CT-measured regional specific volume change reflects regional ventilation in supine sheep

被引:79
作者
Fuld, Matthew K. [1 ,2 ]
Easley, R. Blaine [1 ,2 ]
Saba, Osama I. [5 ]
Chon, Deokiee [5 ]
Reinhardt, Joseph M. [5 ]
Hoffman, Eric A. [4 ,5 ]
Simon, Brett A. [1 ,2 ,3 ]
机构
[1] Johns Hopkins Univ Hosp, Dept Anesthesiol, Baltimore, MD 21218 USA
[2] Johns Hopkins Univ, Dept Crit Care Med, Baltimore, MD USA
[3] Johns Hopkins Univ, Dept Med, Baltimore, MD USA
[4] Univ Iowa, Coll Med, Dept Radiol, Iowa City, IA USA
[5] Univ Iowa, Coll Med, Dept Biomed Engn, Iowa City, IA USA
关键词
multidetector-row computer tomography scanning; xenon computer tomography; implanted markers; lung mechanics;
D O I
10.1152/japplphysiol.00212.2007
中图分类号
Q4 [生理学];
学科分类号
071003 [生理学];
摘要
Computer tomography (CT) imaging techniques permit the noninvasive measurement of regional lung function. Regional specific volume change (sVol), determined from the change in lung density over a tidal breath, should correlate with regional ventilation and regional lung expansion measured with other techniques. sVol was validated against xenon (Xe)-CT-specific ventilation (sV.) in four anesthetized, intubated, mechanically ventilated sheep. Xe-CT used expiratory gated axial scanning during the washin and washout of 55% Xe. sVol was measured from the tidal changes in tissue density (H, houndsfield units) of lung regions using the relationship sVol = [1,000(Hi - He)]/[ He(1,000 + Hi)], where He and Hi are expiratory and inspiratory regional density. Distinct anatomical markings were used to define corresponding lung regions of interest between inspiratory, expiratory, and Xe-CT images, with an average region of interest size of 1.6 +/- 0.7 ml. In addition, sVol was compared with regional volume changes measured directly from the positions of implanted metal markers in an additional animal. A linear relationship between sVol and sV. was demonstrated over a wide range of regional sV. found in the normal supine lung, with an overall correlation coefficient (R-2) of 0.66. There was a tight correlation (R-2 = 0.97) between marker-measured volume changes and sVol. Regional sVol, which involves significantly reduced exposure to radiation and Xe gas compared with the Xe-CT method, represents a safe and efficient surrogate for measuring regional ventilation in experimental studies and patients.
引用
收藏
页码:1177 / 1184
页数:8
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