Title
Detecting airway remodeling in COPD and emphysema using low-dose CT imaging
Abstract
In this study, we quantitatively characterize lung airway remodeling caused by smoking-related emphysema and Chronic Obstructive Pulmonary Disease (COPD), in low-dose CT scans. To that end, we established three groups of individuals: subjects with COPD (n=35), subjects with emphysema (n=38) and healthy smokers (n=28). All individuals underwent a low-dose CT scan, and the images were analyzed as described next. First the lung airways were segmented using a fast marching method and labeled according to its generation. Along each airway segment, cross-section images were resampled orthogonal to the airway axis. Next, 128 rays were cast from the center of the airway lumen in each cross-section slice. Finally, we used an integral-based method to measure lumen radius, wall thickness, mean wall percentage and mean peak wall attenuation on every cast ray. Our analysis shows that both the mean global wall thickness and the lumen radius of the airways of both COPD and emphysema groups were significantly different from those of the healthy group. In addition, the wall thickness starts changing at the 3rd airway generation in COPD patients compared with emphysema patients, who suffer the first significant changes starting in the 2nd generation. In conclusion, it is shown that airway remodeling happens in individuals suffering from either COPD or emphysema, with some local difference between both groups, and that we are able to detect and accurately quantify this process using images of low-dose CT scans.
Year
DOI
Venue
2012
10.1117/12.910901
Proceedings of SPIE
Keywords
Field
DocType
lung,emphysema,chronic obstruction pulmonary disease,airway,quantitative analysis,low-dose computed tomography
Nuclear medicine,COPD,Computer vision,Lung,Lumen (unit),Artificial intelligence,Computed tomography,Airway,Medicine
Conference
Volume
ISSN
Citations 
8315
0277-786X
0
PageRank 
References 
Authors
0.34
0
4
Name
Order
Citations
PageRank
Rina Dewi Rudyanto1312.89
Mario Ceresa2229.97
Arrate Muñoz-Barrutia312320.02
Carlos Ortiz-de-Solorzano423323.07