Twenty-one smokers including six patients with COPD underwent four-dimensional dynamic-ventilation CT during free breathing (160 mm in length). The mean lung density (MLD) of the scanned lung and luminal areas (Ai) of fixed points in the trachea and the right proximal bronchi (main bronchus, upper bronchus, bronchus intermedius, and lower bronchus) were continuously measured. Concordance between the time curve of the MLD and that of the airway Ai values was expressed by cross-correlation coefficients. The associations between these quantitative measurements and the forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) values were assessed by Spearman's rank correlation analysis.

Results: On the time curve for the MLD, the Δ-MLD1.05 values between the peak inspiratory frame to the later third frame (1.05 seconds later) were strongly correlated with the FEV1/FVC (ρ=0.76, P<0.0001). The cross-correlation coefficients between the airway Ai and MLD values were significantly correlated with the FEV1/FVC (ρ=-0.56 to -0.66, P<0.01), except for the right upper bronchus. This suggested that the synchrony between the airway and lung movement was lost in patients with severe airflow limitation.

Conclusion: Respiratory changes in the MLD and synchrony between the airway Ai and the MLD measured with dynamic-ventilation CT were correlated with patient's spirometric values.

No MeSH data available.


Related in: MedlinePlus

Example of the continuous mean lung density (MLD) measurement.Notes: The MLD value is plotted in each of 13 frames (0.35 seconds/frame). In this patient, the peak inspiratory MLD is −887.6 HU, and the peak expiratory MLD is −835.9 HU. The ΔMLD1.05 value is 28.0 HU, which is calculated between the peak inspiratory frame and the later third frame (1.05 seconds later) as a density change in the early expiratory phase.Abbreviation: HU, Hounsfield unit.
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f2-copd-11-755: Example of the continuous mean lung density (MLD) measurement.Notes: The MLD value is plotted in each of 13 frames (0.35 seconds/frame). In this patient, the peak inspiratory MLD is −887.6 HU, and the peak expiratory MLD is −835.9 HU. The ΔMLD1.05 value is 28.0 HU, which is calculated between the peak inspiratory frame and the later third frame (1.05 seconds later) as a density change in the early expiratory phase.Abbreviation: HU, Hounsfield unit.

Mentions: Using different commercially available software (Lung Volume Measurement; Toshiba Medical Systems), the MLD was measured automatically in each frame, and the time curve of the MLD on the dynamic-ventilatory scans was created. On the time curve, the peak inspiratory (minimum) MLD, peak expiratory (maximum) MLD, and the ΔMLD1.05 values were obtained (Figure 2). The ΔMLD1.05 values were calculated between the peak inspiratory frame and the later third frame (1.05 seconds).


Continuous quantitative measurement of the proximal airway dimensions and lung density on four-dimensional dynamic-ventilation CT in smokers.

Yamashiro T, Moriya H, Tsubakimoto M, Matsuoka S, Murayama S - Int J Chron Obstruct Pulmon Dis (2016)

Example of the continuous mean lung density (MLD) measurement.Notes: The MLD value is plotted in each of 13 frames (0.35 seconds/frame). In this patient, the peak inspiratory MLD is −887.6 HU, and the peak expiratory MLD is −835.9 HU. The ΔMLD1.05 value is 28.0 HU, which is calculated between the peak inspiratory frame and the later third frame (1.05 seconds later) as a density change in the early expiratory phase.Abbreviation: HU, Hounsfield unit.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4835141&req=5

f2-copd-11-755: Example of the continuous mean lung density (MLD) measurement.Notes: The MLD value is plotted in each of 13 frames (0.35 seconds/frame). In this patient, the peak inspiratory MLD is −887.6 HU, and the peak expiratory MLD is −835.9 HU. The ΔMLD1.05 value is 28.0 HU, which is calculated between the peak inspiratory frame and the later third frame (1.05 seconds later) as a density change in the early expiratory phase.Abbreviation: HU, Hounsfield unit.
Mentions: Using different commercially available software (Lung Volume Measurement; Toshiba Medical Systems), the MLD was measured automatically in each frame, and the time curve of the MLD on the dynamic-ventilatory scans was created. On the time curve, the peak inspiratory (minimum) MLD, peak expiratory (maximum) MLD, and the ΔMLD1.05 values were obtained (Figure 2). The ΔMLD1.05 values were calculated between the peak inspiratory frame and the later third frame (1.05 seconds).

Bottom Line: Concordance between the time curve of the MLD and that of the airway Ai values was expressed by cross-correlation coefficients.This suggested that the synchrony between the airway and lung movement was lost in patients with severe airflow limitation.Respiratory changes in the MLD and synchrony between the airway Ai and the MLD measured with dynamic-ventilation CT were correlated with patient's spirometric values.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Nishihara, Okinawa, Japan.

ABSTRACT

Purpose: Four-dimensional dynamic-ventilation computed tomography (CT) imaging demonstrates continuous movement of the airways and lungs, which cannot be depicted with conventional CT. We aimed to investigate continuous changes in lung density and airway dimensions and to assess the correlation with spirometric values in smokers.

Materials and methods: This retrospective study was approved by the Institutional Review Board, and informed consent was waived. Twenty-one smokers including six patients with COPD underwent four-dimensional dynamic-ventilation CT during free breathing (160 mm in length). The mean lung density (MLD) of the scanned lung and luminal areas (Ai) of fixed points in the trachea and the right proximal bronchi (main bronchus, upper bronchus, bronchus intermedius, and lower bronchus) were continuously measured. Concordance between the time curve of the MLD and that of the airway Ai values was expressed by cross-correlation coefficients. The associations between these quantitative measurements and the forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) values were assessed by Spearman's rank correlation analysis.

Results: On the time curve for the MLD, the Δ-MLD1.05 values between the peak inspiratory frame to the later third frame (1.05 seconds later) were strongly correlated with the FEV1/FVC (ρ=0.76, P<0.0001). The cross-correlation coefficients between the airway Ai and MLD values were significantly correlated with the FEV1/FVC (ρ=-0.56 to -0.66, P<0.01), except for the right upper bronchus. This suggested that the synchrony between the airway and lung movement was lost in patients with severe airflow limitation.

Conclusion: Respiratory changes in the MLD and synchrony between the airway Ai and the MLD measured with dynamic-ventilation CT were correlated with patient's spirometric values.

No MeSH data available.


Related in: MedlinePlus