Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly
The aims of this study were to evaluate the forced oscillation technique (FOT) and pulmonary densitovolumetry in acromegalic patients and to examine the correlations between these findings. In this cross-sectional study, 29 non-smoking acromegalic patients and 17 paired controls were subjected to th...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2015-08-01
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| Series: | Brazilian Journal of Medical and Biological Research |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015001000003&tlng=en |
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| author | G.B. Camilo A.R.S. Carvalho D.C. Machado R. Mogami L. Kasuki M.R. Gadelha P.L. Melo A.J. Lopes |
| author_facet | G.B. Camilo A.R.S. Carvalho D.C. Machado R. Mogami L. Kasuki M.R. Gadelha P.L. Melo A.J. Lopes |
| author_sort | G.B. Camilo |
| collection | DOAJ |
| description | The aims of this study were to evaluate the forced oscillation technique (FOT) and pulmonary densitovolumetry in acromegalic patients and to examine the correlations between these findings. In this cross-sectional study, 29 non-smoking acromegalic patients and 17 paired controls were subjected to the FOT and quantification of lung volume using multidetector computed tomography (Q-MDCT). Compared with the controls, the acromegalic patients had a higher value for resonance frequency [15.3 (10.9-19.7) vs 11.4 (9.05-17.6) Hz, P=0.023] and a lower value for mean reactance [0.32 (0.21-0.64) vs 0.49 (0.34-0.96) cm H2O/L/s2, P=0.005]. In inspiratory Q-MDCT, the acromegalic patients had higher percentages of total lung volume (TLV) for nonaerated and poorly aerated areas [0.42% (0.30-0.51%) vs 0.25% (0.20-0.32%), P=0.039 and 3.25% (2.48-3.46%) vs 1.70% (1.45-2.15%), P=0.001, respectively]. Furthermore, the acromegalic patients had higher values for total lung mass in both inspiratory and expiratory Q-MDCT [821 (635-923) vs 696 (599-769) g, P=0.021 and 844 (650-945) vs 637 (536-736) g, P=0.009, respectively]. In inspiratory Q-MDCT, TLV showed significant correlations with all FOT parameters. The TLV of hyperaerated areas showed significant correlations with intercept resistance (rs=−0.602, P<0.001) and mean resistance (rs=−0.580, P<0.001). These data showed that acromegalic patients have increased amounts of lung tissue as well as nonaerated and poorly aerated areas. Functionally, there was a loss of homogeneity of the respiratory system. Moreover, there were correlations between the structural and functional findings of the respiratory system, consistent with the pathophysiology of the disease. |
| first_indexed | 2024-04-11T15:09:55Z |
| format | Article |
| id | doaj.art-e03aadcddce8446cbbca82dc92f63ebe |
| institution | Directory Open Access Journal |
| issn | 1414-431X |
| language | English |
| last_indexed | 2024-04-11T15:09:55Z |
| publishDate | 2015-08-01 |
| publisher | Associação Brasileira de Divulgação Científica |
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| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-e03aadcddce8446cbbca82dc92f63ebe2022-12-22T04:16:42ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2015-08-01481087788510.1590/1414-431x20154786Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegalyG.B. CamiloA.R.S. CarvalhoD.C. MachadoR. MogamiL. KasukiM.R. GadelhaP.L. MeloA.J. LopesThe aims of this study were to evaluate the forced oscillation technique (FOT) and pulmonary densitovolumetry in acromegalic patients and to examine the correlations between these findings. In this cross-sectional study, 29 non-smoking acromegalic patients and 17 paired controls were subjected to the FOT and quantification of lung volume using multidetector computed tomography (Q-MDCT). Compared with the controls, the acromegalic patients had a higher value for resonance frequency [15.3 (10.9-19.7) vs 11.4 (9.05-17.6) Hz, P=0.023] and a lower value for mean reactance [0.32 (0.21-0.64) vs 0.49 (0.34-0.96) cm H2O/L/s2, P=0.005]. In inspiratory Q-MDCT, the acromegalic patients had higher percentages of total lung volume (TLV) for nonaerated and poorly aerated areas [0.42% (0.30-0.51%) vs 0.25% (0.20-0.32%), P=0.039 and 3.25% (2.48-3.46%) vs 1.70% (1.45-2.15%), P=0.001, respectively]. Furthermore, the acromegalic patients had higher values for total lung mass in both inspiratory and expiratory Q-MDCT [821 (635-923) vs 696 (599-769) g, P=0.021 and 844 (650-945) vs 637 (536-736) g, P=0.009, respectively]. In inspiratory Q-MDCT, TLV showed significant correlations with all FOT parameters. The TLV of hyperaerated areas showed significant correlations with intercept resistance (rs=−0.602, P<0.001) and mean resistance (rs=−0.580, P<0.001). These data showed that acromegalic patients have increased amounts of lung tissue as well as nonaerated and poorly aerated areas. Functionally, there was a loss of homogeneity of the respiratory system. Moreover, there were correlations between the structural and functional findings of the respiratory system, consistent with the pathophysiology of the disease.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015001000003&tlng=enAcromegalyTomographyRespiratory function testsForced oscillation technique |
| spellingShingle | G.B. Camilo A.R.S. Carvalho D.C. Machado R. Mogami L. Kasuki M.R. Gadelha P.L. Melo A.J. Lopes Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly Brazilian Journal of Medical and Biological Research Acromegaly Tomography Respiratory function tests Forced oscillation technique |
| title | Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly |
| title_full | Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly |
| title_fullStr | Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly |
| title_full_unstemmed | Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly |
| title_short | Correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly |
| title_sort | correlations between forced oscillation technique parameters and pulmonary densitovolumetry values in patients with acromegaly |
| topic | Acromegaly Tomography Respiratory function tests Forced oscillation technique |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015001000003&tlng=en |
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