Suzuki T, Iio M
Nakano National Chest Hospital.
Kokyu To Junkan. 1991 May;39(5):445-8.
We have measured quantitative regional alveolar volume and specific ventilation in healthy subjects by Nitrogen-13 gas and Positron Emission Tomography. Studies have proceeded in the supine position. Subjects have rebreathed N-13 gas in closed circuit. After radioactivity has reached equilibrium, Scan was carried out. During equilibrium, we have taken radioactive gas from the closed circuit to make quantitative alveolar volume and we have measured the radioactivity by well counter. This value means radioactivity in unit of thoracic volume. Well counts/PET counts denote alveolar volume/thoracic volume. After equilibrium, RI has been washed out by air, during the washout phase we have 3 sequential images. Using these sequential images, we have fitted RI activity in the washout phase monoexponential curve. Index of the monoexponential curve means -V/V, if we do not consider rebreathing from dead space. The data shows a large alveolar volume in the ventral region compared to that in the dorsal region, and also a high V/V in the dorsal region compared to that in the ventral region. It seems that the error of V/V in healthy subjects due to rebreathing from dead space is about 8%.
我们通过氮 - 13气体和正电子发射断层扫描测量了健康受试者的定量区域肺泡容积和比通气量。研究在仰卧位进行。受试者在闭路系统中重复呼吸氮 - 13气体。在放射性达到平衡后进行扫描。在平衡期间,我们从闭路系统中采集放射性气体以测定定量肺泡容积,并通过井型计数器测量放射性。该值表示单位胸容积中的放射性。井型计数/正电子发射断层扫描计数表示肺泡容积/胸容积。平衡后,用空气冲洗放射性惰性气体(RI),在冲洗阶段我们有3幅连续图像。利用这些连续图像,我们在冲洗阶段将RI活性拟合成单指数曲线。如果不考虑来自无效腔的重复呼吸,单指数曲线的指数表示 -V/V。数据显示,与背部区域相比,腹部区域的肺泡容积较大,并且与腹部区域相比,背部区域的V/V也较高。健康受试者中由于无效腔重复呼吸导致的V/V误差似乎约为8%。