Quantifying the shape of the maximal expiratory flow–volume curve in mild COPD

•The slope-ratio (SR) quantifies the shape of maximal expiratory flow–volume curves.•Compared to matched controls, COPD patients had a greater average SR.•Unlike controls, COPD patients had a SR that increased with lung volume.•The SR could be an additional metric to aid in COPD diagnosis. Maximal e...

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Published inRespiratory physiology & neurobiology Vol. 219; pp. 30 - 35
Main Authors Dominelli, Paolo B., Foster, Glen E., Guenette, Jordan A., Haverkamp, Hans C., Eves, Neil D., Dominelli, Giulio S., Henderson, William R., O’Donnell, Denis E., Sheel, A. William
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.12.2015
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Online AccessGet full text
ISSN1569-9048
1878-1519
1878-1519
DOI10.1016/j.resp.2015.08.002

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Abstract •The slope-ratio (SR) quantifies the shape of maximal expiratory flow–volume curves.•Compared to matched controls, COPD patients had a greater average SR.•Unlike controls, COPD patients had a SR that increased with lung volume.•The SR could be an additional metric to aid in COPD diagnosis. Maximal expiratory flow–volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease, but the shape of the curve is rarely used. Three mathematical methods were used to quantify shape of MEFV curves in subjects with mild COPD (n=19) and matched healthy controls (n=15). Those with mild COPD had a significantly greater slope-ratio (SR) (1.90±0.24 vs. 1.28±0.32) and Beta-angle (160±6.7 vs. 186±15.0) compared to healthy individuals (p<0.05). The flow-ratio method showed no difference between groups. A significant positive SR-volume relationship during expiration was observed in a greater number of mild COPD subjects (94%) compared to controls (20%) (p<0.001). With its increased spatial resolution and the potential to discern etiology behind specific curvature, we suggest using the SR method when available. The change in SR throughout expiration could help identify those who fall within the lower limit of normal lung function and those who may have pathological obstruction.
AbstractList Maximal expiratory flow-volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease, but the shape of the curve is rarely used. Three mathematical methods were used to quantify shape of MEFV curves in subjects with mild COPD (n=19) and matched healthy controls (n=15). Those with mild COPD had a significantly greater slope-ratio (SR) (1.90 ± 0.24 vs. 1.28 ± 0.32) and Beta-angle (160 ± 6.7 vs. 186 ± 15.0) compared to healthy individuals (p<0.05). The flow-ratio method showed no difference between groups. A significant positive SR-volume relationship during expiration was observed in a greater number of mild COPD subjects (94%) compared to controls (20%) (p<0.001). With its increased spatial resolution and the potential to discern etiology behind specific curvature, we suggest using the SR method when available. The change in SR throughout expiration could help identify those who fall within the lower limit of normal lung function and those who may have pathological obstruction.Maximal expiratory flow-volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease, but the shape of the curve is rarely used. Three mathematical methods were used to quantify shape of MEFV curves in subjects with mild COPD (n=19) and matched healthy controls (n=15). Those with mild COPD had a significantly greater slope-ratio (SR) (1.90 ± 0.24 vs. 1.28 ± 0.32) and Beta-angle (160 ± 6.7 vs. 186 ± 15.0) compared to healthy individuals (p<0.05). The flow-ratio method showed no difference between groups. A significant positive SR-volume relationship during expiration was observed in a greater number of mild COPD subjects (94%) compared to controls (20%) (p<0.001). With its increased spatial resolution and the potential to discern etiology behind specific curvature, we suggest using the SR method when available. The change in SR throughout expiration could help identify those who fall within the lower limit of normal lung function and those who may have pathological obstruction.
•The slope-ratio (SR) quantifies the shape of maximal expiratory flow–volume curves.•Compared to matched controls, COPD patients had a greater average SR.•Unlike controls, COPD patients had a SR that increased with lung volume.•The SR could be an additional metric to aid in COPD diagnosis. Maximal expiratory flow–volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease, but the shape of the curve is rarely used. Three mathematical methods were used to quantify shape of MEFV curves in subjects with mild COPD (n=19) and matched healthy controls (n=15). Those with mild COPD had a significantly greater slope-ratio (SR) (1.90±0.24 vs. 1.28±0.32) and Beta-angle (160±6.7 vs. 186±15.0) compared to healthy individuals (p<0.05). The flow-ratio method showed no difference between groups. A significant positive SR-volume relationship during expiration was observed in a greater number of mild COPD subjects (94%) compared to controls (20%) (p<0.001). With its increased spatial resolution and the potential to discern etiology behind specific curvature, we suggest using the SR method when available. The change in SR throughout expiration could help identify those who fall within the lower limit of normal lung function and those who may have pathological obstruction.
Highlights • The slope-ratio (SR) quantifies the shape of maximal expiratory flow–volume curves. • Compared to matched controls, COPD patients had a greater average SR. • Unlike controls, COPD patients had a SR that increased with lung volume. • The SR could be an additional metric to aid in COPD diagnosis.
Maximal expiratory flow-volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease, but the shape of the curve is rarely used. Three mathematical methods were used to quantify shape of MEFV curves in subjects with mild COPD (n=19) and matched healthy controls (n=15). Those with mild COPD had a significantly greater slope-ratio (SR) (1.90 ± 0.24 vs. 1.28 ± 0.32) and Beta-angle (160 ± 6.7 vs. 186 ± 15.0) compared to healthy individuals (p<0.05). The flow-ratio method showed no difference between groups. A significant positive SR-volume relationship during expiration was observed in a greater number of mild COPD subjects (94%) compared to controls (20%) (p<0.001). With its increased spatial resolution and the potential to discern etiology behind specific curvature, we suggest using the SR method when available. The change in SR throughout expiration could help identify those who fall within the lower limit of normal lung function and those who may have pathological obstruction.
Author Eves, Neil D.
Henderson, William R.
Foster, Glen E.
Dominelli, Paolo B.
Dominelli, Giulio S.
Sheel, A. William
Haverkamp, Hans C.
O’Donnell, Denis E.
Guenette, Jordan A.
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Keywords Lung heterogeneity
Effort independent
Spirometry
Pulmonary function
Slope-ratio
Language English
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Snippet •The slope-ratio (SR) quantifies the shape of maximal expiratory flow–volume curves.•Compared to matched controls, COPD patients had a greater average...
Highlights • The slope-ratio (SR) quantifies the shape of maximal expiratory flow–volume curves. • Compared to matched controls, COPD patients had a greater...
Maximal expiratory flow-volume (MEFV) curve evaluation using absolute and percent predicted values of flow and volume are used to diagnose respiratory disease,...
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StartPage 30
SubjectTerms Aged
Effort independent
Female
Humans
Lung heterogeneity
Lung Volume Measurements
Male
Maximal Expiratory Flow-Volume Curves
Medical Education
Middle Aged
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary function
Pulmonary/Respiratory
Retrospective Studies
Slope-ratio
Spirometry
Title Quantifying the shape of the maximal expiratory flow–volume curve in mild COPD
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https://www.ncbi.nlm.nih.gov/pubmed/26275685
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