ORIGINAL RESEARCH article
Front. Physiol.
Sec. Respiratory Physiology and Pathophysiology
Volume 16 - 2025 | doi: 10.3389/fphys.2025.1611545
This article is part of the Research TopicTranslating Biomechanics of the Human Airways for Classification, Diagnosis and Treatment of Pulmonary DiseasesView all 4 articles
Patient-specific estimation of distal lung morphometry using aerosol deposition data
Provisionally accepted
- 1Sri Ramachandra Institute of Higher Education and Research, Chennai, India
- 2Indian Institute of Technology Madras, Chennai, Tamil Nadu, India
- 3Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
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Background: Current imaging and diagnostic methods are unable to visualize distal lung beyond the 7 th branching generation, despite its critical role in lung function. Inter-individual variability in lung structure influences aerosol deposition within the alveolar region. Understanding an individual's lung dimensions enables the development of customized treatments. This constitutes the key motivation behind the study.Methods: This study reports a method to estimate morphometric parameters associated with the distal lung using aerosol deposition characteristics. Aerosol deposition characteristics are measured in a cohort of healthy human subjects using gamma scintigraphy. From this data, differences in the aerosol deposition from subject to subject are quantified. Using a mathematical model of aerosol transport, we demonstrate a novel procedure to estimate patient-specific lung morphometric parameters of the distal generations of the human lung and average alveolar diameter.Results: Morphometric parameters of the healthy subjects recruited in the study are determined. The lung volumes predicted using the morphometric parameters are unique and different for each subject as expected. The study also predicts the airway diameters and length at every generation for all of the subjects. From the predicted parameters for each of the individual, it can be clearly seen that the lung dimensions vary from individual to individual.The study demonstrates that measurements of aerosol deposition, especially in the distal generations, are a highly sensitive marker for inter-subject variability in lung morphology. The method presented in this study could be packaged into a walk-in lab test, the results from which could help physicians to personalize treatment and pulmonary drug dosage.
Keywords: personalized medicine, Gamma scintigraphy, Regional deposition, Mucocilliary clearance, Inter-subject variability
Received: 14 Apr 2025; Accepted: 30 Jun 2025.
Copyright: © 2025 S G, Mohan, T C and Panchagnula. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Karthiga Devi S G, Sri Ramachandra Institute of Higher Education and Research, Chennai, India
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