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Published online before print June 11, 2003, 10.1148/radiol.2282020274
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Quantitative CT Indexes in Idiopathic Pulmonary Fibrosis: Relationship with Physiologic Impairment1

Alan C. Best, MS, Anne M. Lynch, MD, MSPH, Carmen M. Bozic, MD, David Miller, PhD, Gary K. Grunwald, PhD and David A. Lynch, MB

1 From the Departments of Radiology (A.C.B., A.M.L., D.M., D.A.L.) and Preventive Medicine and Biometrics (G.K.G.), University of Colorado Health Sciences Center, 3025 E 11th Ave, Denver, CO 80262; and Biogen, Cambridge, Mass (C.M.B.). From the 2000 RSNA scientific assembly. Received March 21, 2002; revision requested June 4; final revision received December 19; accepted February 24, 2003. Supported by Biogen. Address correspondence to A.C.B. (e-mail: alan.best@uchsc.edu).



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Figure 1a. (a) Transverse thin-section CT image in a normal lung. (b) Frequency histogram for a normal lung. Note the degrees of skewness (asymmetry) and kurtosis (peakedness) and mean lung attenuation. COUNT = pixel count.

 


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Figure 1b. (a) Transverse thin-section CT image in a normal lung. (b) Frequency histogram for a normal lung. Note the degrees of skewness (asymmetry) and kurtosis (peakedness) and mean lung attenuation. COUNT = pixel count.

 


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Figure 2a. (a) Transverse thin-section CT image shows the lungs in a patient with IPF. (b) Frequency histogram for a lung in a patient with IPF. Note the reduced skewness and kurtosis and increased mean attenuation compared with those in a normal lung. (c) Segmented thin-section CT image in the lungs of a patient with IPF. Note areas of lung included automatically by the thresholding program (red) and regions excluded manually, such as bronchial branches and large vessels (dark gray).

 


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Figure 2b. (a) Transverse thin-section CT image shows the lungs in a patient with IPF. (b) Frequency histogram for a lung in a patient with IPF. Note the reduced skewness and kurtosis and increased mean attenuation compared with those in a normal lung. (c) Segmented thin-section CT image in the lungs of a patient with IPF. Note areas of lung included automatically by the thresholding program (red) and regions excluded manually, such as bronchial branches and large vessels (dark gray).

 


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Figure 2c. (a) Transverse thin-section CT image shows the lungs in a patient with IPF. (b) Frequency histogram for a lung in a patient with IPF. Note the reduced skewness and kurtosis and increased mean attenuation compared with those in a normal lung. (c) Segmented thin-section CT image in the lungs of a patient with IPF. Note areas of lung included automatically by the thresholding program (red) and regions excluded manually, such as bronchial branches and large vessels (dark gray).

 





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