REVIEW
Standards for Quantitative Assessment of Lung Structure: The Dawn of Stereopneumology
More details
Hide details
1
Laboratory of Physiology, Department of Medicine, School of Health Sciences, University of Patras
Corresponding author
Georgios T. Stathopoulos
Laboratory of Physiology, Basic Biomedical Sciences
Building, 2nd floor, University Campus
26110 Rio Patras, Greece
Pneumon 2010;23(2):147-152
KEYWORDS
ABSTRACT
The lungs are complex 3D structuresstudied in the clinic and the laboratory using histologic or imaging sections. Although such 2D analyses of lung structure are considered “gold standards”, the information conveyed is often insufficient and does not represent the whole organ. Stereology, the mathematical approach to the analysis of 3D structures via 2D sampling and morphometry, the practical application of stereology, provide solutions to this problem, but had until recently not been systematically adoptedin pneumology. In an effort of minimizing the above-mentioned methodological problems and of standardizing the quantitative assessment of lung structure, the American Thoracic Society and European Respiratory Society formed a task force, which recently published its findings. The task force aimed at comprehensively reviewing current stereologic methods for lung morphometry, formulating practical guidelines for using unbiased methods for basic and translational research of lung structure, and examining the extensions of stereologic methods on non-invasive imaging of lung architecture. In the statement of the task force are included useful directives with important application in the laboratory and the clinic, the most pertinent of which are discussed in the present mini-review.
REFERENCES (14)
1.
Weibel ER, Gomez DM. A principle for counting tissue structures onrandom sections. J ApplPhysiol 1962;17:343–348.
2.
Weibel ER, Gomez DM. Architecture of the human lung: use ofquantitative methods establishes fundamental relations between sizeand number of lung structures. Science 1962;137:577–585.
3.
Weibel ER. Principles and methods for the morphometric study of thelung and other organs. Lab Invest 1963;12:131–155.
4.
Ochs M. A brief update on lung stereology. J Microsc 2006; 222:188–200.
5.
Hsia CCW, Hyde DM, Ochs M, Weibel ER, on behalf of the ATS/ERS Joint Task Force on the Quantitative Assessment of Lung Structure. An Official Research Policy Statement of the American Thoracic Society/European Respiratory Society: Standards for Quantitative Assessment of Lung Structure. Am J Respir Crit Care Med 2010; 181:394-418.
6.
Weibel ER, Cruz-Orive LM. Morphometric methods. In: Crystal RG, West JB, Weibel ER, Barnes PJ, editors. The lung: scientificfoundations, 2nd ed. Philadelphia: Lippincott-Raven; 1997. pp. 333–344.
7.
Weibel ER, Hsia CC, Ochs M. How much is there really? Whystereology is essential in lung morphometry. J Appl Physiol 2007; 102:459–467.
8.
Bolender RP, Hyde DM, Dehoff RT. Lung morphometry: a newgeneration of tools and experiments for organ, tissue, cell, andmolecular biology. Am J Physiol 1993; 265:L521–L548.
9.
Nyengaard JR, Gundersen HJG. Sampling for stereology in lungs. Eur Respir Rev 2006; 15:107–114.
10.
Ochs M. Stereological analysis of acute lung injury. Eur Respir Rev 2006; 15:115–121.
11.
Hyde DM, Miller LA, Schelegle ES, et al. Asthma: a comparison of animal models using stereologic methods. Eur Respir Rev 2006; 15:122–135.
12.
Fehrenbach H. Animal models of pulmonary emphysema: a stereologist’s perspective. Eur Respir Rev 2006; 15:136–147.
13.
Hsia CCW. Quantitative morphology of compensatory lung growth. Eur Respir Rev 2006; 15:148–156.
14.
Woodruff PG, Innes AL. Quantitative morphology using bronchial biopsies. Eur Respir Rev 2006; 15:157–161.