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Measurement of the Pressure-volume Curve in Mouse Lungs
Published on: January 27, 2015
Decrease of pulmonary blood flow detected by phase contrast MRI is correlated with a decrease in lung volume and
Nanae Tsuchiya1, Tsuneo Yamashiro1, Sadayuki Murayama1
1Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara-Cho, Nakagami-Gun, Okinawa 903-0215, Japan.
Purpose:
Lung volume and pulmonary blood flow decrease in patients with interstitial lung disease (ILD). The purpose of this study was to assess the relationship between pulmonary blood flow and lung volume in ILD patients.
Methods:
This research was approved by the institutional review board. Twenty-seven patients (9 men, 18 women; mean age, 59 years; range, 24-79 years) with ILD were included. Blood flow was assessed in the pulmonary trunk and the left and right pulmonary arteries by phase contrast magnetic resonance imaging (MRI). Lung volume and the computed tomography (CT) visual score that indicates the severity of ILD were assessed on the left and right sides by thin-section CT scanning. Lung volume was automatically measured by lung analysis software (VINCENT Ver. 4). The CT visual score was measured by averaging the proportion of abnormal lung area at five anatomic levels. Pearson's correlation coefficient was used to determine the relationship between pulmonary blood flow and lung volume.
Results:
Pulmonary blood flow showed a significant correlation with lung volume (both: r=0.52, p=0.006; left: r=0.61, p=0.001; right: r=0.54, p=0.004) and CT visual score (both: r=-0.39, p=0.04; left: r=-0.48, p=0.01; right: r=-0.38, p=0.04). Partial correlation analysis, controlled for age, height and weight, showed a significant correlation between pulmonary blood flow and lung volume (both: r=0.43, p=0.03; left: r=0.55, p=0.005; right: r=0.48, p=0.01) and CT visual score (both: r=-0.58, p=0.003; left: r=-0.51, p=0.01; right: r=-0.64, p=0.001).
Conclusion:
In ILD, reduced pulmonary blood flow is associated with reduced lung volume and increased abnormal lung area.
Insights
Pulmonary blood flow and lung volume decrease in interstitial lung disease (ILD). This study found reduced pulmonary blood flow is linked to smaller lung volumes and more severe lung damage in ILD patients.
Area of Science:
- Cardiovascular Imaging
- Pulmonary Medicine
- Radiology
Background:
- Interstitial lung disease (ILD) is characterized by decreased lung volume and pulmonary blood flow.
- Understanding the relationship between these factors is crucial for ILD management.
Purpose of the Study:
- To assess the relationship between pulmonary blood flow and lung volume in patients with ILD.
- To investigate the correlation between pulmonary blood flow, lung volume, and ILD severity.
Main Methods:
- Phase contrast magnetic resonance imaging (MRI) was used to measure pulmonary blood flow in the pulmonary trunk and arteries.
- Thin-section computed tomography (CT) scanning assessed lung volume and ILD severity (CT visual score).
- Pearson's correlation coefficient and partial correlation analysis were employed to determine relationships.
Main Results:
- Significant positive correlations were found between pulmonary blood flow and lung volume (r=0.52, p=0.006).
- Significant negative correlations were observed between pulmonary blood flow and CT visual score (r=-0.39, p=0.04).
- These correlations remained significant after controlling for age, height, and weight.
Conclusions:
- Reduced pulmonary blood flow is associated with reduced lung volume in ILD patients.
- Increased abnormal lung area (higher CT visual score) correlates with decreased pulmonary blood flow.
- These findings highlight the interconnectedness of vascular and volumetric changes in ILD.
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