Airway wall area derived from 3-dimensional computed tomography analysis differs among lung lobes in male smokers

It is time-consuming to obtain the square root of airway wall area of the hypothetical airway with an internal perimeter of 10 mm (√Aaw at Pi10), a comparable index of airway dimensions in chronic obstructive pulmonary disease (COPD), from all airways of the whole lungs using 3-dimensional computed...

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Veröffentlicht in:PloS one 2014-05, Vol.9 (5), p.e98335
Hauptverfasser: Tho, Nguyen Van, Trang, Le Thi Huyen, Murakami, Yoshitaka, Ogawa, Emiko, Ryujin, Yasushi, Kanda, Rie, Nakagawa, Hiroaki, Goto, Kenichi, Fukunaga, Kentaro, Higami, Yuichi, Seto, Ruriko, Nagao, Taishi, Oguma, Tetsuya, Yamaguchi, Masafumi, Lan, Le Thi Tuyet, Nakano, Yasutaka
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container_issue 5
container_start_page e98335
container_title PloS one
container_volume 9
creator Tho, Nguyen Van
Trang, Le Thi Huyen
Murakami, Yoshitaka
Ogawa, Emiko
Ryujin, Yasushi
Kanda, Rie
Nakagawa, Hiroaki
Goto, Kenichi
Fukunaga, Kentaro
Higami, Yuichi
Seto, Ruriko
Nagao, Taishi
Oguma, Tetsuya
Yamaguchi, Masafumi
Lan, Le Thi Tuyet
Nakano, Yasutaka
description It is time-consuming to obtain the square root of airway wall area of the hypothetical airway with an internal perimeter of 10 mm (√Aaw at Pi10), a comparable index of airway dimensions in chronic obstructive pulmonary disease (COPD), from all airways of the whole lungs using 3-dimensional computed tomography (CT) analysis. We hypothesized that √Aaw at Pi10 differs among the five lung lobes and √Aaw at Pi10 derived from one certain lung lobe has a high level of agreement with that derived from the whole lungs in smokers. Pulmonary function tests and chest volumetric CTs were performed in 157 male smokers (102 COPD, 55 non-COPD). All visible bronchial segments from the 3rd to 5th generations were segmented and measured using commercially available 3-dimensional CT analysis software. √Aaw at Pi10 of each lung lobe was estimated from all measurable bronchial segments of that lobe. Using a mixed-effects model, √Aaw at Pi10 differed significantly among the five lung lobes (R(2) = 0.78, P
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We hypothesized that √Aaw at Pi10 differs among the five lung lobes and √Aaw at Pi10 derived from one certain lung lobe has a high level of agreement with that derived from the whole lungs in smokers. Pulmonary function tests and chest volumetric CTs were performed in 157 male smokers (102 COPD, 55 non-COPD). All visible bronchial segments from the 3rd to 5th generations were segmented and measured using commercially available 3-dimensional CT analysis software. √Aaw at Pi10 of each lung lobe was estimated from all measurable bronchial segments of that lobe. Using a mixed-effects model, √Aaw at Pi10 differed significantly among the five lung lobes (R(2) = 0.78, P&lt;0.0001). The Bland-Altman plots show that √Aaw at Pi10 derived from the right or left upper lobe had a high level of agreement with that derived from the whole lungs, while √Aaw at Pi10 derived from the right or left lower lobe did not. 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In male smokers, CT-derived airway wall area differs among the five lung lobes, and airway wall area derived from the right or left upper lobe is representative of the whole lungs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24865661</pmid><doi>10.1371/journal.pone.0098335</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS)
subjects Adult
Aged
Aged, 80 and over
Asthma
Biology and Life Sciences
Bronchi - pathology
Bronchi - physiopathology
CAT scans
Chronic obstructive lung disease
Chronic obstructive pulmonary disease
Computation
Computed tomography
Dimensional analysis
Emphysema
Four-Dimensional Computed Tomography - methods
Humans
Level (quantity)
Levels
Lobes
Lung diseases
Lungs
Male
Medical imaging
Medicine
Medicine and Health Sciences
Middle Aged
Obstructive lung disease
Patients
Pulmonary Disease, Chronic Obstructive - chemically induced
Pulmonary Disease, Chronic Obstructive - pathology
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary functions
Respiratory function
Respiratory Function Tests - methods
Respiratory tract
Science
Segments
Smokers
Smoking
Smoking - adverse effects
Studies
Test procedures
Values
X rays
title Airway wall area derived from 3-dimensional computed tomography analysis differs among lung lobes in male smokers
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