Toraks Bilgisayarlı Tomografi Kantitatif Ölçüm Parametreleri ile Solunum Fonksiyon Testi Arasındaki Korelasyonun İncelenmesi: Retrospektif Çalışma

Amaç: Pulmoner fonksiyonel ve hacimsel değerlendirme rutin olarak solunum fonksiyon testi (SFT) ile yapılmaktadır. Ancak bilgisayarlı tomografi (BT) görüntülemede hacimsel değerlendirme de mümkündür. Bu çalışmanın amacı, SFT ile BT hacimsel bulguları arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Nisan 2017 ile Mayıs 2020 tarihleri arasında toraks BT (parankimal hastalığı olmayan) ve SFT yapılan toplam 69 hasta (34 erkek, 35 kadın) retrospektif olarak incelendi. Optimum kalitede görüntüler ve PFT incelemeleri kaydedildi. BT’de, her iki akciğerin hacmi ve yoğunluğu ile toplam akciğer hacmi (TLV) ve toplam akciğer yoğunluğu (TLD) hesaplandı. BT ile değerlendirme için bir saniyedeki zorlu ekspiratuvar hacim (FEV1), zorlu vital kapasite (FVC), FEV1/FVC oranı kaydedildi. Bulgular: Toplam 69 hastada (34 erkek, %49,3; 35 kadın, %50,7) ortalama yaş 55±14,56 yıl, FEV1=2.12±0,87, FVC=2,92±1,05, FEV1/FVC oranı=72,19±13,07 sağ akciğer hacmi=2118,06±662,36, sağ akciğer yoğunluğu=-806,8±68,16, sol akciğer hacmi=1755,35±605,02, sol akciğer yoğunluğu=-774,80±248,98, TLV=3820±1272,35 ve TLD=-1597,17±295,70 idi. FEV1, FVC ve FEV1/FVC oranı bilateral (sağ ve sol) akciğer hacmi ve yoğunluğu ile pozitif korelasyon gösterdi (p

A Correlation Between Quantitative Measurement Parameters of Thorax Computed Tomography and Pulmonary Function Test: A Retrospective Study

Aim: Pulmonary functional and volumetric evaluation is routinely performed with pulmonary function test (PFT). However, volumetric evaluation is also possible in computed tomography (CT) imaging. The aim of this study is to examine the relationship between PFT and CT volumetric findings. Materials and Methods: Between April 2017 and May 2020, a total of 69 patients (34 males, 35 females) having thorax CT (without any parenchymal disease) and PFT were studied retrospectively. The images and PFT examinations with an optimum quality were enrolled. In CT, the volume and density of both lungs as well as total lung volume (TLV) and total lung density (TLD) were calculated. Forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio were recorded for the assessment with CT. Results: In a total of 69 patients (34 male, 49.3%; 35 female, 50.7%), the mean age was 55±14.56 years, FEV1=2.12±0.87, FVC=2.92±1.05, FEV1/FVC ratio=72.19±13.07, right lung volume=2118.06±662.36, right lung density=-806.8±68.16, left lung volume=1755.35±605.02, left lung density=-774.80±248.98, TLV=3820±1272.35 and TLD=-1597.17±295.70. FEV1, FVC and FEV1/FVC ratio showed a positive correlation with bilateral (right and left) lung volume and density (p

