期刊
JOURNAL OF APPLIED PHYSIOLOGY
卷 100, 期 1, 页码 186-193出版社
AMER PHYSIOLOGICAL SOC
DOI: 10.1152/japplphysiol.00424.2005
关键词
gas exchange
资金
- NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL059215] Funding Source: NIH RePORTER
- NHLBI NIH HHS [R01 HL059215] Funding Source: Medline
The mean linear intercept (L-m) can be used to estimate the surface area for gas exchange in the lung. However, in recent years, it is most commonly used as an index for characterizing the enlargement of airspaces in emphysema and the associated severity of structural destruction in the lung. Specifically, an increase in Lm is thought to result from an increase in airspace sizes. In this paper, we examined how accurately Lm measures the linear dimensions of airspaces from histological sections and a variety of computer-generated test images. To this end, we developed an automated method for measuring linear intercepts from digitized images of tissue sections and calculate Lm as their mean. We examined how the shape of airspaces and the variability of their sizes influence Lm as well as the distribution of linear intercepts. We found that, for a relatively homogeneous enlargement of airspaces, Lm was a reliable index for detecting emphysema. However, in the presence of spatial heterogeneities with a large variability of airspace sizes, Lm did not significantly increase and sometimes even decreased compared with its value in normal tissue. We also developed an automated method for measuring the area and computed an equivalent diameter of each individual airspace that is independent of shape. Finally, we introduced new indexes based on the moments of diameter that we found to be more reliable than Lm to characterize airspace enlargement in the presence of heterogeneities.
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