Forty-one normal non-smokers between the ages of 20 and 80 were studied to determine if the increased residual volume, known to occur with aging, results from increased residual volume throughout, or only in specific regions of the lung. The subjects were dividied into groups consisting of 20–29, 30–39, 40–49, 50–69, and 70+ yr. Measurements of regional residual volume to regional total lung capacity ratio (RVr/TLCr) were made using zenon-133 and a multidetector analysis system in which five zones (from top to bottom) were analyzed in each lung. Closing volume was also measured. The subjects were in the sitting position for all studies. The results showed regardless of age, the RVr/TLCr was higher at the top than at the bottom of the lung. In addition, the ratio of upper to lower RVr/TLCr was not significantly different between any of the age groups. The results can be explained if airways throughout the lung close at higher volumes as age increases, or if altered emptying sequences within regions occur due to retarded emptying of highly compliant lung regions.
Comparison of Predicted Total Lung Capacity and Total Lung Capacity by Computed Tomography in Lung Transplantation Candidates
