QUANTITATION OF EMPHYSEMA BY COMPUTED-TOMOGRAPHY USING A DENSITY MASK PROGRAM AND CORRELATION WITH PULMONARY-FUNCTION TESTS

被引:252
作者
KINSELLA, M [1 ]
MULLER, NL [1 ]
ABBOUD, RT [1 ]
MORRISON, NJ [1 ]
DYBUNCIO, A [1 ]
机构
[1] UNIV BRITISH COLUMBIA, VANCOUVER GEN HOSP, DIV RADIOL, VANCOUVER V5Z 1M9, BC, CANADA
基金
英国医学研究理事会;
关键词
D O I
10.1378/chest.97.2.315
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We used a CT program 'density mask' outlining areas with attenuation values less than -910 HU, to indicate areas of emphysema on a chest CT and to provide an overall percentage of lung involvement by emphysema. The 'density mask' quantitation of emphysema was previously shown to correlate well with the pathologic assessment of emphysema in patients undergoing lung resection. We compared the CT quantitation of emphysema with mean lung density, overall lung volume on CT and pulmonary function tests in 85 patients. There was a significant correlation between the extent of emphysema on CT and FEV1/FVC percent of predicted, functional residual capacity percent predicted and Dsb percent predicted. Determination of the percentage of lung with areas of low attenuation by CT provides a useful method for quantitating between emphysema in life and correlates significantly with pulmonary function tests.
引用
收藏
页码:315 / 321
页数:7
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