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1 Division of Pulmonary, Allergy, and Critical Care, Duke University Medical Center, Durham, North Carolina, United States
2 Division of Radiology, and Biomedical Engineering, Duke University Medical Center, Durham, North Carolina, United States
3 Durham, North Carolina, United States; Division of Radiology, and Biomedical Engineering, Duke University Medical Center, Durham, North Carolina, United States
4 Division of Pulmonary, Allergy, and Critical Care, Duke University Medical Center, Durham, North Carolina, United States; Durham, North Carolina, United States
5 Duke University Medical Center; Durham, North Carolina, United States; Division of Radiology, and Biomedical Engineering, Duke University Medical Center, Durham, North Carolina, United States
* To whom correspondence should be addressed. E-mail: scott.shofer{at}duke.edu.
The effects of lung injury on pulmonary recruitment are incompletely understood. X-ray computed tomography (CT) has been a valuable tool in assessing changes in recruitment during lung injury. With the development of CT scanners designed for thoracic imaging in rodents, it is possible to acquire high-resolution images during the evolution of a pulmonary injury in living mice. We quantitatively assessed changes in recruitment caused by intratracheal bleomycin at 1 and 3 weeks after administration using microCT in129S6/SvEvTac mice. Twenty mice were administered 2.5u of bleomycin or saline and imaged with microCT at end-inspiration and end-expiration. Mice were extubated and allowed to recover from anesthesia, then re-evaluated in vivo for quasi-static compliance measurements followed by harvesting of the lungs for collagen analysis and histology. CT images were converted to histograms and analyzed for mean lung attenuation (MLA). Mean lung attenuation was significantly greater for bleomycin exposed mice at week 1 for both inspiration (p < 0.0047) and exhalation (p < 0.0377), but was not significantly different for week 3 bleomycin exposed mice. However, week 3 bleomycin exposed mice did display significant increases in MLA shift from expiration to inspiration compared with either group of control mice (p < 0.005) suggesting increased lung recruitment at this time point. Week 1 bleomycin exposed mice displayed normal shifts in MLA with inspiration suggesting normal lung recruitment despite significant radiographic and histologic changes. Lung alveolar recruitment is preserved in a mouse model of bleomycin induced parenchymal injury despite significant changes in radiographic, and physiologic parameters.
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