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Short-term reproducibility of computed tomography-based lung density measurements in alpha-1 antitrypsin deficiency and smokers with emphysema.
- Source :
-
Acta radiologica (Stockholm, Sweden : 1987) [Acta Radiol] 2004 Jul; Vol. 45 (4), pp. 424-30. - Publication Year :
- 2004
-
Abstract
- Purpose: To study the short-term reproducibility of lung density measurements by multi-slice computed tomography (CT) using three different radiation doses and three reconstruction algorithms.<br />Material and Methods: Twenty-five patients with smoker's emphysema and 25 patients with alpha1-antitrypsin deficiency underwent 3 scans at 2-week intervals. Low-dose protocol was applied, and images were reconstructed with bone, detail, and soft algorithms. Total lung volume (TLV), 15th percentile density (PD-15), and relative area at -910 Hounsfield units (RA-910) were obtained from the images using Pulmo-CMS software. Reproducibility of PD-15 and RA-910 and the influence of radiation dose, reconstruction algorithm, and type of emphysema were then analysed.<br />Results: The overall coefficient of variation of volume adjusted PD-15 for all combinations of radiation dose and reconstruction algorithm was 3.7%. The overall standard deviation of volume-adjusted RA-910 was 1.7% (corresponding to a coefficient of variation of 6.8%). Radiation dose, reconstruction algorithm, and type of emphysema had no significant influence on the reproducibility of PD-15 and RA-910. However, bone algorithm and very low radiation dose result in overestimation of the extent of emphysema.<br />Conclusion: Lung density measurement by CT is a sensitive marker for quantitating both subtypes of emphysema. A CT-protocol with radiation dose down to 16 mAs and soft or detail reconstruction algorithm is recommended.
- Subjects :
- Absorptiometry, Photon statistics & numerical data
Aged
Algorithms
Female
Follow-Up Studies
Humans
Image Processing, Computer-Assisted methods
Image Processing, Computer-Assisted statistics & numerical data
Lung diagnostic imaging
Lung physiopathology
Male
Middle Aged
Pulmonary Diffusing Capacity physiology
Pulmonary Emphysema physiopathology
Radiation Dosage
Regression Analysis
Reproducibility of Results
Residual Volume physiology
Software
Tomography, X-Ray Computed statistics & numerical data
Total Lung Capacity physiology
Lung Volume Measurements methods
Pulmonary Emphysema diagnostic imaging
Smoking adverse effects
Tomography, X-Ray Computed methods
alpha 1-Antitrypsin Deficiency complications
Subjects
Details
- Language :
- English
- ISSN :
- 0284-1851
- Volume :
- 45
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Acta radiologica (Stockholm, Sweden : 1987)
- Publication Type :
- Academic Journal
- Accession number :
- 15323395
- Full Text :
- https://doi.org/10.1080/02841850410005642