Mapping regional strain in anesthetised healthy subjects during spontaneous ventilation

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dc.contributor.authorCruces, Pablo
dc.contributor.authorErranz, Benjamin
dc.contributor.authorLillo, Felipe
dc.contributor.authorSarabia-Vallejos, Mauricio A.
dc.contributor.authorIturrieta, Pablo
dc.contributor.authorMorales, Felipe
dc.contributor.authorBlaha, Katherine
dc.contributor.authorMedina, Tania
dc.contributor.authorDiaz, Franco
dc.contributor.authorHurtado, Daniel E.
dc.date.accessioned2023-03-29T12:24:56Z
dc.date.available2023-03-29T12:24:56Z
dc.date.issued2019
dc.descriptionIndexación Scopuses
dc.description.abstractIntroduction Breathing produces a phenomenon of cyclic deformation throughout life. Biomechanically, deformation of the lung is measured as strain. Regional strain recently started to be recognised as a tool in the study of lung pathophysiology, but regional lung strain has not been studied in healthy subjects breathing spontaneously without voluntary or pharmacological control of ventilation. Our aim is to generate three-dimensional (3D) regional strain and heterogeneity maps of healthy rat lungs and describe their changes over time. Methods Micro-CT and image-based biomechanical analysis by finite element approach were carried out in six anaesthetised rats under spontaneous breathing in two different states, at the beginning of the experiment and after 3 hours of observation. 3D regional strain maps were constructed and divided into 10 isovolumetric region-of-interest (ROI) in three directions (apex to base, dorsal to ventral and costal to mediastinal), allowing to regionally analyse the volumetric strain, the strain progression and the strain heterogeneity. To describe in depth these parameters, and systematise their report, we defined regional strain heterogeneity index [1+strain SD ROI(x)]/[1+strain mean ROI(x)] and regional strain progression index [ROI(x)-mean of final strain/ROI(x)-mean of initial strain]. Results We were able to generate 3D regional strain maps of the lung in subjects without respiratory support, showing significant differences among the three analysed axes. We observed a significantly lower regional volumetric strain in the apex sector compared with the base, with no significant anatomical systematic differences in the other directions. This heterogeneity could not be identified with physiological or standard CT methods. There was no progression of the analysed regional volumetric strain when the two time-points were compared. Discussion It is possible to map the regional volumetric strain in the lung for healthy subjects during spontaneous breathing. Regional strain heterogeneity and changes over time can be measured using a CT image-based numerical analysis applying a finite element approach. These results support that healthy lung might have significant regional strain and its spatial distribution is highly heterogeneous. This protocol for CT image acquisition and analysis could be a useful tool for helping to understand the mechanobiology of the lung in many diseases.es
dc.identifier.citationBMJ Open Respiratory Research Volume 6, Issue 1 2019 Article number e000423es
dc.identifier.doi10.1136/bmjresp-2019-000423en
dc.identifier.issn2052-4439
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/48011
dc.language.isoenes
dc.publisherBMJ Open Respiratory Researches
dc.rights.licenseAttribution-Non Commercial 4.0 International (CC BY-NC 4.0)en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectimage-based biomechanical analysises
dc.subjectlung heterogeneityes
dc.subjectlung physiologyes
dc.subjectlung straines
dc.subjectspontaneous breathinges
dc.titleMapping regional strain in anesthetised healthy subjects during spontaneous ventilationes
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