Objective:This study aims to investigate the significance of lung lobe quantitative CT parameters in assessment of chronic obstructive pulmonary disease(COPD). Methods:Total 102 patients with stable COPD were recruited,and performed with chest CT scan and pulmonary function tests. The indexes of pulmonary function include forced expiratory volume(FVC) and predicted value percentage(FVC%pred),forced expiratory volume in one second(FEV1) and predicted value percentage(FEV1% pred),first second rate(FEV1 / FVC),maximum ventilation volume (MVV) and its percentage in the expected value(MVV% pred),maximum mid expiratory flow(MMEF). The percentages of low attenuation area below -950 HU(LAA%)and airway dimensions in each lung lobe segments were measured quantitatively. Results:Parameters of pulmonary ventilation function were linear negatively correlated with airway indicators(P < 0.001). When LAA% of left lower lobe was 13.5%,the sensitivity in prediction of MVV% pred <50% and FEV1%pred <50% was 66.2% and 75.0%,specificity was 88.4% and 81.0%,respectively. Wall thickness of 3.35 mm in left lower lobe had 60.5% sensitivity and 72.9% specificity in the prediction of FEV1 <50%. LAA% combined with airway variables could account for proportional changes in FEV1%pred of 42%,FEV1/FVC of 52%,MMEF of 31%,and MVV%pred of 35%,respectively. Conclusion:Quantitative CT parameters of different lung lobe can reflect deterioration of lung function in patients with COPD,and can be applied to predict the severity of airflow limitation.
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WU Xinggui, ZHANG Bo, LIAN Yixin, GAO Shiyuan, SHI Minhua, XU Liang, FAN Guohua. Quantitative CT parameters of different lung lobe segmentation in assessment of chronic obstructive pulmonary disease[J].,2020,(3):396-402.