Radiological imaging as the basis for a simulation software of ventilation in the tracheo-bronchial tree

• Published in: European radiology 2002-09, Vol.12 (9), p.2218-2228
• Main Authors: Ley, S, Mayer, D, Brook, B S, van Beek, E J R, Heussel, C P, Rinck, D, Hose, R, Markstaller, K, Kauczor, H-U
• Format: Article
• Language: English
• Subjects: Administration, Inhalation; Aerosols; Bronchi - anatomy & histology; Computer Simulation; Drug dosages; Fluid dynamics; Gases; Humans; Lungs; Particle size; Pulmonary Ventilation; Radiography; Respiratory system; Respiratory System - anatomy & histology; Respiratory System - diagnostic imaging; Simulation; Software; Trachea - anatomy & histology; Trachea - diagnostic imaging
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-002-1391-5

The inhaled route is a promising new way for administering drugs to the human body. Flow and particle deposition in the human respiratory tract depends on the individual's anatomy as well as on the drug composition. A European Framework V Program supported project is currently developing a simulation tool for assessment of drug distribution and deposition. This tool relies heavily on the input of radiological data sets, which are obtained in humans. Both high temporal and spatial resolutions are required, and CT and MRI (including hyperpolarized helium-3 MRI) are applied. The radiological data are integrated into computation fluid dynamics software, which is capable of assessing air-flow profiles and compartmental behaviours. This is complemented by pharmacokinetic models, which should result in a simulation tool that will be of use for the theoretical design of new inhaled therapies. This article describes the special imaging requirements of each region of the respiratory tract and the feasibility of these sophisticated radiological techniques with a view of using these data in a simulation model of the lung.