Review Article

In Vivo Computed Tomography as a Research Tool to Investigate Asthma and COPD: Where Do We Stand?

Figure 1

(a) Thin-section CT image perpendicular to the third generation of the right segmental apical bronchus, from a random patient. Red line indicates the external wall contour, and green line the internal layer. (b) Theoric single intensity curve (blue line) representing voxel attenuation variation along the blue arrow seen in right image. The bronchial wall thickness calculated with the FWHM principle is given by the difference between the two extreme values at which the mural portion attenuation is equal to half to its maximum (green and red dashed lines). According to Washko et al., the local Peak Wall Attenuation is given by the maximum attenuation value within the region of interest. Mean bronchial wall thickness and mean Peak Wall Attenuation shall be calculated using a circumferential integration of 128 one-dimensional rays, radiating outward the centroid of the bronchial lumen.
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