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A trial to measure local lung volume changes during respiration with CT
Mikihiko Fujimura1, Fumikazu Sakai, Kaori Fujimura
1Department of Radiology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
Purpose:
To evaluate changes in volume and the CT attenuation value of the pulmonary lobes and peripheral small lung tissue at full inspiration and expiration.
Materials And Methods:
We designated (1000+CT insp)/(1000+CT exp)(1000+CT insp)/(1000+CT exp) as CT volume ratio, a new parameter to represent volume changes in lung tissue, and V insp/V exp as actual volume ratio: CT insp, exp: CT attenuation value of measured lung at inspiration and expiration; V insp, exp: actual lung volume measured with CT at inspiration and expiration. Ten normal healthy volunteers were investigated with 5 mm collimation CT in the supine position.
Results:
The CT volume ratio and actual volume ratio of each lung lobe were well correlated. The CT volume ratios of small lung tissues were significantly larger in the dependent region than in the nondependent region when measured in the supine position at five levels, except at the level of the aortic arch (P<0.05).
Conclusion:
We advocated a new parameter (CT volume ratio) for representing lung tissue volume changes during respiration. The CT volume ratio might be a new noninvasive method to measure local volume changes in lung during respiration.