Deposition of inhaled nanoparticles is reduced in subjects with COPD and correlates with the extent of emphysema: Proof of concept for a novel diagnostic technique

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

Background: The diagnosis of chronic obstructive pulmonary disease (COPD) is often based on spirometry, which is not sensitive to early emphysema. We have recently described a method for assessing distal airspace dimensions by measuring recovery of nanoparticles in exhaled air after a single-breath inhalation followed by breath-hold. Recovery refers to the non-deposited particle fraction. The aim of this study was to explore differences in the recovery of exhaled nanoparticles in subjects with COPD and never-smoking controls. A secondary aim was to determine whether recovery correlates with the extent of emphysema. Method: A total of 19 patients with COPD and 19 controls underwent three repeats of single-breath nanoparticle inhalation followed by breath-hold. Particle concentrations in the inhaled aerosol, and in an alveolar sample exhaled after breath-hold, were measured to obtain recovery. Findings: The patients with COPD had a significantly higher mean recovery than controls, 0·128 ± 0·063 versus 0·074 ± 0·058; P = 0·010. Also, recovery correlated significantly with computed tomography (CT) densitometry variables (P<0·01) and diffusing capacity for carbon monoxide (DL,CO; P = 0·002). Interpretation: Higher recovery for emphysema patients, relative to controls, is explained by larger diffusion distances in enlarged distal airspaces. The nanoparticle inhalation method shows potential to be developed towards a tool to diagnose emphysema.

Detaljer

Författare
Enheter & grupper
Externa organisationer
  • Skåne University Hospital
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Lungmedicin och allergi
  • Radiologi och bildbehandling

Nyckelord

Originalspråkengelska
Sidor (från-till)1008-1014
TidskriftClinical Physiology and Functional Imaging
Volym38
Utgåva nummer6
Tidigt onlinedatum2018 apr 10
StatusPublished - 2018 nov
PublikationskategoriForskning
Peer review utfördJa

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H Laura Aaltonen, 2019, Lund: Lund University: Faculty of Medicine. 79 s.

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Jonas Jakobsson, 2018 sep 18, Lund, Sweden: Department of Design Sciences, Faculty of Engineering, Lund University. 160 s.

Forskningsoutput: AvhandlingDoktorsavhandling (sammanläggning)

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