Comparison of Lung, Lobe, and Airway Volumes between Supine and Upright Computed Tomography and Their Correlation with Pulmonary Function Test in Patients with Chronic Obstructive Pulmonary Disease

被引：20

作者：

Yamada, Yoshitake ^{[1
]}

Chubachi, Shotaro ^{[2
]}

Yamada, Minoru ^{[1
]}

Yokoyama, Yoichi ^{[1
]}

Tanabe, Akiko ^{[3
]}

Matsuoka, Shiho ^{[3
]}

Niijima, Yuki ^{[4
]}

Murata, Mitsuru ^{[5
]}

Fukunaga, Koichi ^{[2
]}

Jinzaki, Masahiro ^{[1
]}

机构：

[1] Keio Univ, Sch Med, Dept Radiol, Tokyo, Japan

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

[3] Keio Univ Hosp, Dept Clin Lab, Tokyo, Japan

[4] Keio Univ Hosp, Off Radiat Technol, Tokyo, Japan

[5] Keio Univ, Sch Med, Dept Lab Med, Tokyo, Japan

来源：

RESPIRATION | 2022年 / 101卷 / 12期

基金：

日本学术振兴会;

关键词：

Lung volume measurements; Multidetector computed tomography; Posture; Standing position; Chronic obstructive pulmonary disease; COPD; CT; STANDARDIZATION; REDUCTION; DIAGNOSIS;

D O I：

10.1159/000527067

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Background: Correlations between upright CT and pulmonary function test (PFT) measurements, and differences in lung/lobe/airway volumes between supine and standing positions in patients with chronic obstructive pulmonary disease (COPD) remain unknown. Objectives: The study aimed to evaluate correlations between lung/airway volumes on both supine and upright CT and PFT measurements in patients with COPD, and compare CT-based inspiratory/expiratory lung/lobe/airway volumes between the two positions. Methods: Forty-eight patients with COPD underwent both conventional supine and upright CT in a randomized order during inspiration and expiration breath-holds, and PFTs within 2 h. We measured the lung/lobe/airway volumes on both CT. Results: The correlation coefficients between total lung volumes on inspiratory CT in supine/standing position and PFT total lung capacity and vital capacity were 0.887/0.920 and 0.711/0.781, respectively; between total lung volumes on expiratory CT in supine/standing position and PFT functional residual capacity and residual volume, 0.676/0.744 and 0.713/0.739, respectively; and between airway volume on inspiratory CT in supine/standing position and PFT forced expiratory volume in 1 s, 0.471/0.524, respectively. Inspiratory/expiratory bilateral upper and right lower lobe, bilateral lung, and airway volumes were significantly higher in the standing than supine position (3.6-21.2% increases, all p < 0.05); however, inspiratory/expiratory right middle lobe volumes were significantly lower in the standing position (4.6%/15.9% decreases, respectively, both p < 0.001). Conclusions: Upright CT-based volumes were more correlated with PFT measurements than supine CT-based volumes in patients with COPD. Unlike other lobes and airway, inspiratory/expiratory right middle lobe volumes were significantly lower in the standing than supine position.

引用

页码：1110 / 1120

页数：11

共 27 条

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