Low attenuation area is associated with airflow limitation and airway hyperresponsiveness

Ka Young Lee, Seoung Ju Park, So Ri Kim, Kyung-Hoon Min, Yeong Hun Choe, Gong Yong Jin, Yong Chul Lee

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background. Asthma is a chronic inflammatory disorder of the airways characterized by airflow limitation and airway hyperresponsiveness. Lung density indices on quantitative computed tomography (QCT) are assumed to reflect the degree of air trapping originated from airflow limitation in airway diseases. Purpose. The present study investigated the availability of lung density indices on QCT in clinical evaluation of asthma. Methods. Eleven asthmatic patients and 48 healthy control subjects were prospectively evaluated by QCT, pulmonary function testing, and a methacholine challenge test. High-resolution computed tomography scans were performed at full-inspiratory and full-expiratory phases, and percentage of lung field occupied by low attenuation area (LAA%) and mean lung density (MLD) at both inspiratory and expiratory phases were measured. Results. MLD values at inspiratory phase were significantly increased in asthmatic patients compared with those in healthy control subjects. Inspiratory LAA% values were significantly decreased in asthmatics compared with the values in control subjects. On expiratory scans, MLD values of asthmatics were significantly lower than the values of control subjects. Expiratory LAA% values of asthmatics were significantly higher than the values of control subjects. The LAA% in the expiratory phase showed significant negative correlation with forced expiratory volume in 1 second (FEV1), FEV1/forced vital capacity, and the provocative dose of methacholine causing a 20% decrease in FEV1 in asthmatic patients. Conclusion. These results suggest that lung density indices on QCT may be useful for clinical evaluation of asthmatic patients and increased LAA% in the expiratory phase is associated with airflow limitation and airway hyperresponsiveness in asthma.

Original languageEnglish
Pages (from-to)774-779
Number of pages6
JournalJournal of Asthma
Volume45
Issue number9
DOIs
Publication statusPublished - 2008 Nov 1
Externally publishedYes

Fingerprint

Lung
Tomography
Forced Expiratory Volume
Asthma
Methacholine Chloride
Healthy Volunteers
Vital Capacity
Air

Keywords

  • Airflow limitation
  • Airway hyperresponsiveness
  • Asthma
  • Computed tomography
  • Lung density

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Low attenuation area is associated with airflow limitation and airway hyperresponsiveness. / Lee, Ka Young; Park, Seoung Ju; Kim, So Ri; Min, Kyung-Hoon; Choe, Yeong Hun; Jin, Gong Yong; Lee, Yong Chul.

In: Journal of Asthma, Vol. 45, No. 9, 01.11.2008, p. 774-779.

Research output: Contribution to journalArticle

Lee, Ka Young ; Park, Seoung Ju ; Kim, So Ri ; Min, Kyung-Hoon ; Choe, Yeong Hun ; Jin, Gong Yong ; Lee, Yong Chul. / Low attenuation area is associated with airflow limitation and airway hyperresponsiveness. In: Journal of Asthma. 2008 ; Vol. 45, No. 9. pp. 774-779.
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abstract = "Background. Asthma is a chronic inflammatory disorder of the airways characterized by airflow limitation and airway hyperresponsiveness. Lung density indices on quantitative computed tomography (QCT) are assumed to reflect the degree of air trapping originated from airflow limitation in airway diseases. Purpose. The present study investigated the availability of lung density indices on QCT in clinical evaluation of asthma. Methods. Eleven asthmatic patients and 48 healthy control subjects were prospectively evaluated by QCT, pulmonary function testing, and a methacholine challenge test. High-resolution computed tomography scans were performed at full-inspiratory and full-expiratory phases, and percentage of lung field occupied by low attenuation area (LAA{\%}) and mean lung density (MLD) at both inspiratory and expiratory phases were measured. Results. MLD values at inspiratory phase were significantly increased in asthmatic patients compared with those in healthy control subjects. Inspiratory LAA{\%} values were significantly decreased in asthmatics compared with the values in control subjects. On expiratory scans, MLD values of asthmatics were significantly lower than the values of control subjects. Expiratory LAA{\%} values of asthmatics were significantly higher than the values of control subjects. The LAA{\%} in the expiratory phase showed significant negative correlation with forced expiratory volume in 1 second (FEV1), FEV1/forced vital capacity, and the provocative dose of methacholine causing a 20{\%} decrease in FEV1 in asthmatic patients. Conclusion. These results suggest that lung density indices on QCT may be useful for clinical evaluation of asthmatic patients and increased LAA{\%} in the expiratory phase is associated with airflow limitation and airway hyperresponsiveness in asthma.",
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