Ventilation heterogeneity in smokers: role of unequal lung expansion and peripheral lung structure

Author:

Verbanck Sylvia A.B.1ORCID,Polfliet Mathias234,Schuermans Daniel1,Ilsen Bart5,de Mey Johan5,Vanderhelst Eef1,Vandemeulebroucke Jef23

Affiliation:

1. Respiratory Division, University Hospital (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium

2. Department of Electronics and Informatics (ETRO), Vrije Universiteit Brussel (VUB), Brussels, Belgium

3. Imec, Kapeldreef, Leuven, Belgium

4. Biomedical Imaging Group Rotterdam, Departments of Medical Informatics and Radiology, Erasmus University Medical Center, Rotterdam, The Netherlands

5. Department of Radiology, University Hospital (UZ Brussel), Vrije Universiteit Brussel (VUB), Brussels, Belgium

Abstract

A head-on comparison between imaging and multiple breath washout in supine smokers shows that computer tomography-measured unequal local lung expansion accounts for 50% or less of smoking-induced increase in ventilation heterogeneity. The contributions from unequal lung expansion and peripheral structure to the two main washout indices also explain their respective association with parametric response mapping indices.

Publisher

American Physiological Society

Subject

Physiology (medical),Physiology

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