Seventeen patients with lung transplants were evaluated with inspiratory, p
ostexpiratory, and low-dose, dynamic expiratory thin-section computed tomog
raphy (CT). Region of interest measurements were performed on inspiration a
nd expiration images with both techniques, and mean lung attenuation change
s between inspiration and expiration images were calculated and compared. D
ynamic expiratory thin-section CT resulted in a significantly greater incre
ase in lung attenuation than postexpiratory thin-section CT. Dynamic expira
tory thin-section CT may prove useful in the evaluation of patients with lu
ng diseases characterized by air flow obstruction with little increase in p
atient radiation dose.