高级检索
当前位置: 首页 > 详情页

Strain Analysis in Patients at High-Risk for COPD Using Four-Dimensional Dynamic-Ventilation CT

文献详情

资源类型:
WOS体系:

收录情况: ◇ SCIE

单位: [1]Peking Univ, Dept Radiol, China Japan Friendship Sch Clin Med, Yinghua St 2, Beijing, Peoples R China [2]China Japan Friendship Hosp, Dept Radiol, Beijing, Peoples R China [3]Beijing MicroVec Inc, Beijing, Peoples R China [4]Canon Med Syst, Beijing, Peoples R China
出处:
ISSN:

关键词: strain analysis dynamic-ventilation CT chronic obstructive pulmonary disease computed tomography CT airflow limitation

摘要:
Purpose: To quantitatively identify abnormal lung motion in chronic obstructive pulmonary disease (COPD) using strain analysis, and further clarify the potential differences of deformation in COPD with different severity of airflow limitation. Materials and Methods: Totally, 53 patients at high-risk for COPD were enrolled in this study. All CT examinations were performed on a 320-row MDCT scanner, and strain measurement based on dynamic-ventilation CT data was performed with a computational fluid dynamics analysis software (Micro Vec V3.6.2). The strain-related parameters derived from the whole expiration phase (PSmax-all, PSmean-all, Speed(max-all)), the first 2s of expiration phase (PSmax2s, PSmean2s, Speed(max2s)) were divided respectively by the changes in lung volume to adjust for the degree of expiration. Spearman rank correlation analysis was used to evaluate associations between the strain-related parameters and various spirometric parameters. Comparisons of the strain-related parameters between COPD and non-COPD patients, between GOLD I (mild airflow restriction) and GOLD II-IV (moderate to severe airflow restriction) were made using the Mann-Whitney U-test. Receiver-operating characteristic (ROC) analysis was performed to evaluate the diagnostic performance of the strain-related parameters for COPD. P <0.05 was considered statistically significant. Results: Strain-related parameters demonstrated positive correlations with spirometric parameters (rho=0.275 similar to 0.687,P<0.05), suggesting that heterogeneity in lung motion was related to abnormal spirometric results. Strain-related parameters can quantitatively distinguish COPD from non-COPD patients with moderate diagnostic significance with the AUC values ranged from 0.821 to 0.894. Furthermore, parameters of the whole expiration phase (PSmax-all, Speed(max-all)) demonstrated significant differences (P=0.005, P=0.04) between COPD patients with mild and moderate to severe airflow limitation. Conclusion: Strain-related parameters derived from dynamic-ventilation CT data covering the whole lung associated with lung function changes in COPD, reflecting the severity of airflow limitation in some degree, even though its utility in severe COPD patients remains to be investigated.

基金:
语种:
WOS:
中科院(CAS)分区:
出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 呼吸系统
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 呼吸系统
JCR分区:
出版当年[2020]版:
Q2 RESPIRATORY SYSTEM
最新[2023]版:
Q2 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

第一作者:
第一作者单位: [1]Peking Univ, Dept Radiol, China Japan Friendship Sch Clin Med, Yinghua St 2, Beijing, Peoples R China
通讯作者:
通讯机构: [1]Peking Univ, Dept Radiol, China Japan Friendship Sch Clin Med, Yinghua St 2, Beijing, Peoples R China [*1]Department of Radiology, Peking University China-Japan Friendship School of Clinical Medicine, Yinghua Street 2#, Chaoyang District, Beijing, People’s Republic of China
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:1320 今日访问量:0 总访问量:816 更新日期:2025-04-01 建议使用谷歌、火狐浏览器 常见问题

版权所有:重庆聚合科技有限公司 渝ICP备12007440号-3 地址:重庆市两江新区泰山大道西段8号坤恩国际商务中心16层(401121)