Journal article
Metrics of lung tissue heterogeneity depend on BMI but not age
Journal of applied physiology (1985), Vol.125(2), pp.328-339
08/01/2018
DOI: 10.1152/japplphysiol.00510.2016
PMCID: PMC6442663
PMID: 29470150
Abstract
Altered parenchymal microstructure and complexity have been observed in older age. How to distinguish between healthy, expected changes and early signs of pathology remains poorly understood. An objective quantitative analysis of computed tomography imaging was conducted to compare mean lung density, tissue density distributions, and tissue heterogeneity in 16 subjects, 8 aged >60 yr who were gender and body mass index matched with 8 subjects aged <30 yr. Subjects had never been smokers, with no prior respiratory disease, and no radiologically identified abnormalities on computed tomography. Volume-controlled breath hold imaging acquired at 80% vital capacity (end inspiration) and 55% vital capacity (end expiration) were used for analysis. Mean lung density was not different between the age groups at end inspiration ( P = 0.806) but was larger in the younger group at end expiration (0.26 ± 0.033 vs. 0.22 ± 0.026, P = 0.008), as is expected due to increased air trapping in the older population. However, gravitational gradients of tissue density did not differ with age; the only difference in distribution of tissue density between the two age groups was a lower density in the apices of the older group at end expiration. The heterogeneity of the lung tissue assessed using two metrics showed significant differences between end inspiration and end expiration, no dependence on age, and a significant relationship with body mass index at both lung volumes when heterogeneity was calculated using quadtree decomposition but only at end expiration when using a fractal dimension. NEW & NOTEWORTHY Changes to lung tissue heterogeneity can be a normal part of aging but can also be an early indicator of disease. We use novel techniques, which have previously not been used on thoracic computed tomography imaging, to quantify lung tissue heterogeneity in young and old healthy subjects. Our results show no dependence on age but a significant correlation with body mass index.
Details
- Title: Subtitle
- Metrics of lung tissue heterogeneity depend on BMI but not age
- Creators
- K Subramaniam - Auckland Bioengineering Institute, University of Auckland, Auckland, New ZealandA. R Clark - Auckland Bioengineering Institute, University of Auckland, Auckland, New ZealandE. A Hoffman - Departments of Radiology and Bioengineering, University of Iowa, Iowa City, IowaM. H Tawhai - Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand
- Resource Type
- Journal article
- Publication Details
- Journal of applied physiology (1985), Vol.125(2), pp.328-339
- DOI
- 10.1152/japplphysiol.00510.2016
- PMID
- 29470150
- PMCID
- PMC6442663
- ISSN
- 8750-7587
- eISSN
- 1522-1601
- Grant note
- DOI: 10.13039/501100001509, name: Royal Society of New Zealand, award: 14-UOA-308
- Language
- English
- Date published
- 08/01/2018
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Radiology; Internal Medicine
- Record Identifier
- 9984051758802771
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