Detection of tracheal branching with computerized tomography: The relationship between the angles and age-gender

Morphometric variation in central airways of ten different human lung

The prevailing scarcity of accurate lung models poses challenges to predicting airborne particle deposition across genders. The present work demonstrates the details of the geometrical specifications of central airways for ten healthy humans (male and female). The data were extracted from HRCT scan images with a minimum resolution of 1 mm. The images cover the trachea to all branches of the G6-G8 generations. The presented data include airway segment diameters, lengths, branching angles, and angles of inclination to gravity, in addition to their average and standard deviation. Our first goal in this study is to generate an average lung model exclusively for humans in laboratory and 1D numerical inhalation investigations. Thus, our primary emphasis in this work is to find the average suitable inclination angle in all generations of central airways for men and women by comparing the available data from previous studies. In the second part of the paper, we have also investigated the particle deposition efficiency in these ten models using the Mimetikos PreludiumTM software package. We compared the regional deposition between males and females and the available respiratory system models.

Analysis of airway structural parameters in Han Chinese adults: a prospective cross-sectional study

INTRODUCTION

Establishing reference ranges for central airway parameters and exploring their influencing factors in Han Chinese non-smoking adults.

METHODS

This prospective cross-sectional study was conducted on Han Chinese non-smoking adults who underwent chest CT scans at the Tongzhou Campus of Dongzhimen Hospital Affiliated with the Beijing University of Chinese Medicine between September 2022 and November 2022. The SYNAPSE 3D image analysis software was utilized, enabling the extraction of critical parameters such as central airway length, airway wall thickness (AWT), airway lumen area (ALA), and subcarinal angle (SCA). Pearson's correlation coefficient analysis and multiple linear regression analysis methods were employed to evaluate the relationship between central airway parameters and age, sex, weight, and height.

RESULTS

The study encompassed 888 Han Chinese non-smoking adults, comprising 456 females and 432 males. Significant sex differences were noted in central airway length, AWT, and ALA, with measurements in males exceeding those in females (p < 0.01) with no significant difference in SCA. Correlation analyses unveiled relationships between central airway parameters and age, sex, weight, and height. During multiple linear regression analyses, no conclusive evidence emerged to demonstrate the independent or combined explanatory or predictive capacity of the aforementioned variables for central airway length and SCA. Although sex has a significant impact on AWT and ALA, its capability in explanation or prediction remains limited. The conclusions drawn from the primary analysis receive reinforcement from the outcomes of sensitivity analyses.

CONCLUSION

Establishing the distribution range of central airway parameters in non-smoking Han Chinese adults. It observed significant sex differences in these parameters, except for the SCA. However, the study found that the predictive or explanatory power of age, sex, weight, and height for central airway parameters was either limited or non-significant.