Available methods to assess bronchial airways (both large and small airways)
Assessment | Method | Large airway dysfunction | SAD |
---|---|---|---|
Functional assessment | Spirometry | FEV1/FVC, FEV1 | FEF25–75%, FVC, FVC/SVC |
IOS | R20 | R5–R20, X5, AX, Fres ΔX5 in-esp | |
MBNW or SBNW | - | Slope phase III, CV, CC, Sacin, Scond | |
Body plethysmography | - | RV, RV/TLC | |
Imaging assessment | HRCT | Airway wall thickness | Thickness of the airway wall, air trapping |
Nuclear medicine (scintigraphy, SPECT, PET) | - | Regional ventilation defects | |
3He-MRI | - | Non-ventilated lung volume | |
CT and computational fluid dynamics | - | Changes in airway volume and resistance | |
Cellular/molecular assessment | Bronchoscopy | Endobronchial biopsy | Bronchoalveolar lavage, transbronchial biopsy |
Sputum induction | Early phase sputum | Late phase sputum | |
eNO | Bronchial eNO | Alveolar eNO |
AX: reactance area; CC: closing capacity; CT: computed tomography; CV: closing volume; eNO: exhaled nitric oxide; Fres: resonant frequency; HRCT: high-resolution computerized tomography; in-esp: in expiration; MBNW: multiple breath nitrogen washout test; MRI: magnetic resonance imaging; PET: positron emission tomography; RV: residual volume; Sacin and Scond: acinar and conductive airways ventilation heterogeneity; SBNW: single breath nitrogen washout test; SPECT: single-photon emission CT; SVC: slow vital capacity; TLC: total lung capacity; X5: reactance at 5 Hz. -: not applicable
MC, PC, AB, ML, and CL: Conceptualization, Investigation, Writing—review & editing. MC: Writing—original draft. AB: Validation, Supervision. All authors read and approved the submitted version.
The authors declare that they have no conflicts of interest.
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© The Author(s) 2023.