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Updated: Aug 11, 2026

Optical Frequency Domain Imaging of Ex vivo Pulmonary Resection Specimens: Obtaining One to One Image to Histopathology Correlation
Published on: January 22, 2013
[The problems of clinico-morphological diagnosis in a case of fatal hemoptysis]
Insights
Pulmonary function tests in children with bronchial asthma show significant variability, especially for airway resistance (Raw) and maximum expiratory flows (MEF50). The vital capacity/maximum expiratory volume per second ratio offers limited insight into obstructive syndrome severity.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Clinical Physiology
Background:
- Bronchial asthma is a chronic respiratory condition affecting children, characterized by airway inflammation and hyperresponsiveness.
- Accurate assessment of pulmonary function is crucial for monitoring asthma severity and guiding treatment in pediatric patients.
- Longitudinal studies evaluating the variability of pulmonary function parameters in children with asthma are essential for understanding disease dynamics.
Observation:
- This study followed 28 children (6-18 years) with bronchial asthma over 3 months to 5 years, assessing pulmonary function during asymptomatic, manifest, and crisis phases.
- Functional pulmonary investigations included spirometry (VC, MEVS, VC/MEVS ratio), plethysmography (VGT, Raw), and MEF50 measurements.
- Data were analyzed for average values, standard deviation, and variation coefficients across different clinical states.
Findings:
- Pulmonary function parameters in children with bronchial asthma exhibited broad variations (2.9%-11.5%) during repeated examinations.
- Airway resistance (Raw) showed the widest variation, followed by maximum expiratory flows (MEF50).
- The vital capacity/maximum expiratory volume per second (VC/MEVS) ratio demonstrated the least variation, suggesting limited utility in assessing obstructive syndrome severity.
Implications:
- Understanding the variability of pulmonary function tests is vital for interpreting results in pediatric asthma management.
- Airway resistance (Raw) and MEF50 are more sensitive indicators of dynamic changes in obstructive lung disease in children.
- The limited information from the VC/MEVS ratio highlights the need for comprehensive pulmonary function assessment in pediatric asthma.
Abstract:
28 children with bronchial asthma, between 6 and 18 years old, were followed by a varied period of time 3 months - 5 years. 7-8 functional tests were carried out. The cases were studied in different clinical phases: asymptomatic, manifest, crisis of bronchial asthma. The functional pulmonary investigation included: spirographic examination [vital capacity (VC), maximum expiratory volume per second (MEVS) the VC/MEVS ratio], plethysmographic examination (VGT, Raw), measurement of the maximum instantaneous expiratory flows on the flux-volume curve (MEF50). The average value, standard residual deviation and the variation coefficient were calculated for each parameter studied in different clinical moments. The results are presented on 3 groups: per total, symptomatic and asymptomatic. The analysis of the data found showed that the variation of the parameters measured during repeated functional examinations in children with bronchial asthma ranges within broad limits (2.9%-11.5%); the broadest variation was recorded for Raw followed by MEF50 and the slightest variation was that of the VC/MEVS ratio. This indicated the lower value of the information furnished by this ratio in children in appreciating the presence or severeness degree of the obstructive syndrome.
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