Current advances in pulmonary functional imaging

被引：10

作者：

Nakamura, Hidetoshi ^{[1
,12
]}

Hirai, Toyohiro ^{[2
]}

Kurosawa, Hajime ^{[3
,4
]}

Hamada, Kazuki ^{[5
]}

Matsunaga, Kazuto ^{[5
]}

Shimizu, Kaoruko ^{[6
]}

Konno, Satoshi ^{[6
]}

Muro, Shigeo ^{[7
]}

Fukunaga, Koichi ^{[8
]}

Nakano, Yasutaka ^{[9
]}

Kuwahira, Ichiro ^{[10
]}

Hanaoka, Masayuki ^{[11
]}

机构：

[1] Saitama Med Univ, Dept Resp Med, Saitama, Japan

[2] Kyoto Univ, Grad Sch Med, Dept Resp Med, Kyoto, Japan

[3] Tohoku Univ, Ctr Environm Conservat & Res Safety, Sch Med, Sendai, Japan

[4] Tohoku Univ, Sch Med, Dept Occupat Hlth, Sendai, Japan

[5] Yamaguchi Univ, Grad Sch Med, Dept Resp Med & Infect Dis, Ube, Japan

[6] Hokkaido Univ, Fac Med, Dept Resp Med, Sapporo, Japan

[7] Nara Med Univ, Dept Resp Med, Nara, Japan

[8] Keio Univ, Sch Med, Dept Med, Div Pulm Med, Tokyo, Japan

[9] Shiga Univ Med Sci, Dept Internal Med, Div Resp Med, Otsu, Japan

[10] Tokai Univ, Tokyo Hosp, Dept Med, Div Pulm Med, Tokyo, Japan

[11] Shinshu Univ, Sch Med, Dept Internal Med 1, Matsumoto, Japan

[12] Saitama Med Univ, Dept Resp Med, 38 Morohongo,Moroyama Machi, Saitama 3500495, Japan

来源：

RESPIRATORY INVESTIGATION | 2024年 / 62卷 / 01期

关键词：

Functional imaging; Quantitative imaging; Computed tomography; Magnetic resonance imaging; Ventilation-perfusion imaging; ELECTRICAL-IMPEDANCE TOMOGRAPHY; DYNAMIC CHEST RADIOGRAPHY; BRONCHIOLITIS OBLITERANS SYNDROME; RESOLVED QUANTITATIVE-EVALUATION; SMALL AIRWAY DISEASE; COMPUTED-TOMOGRAPHY; DIAPHRAGMATIC MOTION; COPD PATIENTS; LUNG-FUNCTION; STANDING POSITION;

D O I：

10.1016/j.resinv.2023.09.004

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Recent advances in imaging analysis have enabled evaluation of ventilation and perfusion in specific regions by chest computed tomography (CT) and magnetic resonance imaging (MRI), in addition to modalities including dynamic chest radiography, scintigraphy, positron emission tomography (PET), ultrasound, and electrical impedance tomography (EIT). In this review, an overview of current functional imaging techniques is provided for each modality. Advances in chest CT have allowed for the analysis of local volume changes and small airway disease in addition to emphysema, using the Jacobian determinant and parametric response mapping with inspiratory and expiratory images. Airway analysis can reveal characteristics of airway lesions in chronic obstructive pulmonary disease (COPD) and bronchial asthma, and the contribution of dysanapsis to obstructive diseases. Chest CT is also employed to measure pulmonary blood vessels, interstitial lung abnormalities, and mediastinal and chest wall components including skeletal muscle and bone. Dynamic CT can visualize lung deformation in respective portions. Pulmonary MRI has been developed for the estimation of lung ventilation and perfusion, mainly using hyperpolarized 129Xe. Oxygen-enhanced and proton-based MRI, without a polarizer, has potential clinical applications. Dynamic chest radiography is gaining traction in Japan for ventilation and perfusion analysis. Single photon emission CT can be used to assess ventilation-perfusion (_V/_Q) mismatch in pulmonary vascular diseases and COPD. PET/CT _V/Q_ imaging has also been demonstrated using "Galligas". Both ultrasound and EIT can detect pulmonary edema caused by acute respiratory distress syndrome. Familiarity with these functional imaging techniques will enable clinicians to utilize these systems in clinical practice.(c) 2023 The Authors. Published by Elsevier B.V. on behalf of The Japanese Respiratory Society. This is an open access article under the CC BY-NC-ND license (http://creativecommo ns.org/licenses/by-nc-nd/4.0/).

引用

页码：49 / 65

页数：17

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