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Related Experiment Video

Updated: Nov 26, 2025

Multi-modal Pulmonary Imaging: Using Complementary Information from CT and Hyperpolarized 129Xe MRI to Evaluate Lung Structure-Function
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Advances in imaging for lung emphysema.

Katharina Martini1, Thomas Frauenfelder1

  • 1Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.

Annals of Translational Medicine
|December 14, 2020
PubMed
Summary

Lung emphysema, a leading cause of death, involves irreversible alveolar wall destruction. This review covers emphysema subtypes, risk assessment, and traditional and emerging imaging techniques for diagnosis and quantification.

Keywords:
Emphysemachronic obstructive pulmonary disease (COPD)imaging

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Area of Science:

  • Pulmonology
  • Radiology
  • Medical Imaging

Background:

  • Lung emphysema is a significant global health issue, causing 5% of worldwide deaths.
  • It is characterized by irreversible enlargement and destruction of alveoli, impacting gas exchange.
  • Key causes include smoking and alpha-1-antitrypsin deficiency, with distinct distribution patterns.

Purpose of the Study:

  • To review lung emphysema subtypes and their characteristics.
  • To provide an overview of prediction and risk assessment strategies for emphysematous disease.
  • To discuss traditional and novel imaging techniques for emphysema diagnosis, quantification, and evaluation.

Main Methods:

  • Review of existing literature on lung emphysema.
  • Discussion of various imaging modalities, including computed tomography (CT) and magnetic resonance imaging (MRI).
  • Exploration of emerging techniques such as radiomics and artificial intelligence in emphysema assessment.

Main Results:

  • Emphysema subtypes vary in etiology and affected lung regions (e.g., smoking-related vs. alpha-1-antitrypsin deficiency).
  • Accurate quantification and distribution evaluation are critical for treatment planning.
  • Computed tomography (CT) is the current gold standard for imaging, but advanced techniques are gaining prominence.

Conclusions:

  • Understanding emphysema subtypes and causes is crucial for effective management.
  • Imaging plays a pivotal role in diagnosis, quantification, and treatment planning.
  • Emerging imaging technologies offer promising advancements for evaluating lung emphysema.