Analysis of the alveolar shape in 3-D.

Am J Physiol Lung Cell Mol Physiol

Institute of Functional and Applied Anatomy, Hannover Medical School, Hannover, Germany.

Published: March 2023


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Mechanical forces affect the alveolar shape, depending on location and tissue composition, and vary during the respiratory cycle. This study performs alveolar morphomics in different lobes of human lungs using models generated from three-dimensional (3-D) micro-computed tomography (microCT) images. Cylindrical tissue samples (1.6 cm × 2 cm) were extracted from two nontransplantable donor lungs (one ex-smoker and one smoker, 3 samples per subject) that were air-inflated and frozen solid in liquid nitrogen vapor. Samples were scanned with microCT (11 µm/voxel). Within representative cubic regions of interest (5.5 mm edge length), alveoli were segmented to produce corresponding 3-D models from which quantitative data were obtained. The surface of segmented alveoli (n_alv_total = 23,587) was divided into individual planar surfaces (facets) and angles between facet normals were calculated. Moreover, the number of neighboring alveoli was estimated for every alveolus. In this study, we examined intraindividual differences in alveolar morphology, which were reproducible in the lungs of two subjects. The main aspects are higher mean alveolar volumes (v_alv: 6.64 × 10 and 6.63 × 10 µm vs. 5.78 × 10 and 6.29 × 10 µm) and surface sizes (s_alv: 0.19 and 0.18 mm vs. 0.17 mm in both lower lobes) in both upper lung lobes compared with the lower lobes. An increasing number of facets (f_alv) from top to bottom (12 and 14 in the upper lobes; 14 and 15 in the lower lobes), as well as a decreasing number of alveolar neighbors (nei_alv: 9 and 8 in the upper lobes; 8 and 7 in the lower lobes) from the upper lobes to the lower lobes were observed. We could observe an increasing ratio of alveolar entrance size to the surface size of the alveoli from top to bottom (S_ratio_alv: 0.71 and 0.64 in the upper lobes, 0.73 and 0.70 in the lower lobes). The angles between facet normals (ang_alv) were larger in the upper lobes (67.72° and 62.44°) of both lungs than in the lower lobes (66.19° and 61.30°). By using this new approach of analyzing alveolar 3-D data, which enables the estimation of facet, neighbor, and shape characteristics, we aimed to establish the baseline measures for in-depth studies of mechanical conditions and morphology.

Download full-text PDF

Source
http://dx.doi.org/10.1152/ajplung.00069.2022DOI Listing

Publication Analysis

Top Keywords

lower lobes
28
upper lobes
20
lobes
14
lobes lower
12
alveolar shape
8
angles facet
8
facet normals
8
lobes upper
8
top bottom
8
alveolar
7

Similar Publications

Characteristics of the 18F-fluorodeoxyglucose (F-FDG) and [F] 9-fluoropropyl-(+)-dihydrotetrabenazine (F-FP-DTBZ) positron emission tomography (PET) in patients with cognitive impairment in Parkinson's disease.

Clin Radiol

July 2025

Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China; Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China; Key Laboratory of Neurodegenerative Diseases, Ministry of Education, Beijing, China. Electroni

Aim: Mild cognitive impairment (MCI) is common in Parkinson's disease (PD). This study compared cerebral metabolism and dopaminergic function in PD patients with MCI (PD-MCI) versus those with normal cognition (PD-NC) and healthy controls (HC).

Material And Methods: A total of 78 PD patients (40 PD-MCI, 38 PD-NC) and 28 HC underwent 18F-fluorodeoxyglucose positron emission tomography (F-FDG PET) (metabolism) and [F] 9-fluoropropyl-(+)-dihydrotetrabenazine (F-FP-DTBZ) PET (dopaminergic vesicular transporter).

View Article and Find Full Text PDF

Two primary techniques, namely, the conventional transfissural and the fissureless approaches, have been defined for videothoracoscopic lobectomy. We hypothesized that a videothoracoscopic fissureless, non-arterial dissection (NAD) technique-using new generation staplers-for lower lobe resections may reduce operative time and lower the intra- and postoperative complication rates.We had 69 consecutive patients assigned to a fissureless NAD or a conventional lobectomy for lower lobes.

View Article and Find Full Text PDF

Perivascular epithelioid cell tumors (PEComas) are rare, typically benign soft tissue tumors that can develop at various anatomic sites. Malignant PEComas are rarer entities but may present aggressively with metastasis to the lungs or local recurrence years after initial presentation. In unresectable or metastatic cases, treatment options are limited due to the resistance of PEComas to chemotherapy and radiotherapy.

View Article and Find Full Text PDF

The clinical characteristics and pathophysiological processes of super-multiple ground-glass nodules (GGNs) remain poorly understood due to their rare incidence. This retrospective-prospective study aimed to elucidate these aspects by analyzing 75 patients with "super-multiple GGNs," having more than five persistent nodules, each measuring at least 5 mm, identified from a larger cohort of 2589 patients. We compared these patients with those having solitary GGNs (N = 691) and 2-5 GGNs (N = 458) to evaluate clinical and radiological characteristics.

View Article and Find Full Text PDF

The article explores a case study of a patient diagnosed with relapsing-remitting multiple sclerosis (RRMS) who, while receiving treatment with the anti-CD20 monoclonal antibody ofatumumab, developed psoriatic skin lesions. Initially, sharply demarcated, scaly, erythematous lesions were observed only in the anogenital area. After several weeks, additional lesions appeared on the ear lobes, scalp, and lower legs following subsequent administrations of ofatumumab.

View Article and Find Full Text PDF