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Elastic properties of the central airways in obstructive lung diseases measured using anatomical optical coherence tomography

Williamson, J.P., McLaughlin, R.A., Noffsinger, W.J., James, A.L., Baker, V.A., Curatolo, A., Armstrong, J.J., Regli, A., Shepherd, K.L., Marks, G.B. , Sampson, D.D., Hillman, D.R. and Eastwood, P.R. (2011) Elastic properties of the central airways in obstructive lung diseases measured using anatomical optical coherence tomography American Journal of Respiratory and Critical Care Medicine, 183 (5). pp. 612-619.

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Rationale: Our understanding of how airway remodeling affects regional airway elastic properties is limited due to technical difficulties in quantitatively measuring dynamic, in vivo airway dimensions. Such knowledge could help elucidate mechanisms of excessive airway narrowing. Objectives: To use anatomical optical coherence tomography (aOCT) to compare central airway elastic properties in control subjects and those with obstructive lung diseases. Methods: After bronchodilation, airway lumen area (Ai) was measured using aOCT during bronchoscopy in control subjects (n = 10) and those with asthma (n = 16), chronic obstructive pulmonary disease (COPD) (n = 9), and bronchiectasis (n = 8). Ai was measured in each of generations 0 to 5 while airway pressure was increased from -10 to 20 cm H2O. Airway compliance (Caw) and specific compliance (sCaw) were derived from the transpulmonary pressure (PL) versus Ai curves. Measurements and Main Results: Caw decreased progressively as airway generation increased, but sCaw did not differ appreciably across the generations. In subjects with asthma and bronchiectasis, Caw and sCaw were similar to control subjects and the PL-Ai curves were left-shifted. No significant differences were observed between control and COPD groups. Conclusions: Proximal airway elastic properties are altered in obstructive lung diseases. Although central airway compliance does not differ from control subjects in asthma, bronchiectasis, or COPD, Ai is lower in asthma and the PL-Ai relationship is left-shifted in both asthma and bronchiectasis, suggesting that airways are maximally distended at lower inflating pressures. Such changes reflect alteration in the balance between airway wall distensibility and radial traction exerted on airways by surrounding lung parenchyma favoring airway narrowing.

Item Type: Article
Divisions : Faculty of Engineering and Physical Sciences
Faculty of Health and Medical Sciences
Authors :
Williamson, J.P.
McLaughlin, R.A.
Noffsinger, W.J.
James, A.L.
Baker, V.A.
Curatolo, A.
Armstrong, J.J.
Regli, A.
Shepherd, K.L.
Marks, G.B.
Hillman, D.R.
Eastwood, P.R.
Date : 2011
DOI : 10.1164/rccm.201002-0178OC
Uncontrolled Keywords : Airway compliance, Airway remodeling, Asthma, Chronic obstructive pulmonary disease, Optical coherence tomography, adult, aged, airway, airway pressure, anthropometry, article, asthma, bronchiectasis, bronchoscopy, chronic obstructive lung disease, clinical article, controlled study, female, human, lung compliance, lung pressure, male, optical coherence tomography, priority journal, Adolescent, Adult, Aged, Bronchoscopy, Elasticity, Female, Humans, Lung, Lung Compliance, Lung Diseases, Obstructive, Male, Middle Aged, Tomography, Optical Coherence, Young Adult
Depositing User : Maria Rodriguez-Marquez
Date Deposited : 06 Jun 2018 11:04
Last Modified : 19 Sep 2018 11:32

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