Artificial ventilation-induced diffuse alveolar damage in rabbits: preliminary study of early detection on expiratory high-resolution computed tomography.
OBJECTIVE
To investigate whether expiratory high-resolution computed tomography (HRCT) is more useful than inspiratory HRCT for the detection of early-phase diffuse alveolar damage.


METHODS
Eleven anesthetized rabbits were scanned with both inspiratory and expiratory HRCT every 30 minutes during mechanical ventilation. Ten rabbits were killed after the detection of pulmonary abnormalities on both inspiratory and expiratory HRCT. The remaining rabbit was killed when the pulmonary abnormalities appeared only on expiratory HRCT.


RESULTS
In four cases (36%), the abnormal findings were detected earlier on expiratory HRCT than on inspiratory HRCT. In seven cases (64%), the abnormalities appeared simultaneously on inspiratory and expiratory HRCT. In all 11 cases, the histopathological changes of areas with abnormal CT findings corresponded to the exudative or proliferative phase of diffuse alveolar damage.


CONCLUSIONS
Expiratory HRCT has the potential to detect the abnormalities of diffuse alveolar damage earlier than inspiratory HRCT.
Honda
O
O
Department of Radiology, Osaka University Medical School, Japan.
Nishimura
M
M
Tomiyama
N
N
Johkoh
T
T
Mihara
N
N
Kozuka
T
T
Naito
H
H
Hamada
S
S
Kagawa
K
K
Nishida
T
T
Ichikawa
Y
Y
Yamamoto
S
S
Nakamura
H
H
D000208:Acute Disease; D000818:Animals; D006801:Humans; D008168:Lung / Q000473:pathology; D010100:Oxygen / Q000097:blood; D011650:Pulmonary Alveoli / Q000000981:diagnostic imaging* / Q000473:pathology; D011817:Rabbits; D012119:Respiration; D012121:Respiration, Artificial / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods*
D010100:Oxygen