医学
小型航空公司
哮喘
氮气冲刷
炎症
容积描记器
病理生理学
肺功能
病理
肺
心脏病学
免疫学
内科学
肺容积
功能剩余容量
作者
Anastasia Siora,Angelos Vontetsianos,Nikolaos Chynkiamis,Christina Αnagnostopoulou,Κonstantinos Bartziokas,Nektarios Anagnostopoulos,Νikoletta Ρovina,Petros Bakakos,Andriana Ι. Papaioannou
标识
DOI:10.1016/j.rmed.2024.107532
摘要
Small airways are characterized as those with an inner diameter less than 2 mm and constitute a major site of pathology and inflammation in asthma disease. It is estimated that small airways dysfunction may occur before the emergence of noticeable symptoms, spirometric abnormalities and imaging findings, thus characterizing them as "the quiet or silent zone" of the lungs. Despite their importance, measuring and quantifying small airways dysfunction presents a considerable challenge due to their inaccessibility in usual functional measurements, primarily due to their size and peripheral localization. Several pulmonary function tests have been proposed for the assessment of the small airways, including impulse oscillometry, nitrogen washout, body plethysmography, as well as imaging methods. Nevertheless, none of these methods has been established as the definitive "gold standard," thus, a combination of them should be used for an effective assessment of the small airways. Widely used asthma treatments seem to also affect several parameters of the small airways. Emerging biologic treatments show promising results in reducing small airways inflammation and remodelling, providing evidence for potential alterations in the disease's progression and outcomes. These novel therapies have implications not only in the clinical aspects of asthma but also in its inflammatory and functional aspects.
科研通智能强力驱动
Strongly Powered by AbleSci AI