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1 Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, United States
2 Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, United States
3 Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, United States
4 Otolaryngology, Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, United States
* To whom correspondence should be addressed. E-mail: kiarash.emami{at}uphs.upenn.edu.
Early changes of lung function and structure were studied in presence of an elastase-induced model of emphysema in 35 Sprague Dawley rats at mild (5U/100g) and moderate (10U/100g) severities. Lung ventilation was measured on a regional basis (at a planar resolution of 3.2 mm) by hyperpolarized 3He MRI at 5 and 10 weeks after model induction. Subsequent to imaging, average alveolar diameter was measured from histological slices taken from the centers of each lobe. Changes of mean fractional ventilation, mean linear intercept, and intrasubject heterogeneity of ventilation were studied during disease progression. Mean fractional ventilation was significantly different between healthy controls (0.23±0.04) and emphysematous animals at both time points in the 10U group (0.06±0.02 and 0.12±0.05 respectively). Changes in average alveolar diameter were not statistically observable until the 10th week between healthy (37±10 µm) and emphysematous rats (73±25 µm and 95±31 µm, for 5U and 10U respectively). Assessment of function-structure correlation suggested that the majority of the decline in fractional ventilation occurred in the first 5 weeks, while enlargement of alveolar diameters appeared primarily between the 5-th and 10-th weeks. A thresholding metric, based on the 20-th percentile of fractional ventilation over the entire lung, was utilized to detect the onset of the disease with confidence, independent of whether the regional ventilation measurements were normalized with respect to the delivered tidal volume and estimated functional residual capacity of each individual rat.
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