TABLE 1

PET, CT and MRI: summary for potential COPD biomarkers

ModalityTypeMe​​​​​​​asurementPotential biomarker ofRadiationCostTime
PETFunctional 18F-FDGLung FDG uptake
Large vessel FDG uptake
Pulmonary inflammation
Risk of cardiovascular events
++++++++
CTStructural
Insp only
Lung density
Airway structure
Vascular pruning
Emphysema, AECOPD risk, FEV1 decline
COPD risk, FEV1 decline
Mortality risk
+++
Functional
Insp/Exp
Low density on exp
Deformation on image registration
Small airways disease/gas trapping
Biomechanics
++++
MRIFunctional
3He/129Xe
Ventilation defect percent
Dissolved phase
Ventilation heterogeneity
Gas exchange
++++

PET: positron emission tomography; CT: computed tomography; MRI: magnetic resonance imaging; Exp: expiratory; Insp: inspiratory; FDG: fluorodeoxyglucose; FEV1: forced expiratory volume in 1 s; AECOPD: acute exacerbation of COPD.