Indian Journal of Radiology and Imaging Indian Journal of Radiology and Imaging

THORAACIC IMAGING
Year
: 2018  |  Volume : 28  |  Issue : 1  |  Page : 99--106

Performance of quantitative CT parameters in assessment of disease severity in COPD: A prospective study


Ishan Kumar1, Ashish Verma1, Avinash Jain2, SK Agarwal2 
1 Department of Radiodiagnosis, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
2 Department of TB and Respiratory Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

Correspondence Address:
Dr. Ashish Verma
Department of Radiodiagnosis, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221005, Uttar Pradesh
India

Background: Both emphysematous destruction of lung parenchyma and airway remodeling is thought to contribute to airflow limitation in cases of chronic obstructive pulmonary disease (COPD). Objective: To evaluate the value of quantitative computed tomography (QCT) parameters of emphysema and airway disease with disease severity in patients with COPD. Materials and Methods: We prospectively studied 50 patients with COPD, which included nonsmokers and patients with different degrees of cumulative smoking exposure. Three QCT parameters namely LAA% (low attenuation area percentage), WA% (Wall area percentage), and pi10 were calculated as per the standard technique. Forced expiratory volume in 1 s (FEV1), BODE score, and MMRC dyspnea scale were used as measures of disease severity. Results: FEV1 was inversely and significantly associated with all three QCT parameters. Receiver operated characteristic curves in prediction of GOLD class 3 COPD yielded cut-off values of 12.2, 61.45, and 3.5 for LAA%, WA%, and pi10, respectively, with high sensitivities and specificities. In multiple linear regression model, however, only LAA% proved to be significantly associated with FEV1, BODE, and dyspnea. Conclusion: QCT indices of both emphysema and airway disease influence FEV1, dyspnea, and BODE score in patients with COPD. Emphysema, however, appears to be more closely related to disease severity.


How to cite this article:
Kumar I, Verma A, Jain A, Agarwal S K. Performance of quantitative CT parameters in assessment of disease severity in COPD: A prospective study.Indian J Radiol Imaging 2018;28:99-106


How to cite this URL:
Kumar I, Verma A, Jain A, Agarwal S K. Performance of quantitative CT parameters in assessment of disease severity in COPD: A prospective study. Indian J Radiol Imaging [serial online] 2018 [cited 2020 May 26 ];28:99-106
Available from: http://www.ijri.org/article.asp?issn=0971-3026;year=2018;volume=28;issue=1;spage=99;epage=106;aulast=Kumar;type=0