In vivo measurements of airway reactivity using high-resolution computed tomography

R. H. Brown, Christian J. Herold, C. A. Hirshman, E. A. Zerhouni, W. Mitzner

Research output: Contribution to journalArticlepeer-review

Abstract

Changes in airway resistance are reported to account for only a portion of changes in total lung resistance. The fraction of total lung resistance caused by airway resistance is difficult to quantify in vivo. High-resolution computed tomography (HRCT) has potential application for directly measuring changes in airway size in vivo. In the present investigation, we studied five anesthetized mongrel dogs using HRCT to locate and measure changes in airway area after aerosol histamine challenge in the absence and presence of deep inspiration. We also related changes in total lung resistance to changes in airway area. We found that in all dogs after histamine aerosol challenge, airway area decreased (range, 23 ± 7 to 67 ± 5%, mean ± SEM), and total lung resistance increased (range, 191 to 378%). After deep inspiration (equal to three times tidal volume), four of the five dogs showed further significant decreases in airway area (range, 13 ± 6 to 71 ± 8%), whereas all five dogs showed decreases in RL (range, 3 to 35%). The fact that preconstricted airways constricted further after deep inspiration while the measured RL decreased suggests that RL may not always be a reliable indicator of changes in the size of conducting airways larger than 1 mm.

Original languageEnglish (US)
Pages (from-to)208-212
Number of pages5
JournalAmerican Review of Respiratory Disease
Volume144
Issue number1
DOIs
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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