Özet:

Aim: Pulmonary functional and volumetric evaluation is routinely performed with pulmonary function test (PFT). However, volumetric evaluation is also possible in computed tomography (CT) imaging. The aim of this study is to examine the relationship between PFT and CT volumetric findings. Materials and Methods: Between April 2017 and May 2020, a total of 69 patients (34 males, 35 females) having thorax CT (without any parenchymal disease) and PFT were studied retrospectively. The images and PFT examinations with an optimum quality were enrolled. In CT, the volume and density of both lungs as well as total lung volume (TLV) and total lung density (TLD) were calculated. Forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio were recorded for the assessment with CT. Results: In a total of 69 patients (34 male, 49.3%; 35 female, 50.7%), the mean age was 55±14.56 years, FEV1=2.12±0.87, FVC=2.92±1.05, FEV1/FVC ratio=72.19±13.07, right lung volume=2118.06±662.36, right lung density=-806.8±68.16, left lung volume=1755.35±605.02, left lung density=-774.80±248.98, TLV=3820±1272.35 and TLD=-1597.17±295.70. FEV1, FVC and FEV1/FVC ratio showed a positive correlation with bilateral (right and left) lung volume and density (p<0.05). Conclusion: PFT provides important quantitative pulmonary functional data that can evaluate the severity and course of diseases causing respiratory symptoms. However, in cases where PFT cannot be performed (such as Coronavirus Disease-2019), CT quantitative pulmonary volumetric evaluation can be an alternative in the evaluation of main pulmonary functions.

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