Air trapping in children: Evaluation with dynamic lung densitometry with spiral CT

Air trapping in children: Evaluation with dynamic lung densitometry with spiral CT
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DOI:
10.1148/radiology.206.1.9423657
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发表时间:
1998-01-01
期刊:
影响因子:
19.7
通讯作者:
Mahboubi, S
Mahboubi, S
中科院分区:
医学1区
文献类型:
--
作者:
Johnson, JL;Kramer, SS;Mahboubi, S

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目得:为了评估一个简单的方法,动态肺密度测定与螺旋计算机断层扫描(CT),以区分空气潴留代偿性过度充气在children.MATERIALS和METHODS:8名儿童(平均年龄,4岁2个月)谁曾在胸部X线片上的透亮线局灶性地区进行了螺旋CT(5秒采集时间,固定表的位置)在安静呼吸的可行性。用0.7秒时间重叠扫描重建数据。结果:在空气潴留的儿童(n = 5)中,高透光区域的平均肺衰减(+/- 1标准差)为-815 HU +- 52,平均呼吸偏移为28 HU +/- 7。在代偿性过度充气患者(n = 4)中,平均肺衰减为-664 HU +/- 31,呼吸偏移为84 HU +/- 15。差异具有统计学意义(平均衰减P = 0.001:P
PURPOSE: To evaluate the feasibility of the use of a simple method of dynamic lung densitometry with spiral computed tomography (CT) to differentiate air trapping from compensatory hyperinflation in children.MATERIALS AND METHODS: Eight children (mean age, 4 years 2 months) who had focal areas of radiolucency on chest radiographs underwent spiral CT (5-second acquisition time, fixed table position) during quiet breathing. Data were reconstructed with 0.7-second temporally overlapping scans. Lung attenuation in selected regions of interest was plotted against time.RESULTS: In children with air trapping (n = 5), mean lung attenuation (+/- 1 standard deviation) in hyperlucent regions was -815 HU +- 52, and mean respiratory excursion was 28 HU +/- 7. In patients with compensatory hyperinflation (n = 4), mean lung attenuation was -664 HU +/- 31, and respiratory excursion was 84 HU +/- 15. The differences were statistically significant (P = .001 for mean attenuation: P