Moraes Lucas Rodrigues, Cotias Amanda Costa, Martins Marco Aurélio, Scharffenberg Martin, Schnabel Christian, Huhle Robert, Rocco Patricia Rieken Macedo, Silva Pedro Leme
Laboratório de Investigação Pulmonar, Instituto de Biofísica Carlos Chagas Filho - UFRJ, Rio de Janeiro, Brazil.
Laboratório de Inflamação, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil.
Crit Care. 2025 Jul 26;29(1):327. doi: 10.1186/s13054-025-05574-6.
Acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD), and pulmonary fibrosis are major respiratory conditions associated with significant morbidity and, in some cases, high mortality. A variety of animals models have been established to study these disorders, primarily focusing on histologic alterations, cellular signalling pathways, inflammatory responses, lung perfusion, gas-exchange abnormalities, and response to emerging therapies. Imaging techniques play a crucial role in these investigations, enabling in vivo assessment of lung structure and function. The most widely used imaging modalities include computed tomography (CT), positron emission tomography (PET), and electrical impedance tomography (EIT). While CT and, to a variable extent, PET involve ionizing radiation, EIT is a radiation-free technique. Despite anatomical differences between species, many imaging and physiological findings observed in animal models are consistent with those seen in critically ill patients, enhancing their translational relevance. This narrative review provides a comprehensive overview of the applicability of these imaging techniques in animal models and explores their relevance to human pathophysiology and clinical management.
急性呼吸窘迫综合征(ARDS)、慢性阻塞性肺疾病(COPD)和肺纤维化是主要的呼吸系统疾病,常伴有严重的发病情况,在某些情况下死亡率也很高。为研究这些疾病已建立了多种动物模型,主要聚焦于组织学改变、细胞信号通路、炎症反应、肺灌注、气体交换异常以及对新出现疗法的反应。成像技术在这些研究中起着关键作用,能够对肺结构和功能进行体内评估。最广泛使用的成像方式包括计算机断层扫描(CT)、正电子发射断层扫描(PET)和电阻抗断层扫描(EIT)。虽然CT以及在不同程度上PET涉及电离辐射,但EIT是一种无辐射技术。尽管不同物种之间存在解剖学差异,但在动物模型中观察到的许多成像和生理学发现与危重症患者的情况一致,增强了它们的转化相关性。这篇叙述性综述全面概述了这些成像技术在动物模型中的适用性,并探讨了它们与人类病理生理学和临床管理的相关性。