Available methods to assess bronchial airways (both large and small airways)

AssessmentMethodLarge airway dysfunctionSAD
Functional assessmentSpirometryFEV1/FVC, FEV1FEF25–75%, FVC, FVC/SVC
IOSR20R5–R20, X5, AX, Fres ΔX5 in-esp
MBNW or SBNW-Slope phase III, CV, CC, Sacin, Scond
Body plethysmography-RV, RV/TLC
Imaging assessmentHRCTAirway wall thicknessThickness of the airway wall, air trapping
Nuclear medicine (scintigraphy, SPECT, PET)-Regional ventilation defects
3He-MRI-Non-ventilated lung volume
CT and computational fluid dynamics-Changes in airway volume and resistance
Cellular/molecular assessmentBronchoscopyEndobronchial biopsyBronchoalveolar lavage, transbronchial biopsy
Sputum inductionEarly phase sputumLate phase sputum
eNOBronchial eNOAlveolar eNO

AX: reactance area; CC: closing capacity; CT: computed tomography; CV: closing volume; eNO: exhaled nitric oxide; Fres: resonant frequency; HRCT: high-resolution computerized tomography; in-esp: in expiration; MBNW: multiple breath nitrogen washout test; MRI: magnetic resonance imaging; PET: positron emission tomography; RV: residual volume; Sacin and Scond: acinar and conductive airways ventilation heterogeneity; SBNW: single breath nitrogen washout test; SPECT: single-photon emission CT; SVC: slow vital capacity; TLC: total lung capacity; X5: reactance at 5 Hz. -: not applicable