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  • 1. Kauczor HU, Heussel CP, Fischer B, Klamm R, Mildenberger P, Thelen M. Assessment of lung volumes using helical CT at inspiration and expiration: comparison with pulmonary function tests. AJR Am J Roentgenol. 1998;171:1091-5.
  • 2. Tseng HJ, Henry TS, Veeraraghavan S, Mittal PK, Little BP. Pulmonary Function Tests for the Radiologist. Radiographics. 2017;37:1037-58.
  • 3. Coxson HO, Mayo JR, Behzad H, Moore BJ, Verburgt LM, Staples CA, et al. Measurement of lung expansion with computed tomography and comparison with quantitative histology. J Appl Physiol (1985). 1995;79:1525-30.
  • 4. Mascalchi M. Pulmonary function tests and computed tomography lung attenuation in chronic obstructive pulmonary disease. J Thorac Dis. 2015;7:1882-4.
  • 5. Mocelin H, Bueno G, Irion K, Marchiori E, Sarria E, Watte G, et al. CT densitovolumetry in children with obliterative bronchiolitis: correlation with clinical scores and pulmonary function test results. J Bras Pneumol. 2013;39:701-10.
  • 6. Shin JM, Kim TH, Haam S, Han K, Byun MK, Chang YS, et al. The repeatability of computed tomography lung volume measurements: Comparisons in healthy subjects, patients with obstructive lung disease, and patients with restrictive lung disease. PLoS One. 2017;12:e0182849.
  • 7. Tanabe N, Sato S, Oguma T, Shima H, Sato A, Muro S, et al. Associations of airway tree to lung volume ratio on computed tomography with lung function and symptoms in chronic obstructive pulmonary disease. Respir Res. 2019;20:77.
  • 8. Park J, Jung J, Yoon SH, Goo JM, Hong H, Yoon JH. Inspiratory Lung Expansion in Patients with Interstitial Lung Disease: CT Histogram Analyses. Sci Rep. 2018;8:15265.
  • 9. Xaubet A, Agustí C, Luburich P, Roca J, Montón C, Ayuso MC, et al. Pulmonary function tests and CT scan in the management of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 1998;158:431-6.
  • 10. Konheim JA, Kon ZN, Pasrija C, Luo Q, Sanchez PG, Garcia JP, et al. Predictive equations for lung volumes from computed tomography for size matching in pulmonary transplantation. J Thorac Cardiovasc Surg. 2016;151:1163-9. e1.
  • 11. Coxson HO, Nasute Fauerbach PV, Storness-Bliss C, Müller NL, Cogswell S, Dillard DH, et al. Computed tomography assessment of lung volume changes after bronchial valve treatment. Eur Respir J. 2008;32:1443-50.
  • 12. Cortet B, Perez T, Roux N, Flipo RM, Duquesnoy B, Delcambre B, et al. Pulmonary function tests and high resolution computed tomography of the lungs in patients with rheumatoid arthritis. Ann Rheum Dis. 1997;56:596- 600.
  • 13. Moloney F, McWilliams S, Crush L, Laughlin PD, Kenneddy M, Henry M, et al. CT Densitometry as a Predictor of Pulmonary Function in Lung Cancer Patients. Open Respir Med J. 2012;6:139-44.
  • 14. Daghighi A, Tropp H. Computed tomography lung volume estimation and its relation to lung capacities and spine deformation. J Spine Surg. 2019;5:132-41.
  • 15. Haas M, Hamm B, Niehues SM. Automated lung volumetry from routine thoracic CT scans: how reliable is the result? Acad Radiol. 2014;21:633-8.
  • 16. Pelzer AM, Thomson ML. Effect of age, sex, stature, and smoking habits on human airway conductance. J Appl Physiol. 1966;21:469-76.
  • 17. Denison DM, Morgan MD, Millar AB. Estimation of regional gas and tissue volumes of the lung in supine man using computed tomography. Thorax. 1986;41:620-8.
  • 18. O’Donnell CR, Bankier AA, Stiebellehner L, Reilly JJ, Brown R, Loring SH. Comparison of plethysmographic and helium dilution lung volumes: which is best for COPD? Chest. 2010;137:1108-15.
  • 19. Cheng T, Li Y, Pang S, Wan H, Shi G, Cheng Q, et al. Normal lung attenuation distribution and lung volume on computed tomography in a Chinese population. Int J Chron Obstruct Pulmon Dis. 2019;14:1657-68.
  • 20. Salaffi F, Carotti M, Di Donato E, Di Carlo M, Ceccarelli L, Giuseppetti G. Computer-Aided Tomographic Analysis of Interstitial Lung Disease (ILD) in Patients with Systemic Sclerosis (SSc). Correlation with Pulmonary Physiologic Tests and Patient-Centred Measures of Perceived Dyspnea and Functional Disability. PLoS One. 2016;11:e0149240.
  • 21. Yabuuchi H, Matsuo Y, Tsukamoto H, Horiuchi T, Sunami S, Kamitani T, et al. Evaluation of the extent of ground-glass opacity on high-resolution CT in patients with interstitial pneumonia associated with systemic sclerosis: comparison between quantitative and qualitative analysis. Clin Radiol. 2014;69:758-64.
  • 22. Gattinoni L, Caironi P, Pelosi P, Goodman LR. What has computed tomography taught us about the acute respiratory distress syndrome? Am J Respir Crit Care Med. 2001;164:1701-11.
Namık Kemal Tıp Dergisi-Cover
  • ISSN: 2587-0262
  • Başlangıç: 2013
  • Yayıncı: Erkan Mor
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