Structural changes in the COPD lung and related heterogeneity

PLoS One. 2017 May 25;12(5):e0177969. doi: 10.1371/journal.pone.0177969. eCollection 2017.

Abstract

This paper proposes a mathematical framework for understanding how the structural changes in the COPD lung reflect in model parameters. The core of the analysis is a correlation between the heterogeneity in the lung as COPD degree changes (GOLD II, III and IV) and the nonlinearity index evaluated using the forced oscillation technique. A low frequency evaluation of respiratory impedance models and nonlinearity degree is performed since changes in tissue mechanics are related to viscoelastic properties. Simulation analysis of our model indicates a good correlation to expected changes in heterogeneity and nonlinear effects. A total of 43 COPD diagnosed patients are evaluated, distributed as GOLD II (18), GOLD III (15) and GOLD IV (10). Experimental data supports the claims and indicate that the proposed model and index for nonlinearity is well-suited to capture COPD structural changes.

MeSH terms

  • Aged
  • Electric Impedance
  • Female
  • Forced Expiratory Volume / physiology
  • Humans
  • Lung / pathology*
  • Male
  • Models, Theoretical
  • Pulmonary Disease, Chronic Obstructive / pathology*
  • Severity of Illness Index

Grants and funding

C. M. Ionescu is a post-doc fellow of Flanders Research Center (FWO) grant nr. 12B3415N. D. Copot acknowledges the support of the project FWO nr. G008113N. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.