Xenon ventilation computed tomography and the management of asthma in the elderly

作者: Heung-Woo Park , Jae-Woo Jung , Kyung-Mook Kim , Tae-Wan Kim , So-Hee Lee

DOI: 10.1111/RESP.12242

关键词:

摘要: Background and objective Xenon ventilation computed tomography (CT) has shown potential in assessing the regional status subjects with asthma. The purpose of this study was to evaluate usefulness xenon CT management asthma elderly. Methods Treatment-naive asthmatics aged 65 years or older were recruited. Before initiation medication, spirometry bronchodilator (BD) reversibility, questionnaires assess severity symptoms including a visual analogue scale (VAS), tests cognitive function mood, performed. Xenon gas trapping (XT) on represents an area where inhaled not expired trapped. Symptoms lung functions measured again after 12-week treatment. Results A total 30 elderly enrolled. dyspnoea by VAS showed significant correlation number areas XT taken pre-BD wash-out phase (r = −0.723, P < 0.001). significantly decreased BD inhalation, differences (between pre- post-BD phases) at baseline correlations per cent increases forced expiratory volume 1 s subsequent anti-asthma treatment (r = −0.775, P < 0.001). Conclusions Xenon may be objective promising tool measurement prediction response asthmatics.

参考文章(28)
N. Hanxiang, Y. Jiong, C. Yanwei, W. Dunshuang, D. Xuhong, W. Xiaojun, L. Changsheng, Persistent airway inflammation and bronchial hyperresponsiveness in patients with totally controlled asthma International Journal of Clinical Practice. ,vol. 62, pp. 599- 605 ,(2007) , 10.1111/J.1742-1241.2007.01373.X
Catherine Marcucci, Daniel Nyhan, Brett A. Simon, Distribution of pulmonary ventilation using Xe-enhanced computed tomography in prone and supine dogs. Journal of Applied Physiology. ,vol. 90, pp. 421- 430 ,(2001) , 10.1152/JAPPL.2001.90.2.421
Jan C. Schenzle, Wieland H. Sommer, Klement Neumaier, Gisela Michalski, Ursula Lechel, Konstantin Nikolaou, Christoph R. Becker, Maximilian F. Reiser, Thorsten R. C. Johnson, Dual Energy CT of the Chest: How About the Dose? Investigative Radiology. ,vol. 45, pp. 347- 353 ,(2010) , 10.1097/RLI.0B013E3181DF901D
Matthew Sherman Brown, Michael Francis McNitt-Gray, Jonathan Gerard Goldin, Lloyd Edward Greaser, Ulrike Michaela Hayward, James William Sayre, Mohsen Kamel Arid, Denise Ru Aberle, Automated measurement of single and total lung volume from CT. Journal of Computer Assisted Tomography. ,vol. 23, pp. 632- 640 ,(1999) , 10.1097/00004728-199907000-00027
Sang Joon Park, Chang Hyun Lee, Jin Mo Goo, Jong Hyo Kim, Eun-Ah Park, Jae-Woo Jung, Heung-Woo Park, Sang-Heon Cho, Quantitative analysis of dynamic airway changes after methacholine and salbutamol inhalation on xenon-enhanced chest CT. European Radiology. ,vol. 22, pp. 2441- 2450 ,(2012) , 10.1007/S00330-012-2516-0
Won Wha Kim, Chang Hyun Lee, Jin Mo Goo, Sang Joon Park, Jong Hyo Kim, Eun-Ah Park, Sang-Heon Cho, Xenon-Enhanced Dual-Energy CT of Patients With Asthma: Dynamic Ventilation Changes After Methacholine and Salbutamol Inhalation American Journal of Roentgenology. ,vol. 199, pp. 975- 981 ,(2012) , 10.2214/AJR.11.7624
Gulshan Sharma, James Goodwin, Effect of aging on respiratory system physiology and immunology Clinical Interventions in Aging. ,vol. 1, pp. 253- 260 ,(2006) , 10.2147/CIIA.2006.1.3.253
David Gur, Leonard Shabason, Harvey S. Borovetz, David L. Herbert, G John Reece, William H. Kennedy, Christopher Serago, Regional pulmonary ventilation measurements by xenon enhanced dynamic computed tomography: an update. Journal of Computer Assisted Tomography. ,vol. 5, pp. 678- 683 ,(1981) , 10.1097/00004728-198110000-00015
Helen K Reddel, Elena G Belousova, Guy B Marks, Christine R Jenkins, Does continuous use of inhaled corticosteroids improve outcomes in mild asthma? A double-blind randomised controlled trial Primary Care Respiratory Journal. ,vol. 17, pp. 39- 45 ,(2008) , 10.3132/PCRJ.2008.00014