Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2008-6-23
pubmed:abstractText
Computed tomographic based indices of emphysematous lung destruction may highlight differences in disease pathogenesis and further enable the classification of subjects with Chronic Obstructive Pulmonary Disease. While there are multiple techniques that can be utilized for such radiographic analysis, there is very little published information comparing the performance of these methods in a clinical case series. Our objective was to examine several quantitative and semi-quantitative methods for the assessment of the burden of emphysema apparent on computed tomographic scans and compare their ability to predict lung mechanics and function. Automated densitometric analysis was performed on 1094 computed tomographic scans collected upon enrollment into the National Emphysema Treatment Trial. Trained radiologists performed an additional visual grading of emphysema on high resolution CT scans. Full pulmonary function test results were available for correlation, with a subset of subjects having additional measurements of lung static recoil. There was a wide range of emphysematous lung destruction apparent on the CT scans and univariate correlations to measures of lung function were of modest strength. No single method of CT scan analysis clearly outperformed the rest of the group. Quantification of the burden of emphysematous lung destruction apparent on CT scan is a weak predictor of lung function and mechanics in severe COPD with no uniformly superior method found to perform this analysis. The CT based quantification of emphysema may augment pulmonary function testing in the characterization of COPD by providing complementary phenotypic information.
pubmed:grant
http://linkedlifedata.com/resource/pubmed/grant/N01HR76101, http://linkedlifedata.com/resource/pubmed/grant/N01HR76102, http://linkedlifedata.com/resource/pubmed/grant/N01HR76103, http://linkedlifedata.com/resource/pubmed/grant/N01HR76104, http://linkedlifedata.com/resource/pubmed/grant/N01HR76105, http://linkedlifedata.com/resource/pubmed/grant/N01HR76106, http://linkedlifedata.com/resource/pubmed/grant/N01HR76107, http://linkedlifedata.com/resource/pubmed/grant/N01HR76108, http://linkedlifedata.com/resource/pubmed/grant/N01HR76109, http://linkedlifedata.com/resource/pubmed/grant/N01HR76110, http://linkedlifedata.com/resource/pubmed/grant/N01HR76111, http://linkedlifedata.com/resource/pubmed/grant/N01HR76112, http://linkedlifedata.com/resource/pubmed/grant/N01HR76113, http://linkedlifedata.com/resource/pubmed/grant/N01HR76114, http://linkedlifedata.com/resource/pubmed/grant/N01HR76115, http://linkedlifedata.com/resource/pubmed/grant/N01HR76116, http://linkedlifedata.com/resource/pubmed/grant/N01HR76118, http://linkedlifedata.com/resource/pubmed/grant/N01HR76119, http://linkedlifedata.com/resource/pubmed/grant/T32 HL007633, http://linkedlifedata.com/resource/pubmed/grant/U10HL074428
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1541-2563
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
177-86
pubmed:dateRevised
2009-11-17
pubmed:meshHeading
pubmed:year
2008
pubmed:articleTitle
Computed tomographic-based quantification of emphysema and correlation to pulmonary function and mechanics.
pubmed:affiliation
Brigham and Women's Hospital, Division of Pulmonary and Critical Care Medicine, Boston, Massachusetts 02115, USA. Gwashko@Partners.org
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural