11
A
BST R
A CT
D
A N
IE
LM
A R K A N
DE
RSO N
.A
p p
l i
c ati
o n of
a Lu ng D
ep
o si
tio n
M
od
el
to Fi b
e rD
atafr
om
Thr e e
N
o rth Ca r ol i
n aA
sb
e sto s Te x tile P la n ts.(
U
nde r th
ed i
r e cti
on of
D r.Jo
hn Dem
e nt)
W
e ap pl i
ed
a lu ngd
epo si
tio n
m
od
el
tofi b
e rd
ata top
r od
u c e n a s op h
a rynge al
,tr a che o
b
r o n ch i
al, and p
ulm
o n a ryd
o s e e sti
m
ate s r e c ei
v ed b
yw
o rk
e r si
n thr e e a sb
e sto sT e xt
i
le p la nts.A
pub
lis
h
ed fi b
e rd
epo sit
i
o nm
odelw
a s cho s e n a nd the T PSP L I
N
ESA S
p
r o c ed
u r ew
a s u s ed
tofi
t n o np
a r am
etri
c r egr e s sio n
m
od
el
s to e sti m
ate r eg i
o n al
lim g
depo s
i
tio n fr a c tio n s ba s ed o nfi b
e r a e r od
yn am i
cd i
am
ete r and l
e ngth. Th
e s em
od
elsw
e r ethe n a
p
pl i
ed
to si
z e-spe c
i fi
cfi b
e rd
atab
y tr a n sm
is s
i
o n el
e ctr o nm ic r o s c o
py
(
T EM )
toe st
i m
ate siz e
-spe c
i fi
cfi b
e rd
epo sit
i
o nb
ylu n
g r egio n
. Th
e s e siz e
-spe c
i fi
cd
epo si
tio nfr a ct
io n s
w
e r e u s edin
c o nj
u n cti
o nw i
th the T EM
-si
z ed
ata to e st
i m
ate ad
j
u stm
e nts to ph
a s econtr a st
m
i
c r o s c op y(
PC
M )
fi b
e r c onc e ntr atio n s
to e xpr e s s equiv a
le nt r egi
o n al
lu ng d
o s e sT
h
e r e s ult
in
gd
epo si
ti
o nf
a cto r sw
e r e c om
p
a r ed
a c r o s s pl
a nts and d
epa r tme nts. Th
eM
a r sh
vi l l
e pl
a n th
ad
th
e hi g h
e std
epo sit
i
o nf
a cto r a v e r ag
e sf
o r al l l
u ng r egi
o n sw
hi le
th
eDa v
id
s o np
lan t had
thelo
w
e st a v e r age sfo r
al l lu n
g r egi
o n s. Th
e r a nge o f th
e s e fa cto r sw
a s1.4 4 -
3
.4
0 fi b
e r sd
epo si
ted
pe r u ni
t PC
M
fo r n a s oph
a rynge ald
epo sit
i
o n, 0.45
-1
.
3 0 fi b
e r sd
ep
o sit
ed p
e r uni
t PC
M
f
o r tr a ch
eob
ron ch i
al d
epo sit
i
o n , and
2.8 9
- 1 1. 13 fi be r s
d
epo s
it
ed p
e ru n
i
t PC
M
f
o r pul m
o n a ryd
epo si
tio n . Th
ep
l
an t a nd d
epa rtm
e nt-spe c
i fi
cd
epo si
tio n
f
a cto r s,w he n
m
ultip li
ed b y e sti m
ated dai
l y a v e r age PC
M
c o n c e ntr atio n s a nd
e sti m
ated i
nh
aled
ai
rv o
lu
m
e s, wi l l
r e s ul
ti
nl
ung r egi
o n -spe c
i fi
cfi b
e rd
o s e e stim
ate s. Th
e s e r e s ult
i
ngd
o s ee st
ir
fi ate sw i l l b
e u s ed i
n a c oho rtm
o rtali
ty stud
y.i n
A
C K N O
W
L E DG
EM
EN
TS
I tha nk the
m
em
be r s of m
y te chni
c al
r epo rt c om m i
t te e. Dr. Joh
n Dem
e nt,
D
r . Le e n aN
y la nd
e r-Fr e n ch, an
d
Dr . Da vi d
Lei
th fo r th
eir
gui d
a n c ed
u ri
ngm
y gr ad
u ate stud
y a nd
r e s e a r c
h
a nd Su s a
nn eW
olf fo r
edu c a
ti
ngm
e ab
o ut th
e coh
o rt.M
o st of
al l
, I t
h
a nk
Ja cl
ynAn
d
e r s o nf
o r he r e n c o u r agem
e nt a nd
pati
en c e.T
h is r e s e a r c
h w
a s s up p
o rted b
y a gr a ntf
r om
th
eN
ati
o n al
Li stitutef
o rO
c c up
ati
o nal S
af
et yI V
C
O N
T EN
TS
Page
L I
S
TO
F F IG
UR
ES
vL I
ST
O
FA
B B R EV
IA T IO N S A N D S Y
M
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LS
vi
C H A
PT
ER
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1I I. R E
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E PO SI T I
O N A
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F I B E R D E P OSI T I
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E TH O D S
7
I
V
. R ESU
L TS
1 0V . D I
S C U SS
IO N
1 7R E F E
RE
N C
ES
19
A
P
P EN D
IX A
22
A
P P EN D
IX
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P
P EN D
I XC
25
A P P E
N D
I X D;
3 8A
P P E ND
IX
E 5 1A P P E
N D
IX
F64
A
P
P EN D
IX G
6 5
L I S T
O
F F IG U R
E SPage
1
N
a s op ha rynge al Depo siti
o nb
y L e ngth a nd A
e r od yn am
i
c E quiv a
l
e nt Di
am
ete r 1 02. Tr a che o
b
r o n ch i
al D epo si
tionb
y L e ngth a nd
A e r od yn am i
c E qui
v ale nt Dia
m
ete r 1 13. Pu l
m
o n a ry D epo si
tio nb
y L e ngth
a nd A
e r od
jo i am i
c E qui
v ale n t Dia
m
ete r 1 24. Regr e s s
io n
of
T PSP
L IN
E a nd H
a r ri
sM
od
el D
epo si
ti
o n Esti m
ate s 13
5.
N
a s op ha rynge alD
epo sit
i
o n Fa cto r sb
y Pl
a nt a nd D
epa rtm
ent 1 46
. Tr a ch
e ob
r o n ch i
al D ep
o si
tio n Facto r sb
y Pl
a nt a nd
Depa r tme nt 1 5V I
T E
M
P
C
M
I
CR P
De
N A S O
T R
A C H
P
U
LL I S T O F
A
B B R EV
IA
T I ON
SA
ND
SY
M
B O L Str a n s
m
i
s si
o n el
e ctr o nm
i
c r o s c op yp ha s e c on tr a st
m
i
c r o s c op yIn te r n at
i
o n alC
om
m i
s sio n
on Rad i
ologi
c al Pr ote ctiona e r o
d
yn am
i
c equiv a
l
e ntd ia
m
ete rn a s op
h
a rynge altr a c
h
e ob
r o n ch i
alC H
A
P T E R IIN
T RO D U C
T IO N
T
h
e c a u s al lin
kb
etw
e e n e xpo s u r e to a sb
e sto s a nd
theri
sk of
m
e s oth
el i
om
a,l
u ngc a n c e r, an
d
a sb
e sto si
si
sw
el l
-e sta
b l i
sh
ed
.H
ow
e v e r, quest
i
on s pe r si
st r eg
a rd i
ng
th
ed
egr e eto
w h i
chd i ff
e r en tf
ib
e r ch
a r a cteri
sti
c s c o ntri b
ute to th
e s e pul
m
o n a ry di
s e a s e s. Fi b
e r t j ^ e ,fi b
e rd i
m
e n si
o n , a nd f i b
e rd
o s e a r em
o st of
te n cit
ed
a sd
ete rm i
n a nts of ri
sk f
o r t hea
fo r e
m
e nti
o n ed p
athol
o gi
e s.(
St
a nto n a nd
othe r s 1 9 8 1 ;H
ei
n a nd
ot he r s 2 00
7)
T
h
e r e a r e two ge n e r al
t y pe s of
a sb
e sto s—
am
ph i b
ole a nd
ch
rys oti l
e. Am
p hi b
olea s
b
e sto sb
r o ad l
y c o v e r sf
i v em
in e r a
l
ty
pe s,in c
lu
d in
g a ctin o
l i
te, tr em
ol i
te, a nth
op h yl
li
te,c r o c
i d
ol i
te, a nd
am
o si
te a sb
e sto s. Th
e s e a r e ch
a r a cteri
z ed b
y str ai
g ht, c rystal lin e
f
ibe r s.C hr
ys oti l
e a sb
e sto sis
m
ad
efi
-o
m
a s e rpe n tin em i
n e r al. Its fi b
e r s a r e lo ng a nd
r elativ e
l yf le x
i b l
e.(
A
TSD
R2 0 0 1
)
Th
e r ela
tiv e
to xi
ci
t y of
am
p h i b
ol
e s a nd
ch
rys oti le
h
a sb
e e nd
ebated.S
om
e ha v e a rgu e
d
that chrys oti le a s
b
e sto s ha s a si
gni f
i c an tb
ut c om
pa r ativ e
l yw
e ake r
c a u s ativ e r e
l
ati
o n sh i
pw i
th m
e s oth
el i
om
aw h i l
e e xh i b i
ti
ng
c om
pa r ab l
e ef fe c
ts toa
m
ph i b
ole a sb
e stosw i
th
r e spe ct to lu n g c anc e r a nd
a sb
e sto si
s.(
Sta
yn e r, Dank
o vic
, Lem
e n1 9 9 6
)
Othe r s c o nte nd
that chry
s oti
lem
ay ha v el i
t tl
e to n o c a r ci
n oge ni
c ef f
e ctsw
hats o e v e r.(
D
u nni g
an 1 98
8)
S
ti l l
oth
e rs o ccup y th
em
i d d le
gr o u nd
, a rgui
ng th
at chrys oti l
ed
o e s n otc a u s e
m
esoth
el i
om
ab
utm
ayb
ei
m
p l i
c ated i
nlu
ng
c a n c e r .(
Y
a rb
o r o ugh
20 0
7)
O f
th
ea s
b
e sto s-c o nta
in
i
ng
pr od
u ctsin
th
ew
o rl d
, 9 0-
9
5%
c o ntai
n o nl
y c
h
rys oti l
e a sb
e sto s, s o th i
sd
eb
ate c o ul d h
a v e wi
de-r a nRe s e a r ch fr o
m
a sbe sto s a n im
al stud ie s in d ic ate s that lo ng, th infi
ber s ar em
o r e to xicb
ut ri
sk
s a s s o ci
ated w i
th
c e rtai
nfi b
e r si
z e sm
ay v a ryb
yd i
s e a s e.(
Be rm
a n and
oth
e r s 1 9 9 5 ;D
a vi
s and J
o n e s 1 98 8
; Pott,H
uth
, Fri
ed
ri
ch
s 19
7 4 ; Pot t 19 8
7 ;S
ta nto n a nd
W
r en ch 1 9 7 2 ;S
ta nto n and
othe r s 1 9 8 1)
L i p pm
a n(
1 9 8 0)
r e vi
ew
ed
the a ni m
al data a nd thel i
m
ited studi
e sof
fi b
e rd
istri
buti
o n sw i
th
in lu n gs of
e x po s ed
hum
a n s. Hed
ete rm i
n ed
th
at a sb
e sto si
s ri
sk i
sm
o st cl
o s el y r elated
to s u rf
a c e a r e a of
r etai
n ed fi b
e r si
n th
el
u ng ;m
e s oth
el i
om
aw i
th
n um b
e ro
f fi b
e r sl
o ng
e r t ha n 5 fim
and
th i
nne r th
a n0
1 ixm
; a nd l
u ng c a n ce rw i
th fi b
er sl
o ng
e r th
a n10
jum
and
th i
ck
e r th
a n0
. 15 [
im
.(
Li
p p
m
a nn 1 98
8)
H
ow
e v e r,m
o st of
th
eb
a si
s of
th i
sw
o rk
w
a s r at a nd m
o u s ed
ata,w
hi
ch
r ai
s e s c o n c e r n s ab
o ut e xtr apol
ati
o n toh
um
a n path
og
e n e si
s.E
pi d
em i
ol
ogi
c al
stud i
e sh
a v e n ot a s s e s s ed fi b
e r si
z e- sp
e ci fi
c ri
sk
s.A i
rb
or n efi b
e r c o n c e ntr ati
o n s, a s e st
im
ate s of
e x po s u r e,h
a v eb
e e n tr ad i
ti
o n all
yd
ete rm i
n ed b
y p ha s e c o ntr a stm i
c r o s c op y(
PC
M ) W
h
e n th
e s e e xpo s u r e c o n c e ntr ati
o ne st
i m
ate s a r e e xtr apol
ated
o v e r aw
o rk i
ngl i f
eti m
e, t heyh
a v e sh
own tob
e e x c el l
entpr e
d i
cto r s of m
ali g
n an t a nd
n o n-m
al i
gn a nt pul
m
o n a ryd i
s o rd
e r s.(
D em
e nt, Br o v
ra
,O
ku n19 9
4 ; H ei
n a nd
oth
e r s 2 0 0 7)
H
owe v e r, PC
M
c o n c e ntr ati
o n e sti m
ate sh
a v eb
e en u n ab l
e toe xp
l
ai
nd i ff
e r e n c e si
nd i
s e a s ei
nd i
ci d
e n c eb
etw
e e nd i f f
e r e nt a sb
e sto si
nd
u stri
e s, s u ch
a sm i
ni
ng/ m i l l i
n g a nd
te xti l
e s.(
S
tayne r, Da nk
o vi
c, Lem
e n 1 9 9 6)
T he P CM
m
ethod h
a s s e v e r alwe a
k
n e s s e s. Fi
r st,i
t c a n n ot r el i
ab l
yd
etectfi b
e r s sh
o rte r th
a n 5j
xm
,w h i
ch l
e a v e s al
a rgepr opo r t
i
o n of
th
efi b
e rd i
stri b
uti
o n un c o u nted
.S
e c o nd
,
i
t ha s al i m i
t of
r e s ol
uti
o n of
ap pr o x
i m
atel
y0
.2 5 /xm
, le a vi
ngfi b
e r s wi
t h di
am
ete r s <0.2 5 [xm
u n c o u nted,d
e spi
te theirl
ength
sb
ei
ng > 5/
xm
. Tr a n sm i
s si
o n el
e ctr o nm i
c r o s c op y
(
T EM )
c a nm
e a s u r e t he e nti
r ea s
b
e sto sfi b
e r a e r o s ol and
, th
u s, c o ul d b
e u s ed
tod
e v el
opm
o r e c om
pl
that
m
i g ht pr o v e tob
em
o r e pr ed ictiv e in ep id
em i
ologi
ci
n v e sti
gati
o n s.(
D
em
e nt a nd
oth
e r s2 0 0 7
)
T r ans
m i
s si
o n ele ctr onm
ic r o s c op y a n al ys e s of
ai
rbo r n e a sb
e sto sfi b
e r sh
a v e shownd i f f
e r e n c e si
nfi b
e rl
e ngth
a ndd i
am
ete rd
istrib
uti
o n si
n d i ff
e r e nt indu strie s.(
D em
e nt a ndW
al l i
ngf
o rd 19 9 0
)
F
o r e x am
pl
e, ch
r ys oti l
em i
ni
ng a nd m i l l i
n g op
e r ati
o n sh
ad
a gr e aterpr opo rt
i
o n of i
ts a e r o s old i
stri b
uti
o n c om
po s ed
of
sh
o rtfi b
er s(
< 5[
im
)
c om
pa r ed
toc
h
rys oti l
e te xti l
ep l
a nts.(
Dem
e nt a nd H
a r ri
s 19 7 9
;D
em
e nt a nd
W
al l i
ng f
o rd
1 99 0
;G i b b
s a nd
H
w
a ng 1 98
0)
In ad d i
ti
o n, T EM
a n al
ys e sh
a v e sh
ow
n th
atd i f
fe r e ntd
epa rtm
e ntsw i
thi
n thes a
m
e p la nt o ri
nd
u stry e xh i b i
td i
spa r atefi b
e r si
z ed i
stri b
uti
o n s.(
Dem
e nt a ndH
a r ri
s 1 9 7 9 ;De
m
e n t 19 80
; D em
ent a nd
W
al l i
n gf
o rd
19 9 0
)
D
em
e nt a nd
c oll
e ag
u e s ob
s e r v ed
th
atl
o nge ra n
d w i d
e rfi b
e r s c om
po s e a gr e ate r pr opo rti
o n of
t hefi b
e r si
z ed i
stri b
uti
o ni
n e a rl
yope r at
i
o n s th
a nl
ate r ope r ati
o n s of
a ch
rys oti
le a sb
e sto s te xti
le p la nt.(
D
em
e nt a nd
W
al li
ng fo rd
1 9 9 0 ; D em
e nt a nd
othe r s 2 00
7)
S
ub
s equ e nt a n al
ysi
si
nd i
c ated
th
atw
o rke r si
npr epa r at
i
o n a nd
c a rd i
ng(
e a rl
y ope r ati
o n s)
w
e r e at low
e r ri
sk
fo rl
u ng c a n c e r tha n th
o s ei
nC H A
P T E R I IR E V I E
W
O F D E PO
S I T I ON A
ND
F I B E RD
E PO SI T I
O N
M
O D
E LS
T h
e c u r r e n t r e s e a r ch
ai
m
s tof
o c u s a n al ysis o n
fi b
e rd
o s e.A
t tem
pts to a s s e s sd
o s eh
a v e ge n e r al l
yb
e end i
r e cted
tow
a rd l
ungd
epo sit
i
o n .T h
e r e ar e th
r e ed
epo si
tio n z o n e s—
n a s op ha r ynge al
(
N A S O
)
, tr a che obr o n ch ial(
T RA
CH
)
, and
pulm
o n a ry(
PU
L)
. Th
em
o sto
ft
en ci
ted l
un gm
od
elm
ath
em
atic al
l yd
e s c ri b
e s th
ed i
ch
otom
o u s system
of
air
w
ay s a nd
c o n s
i
sts of
2 4 s u c c e s siv e
ge n e r ati
o n s(
0-23
)
o fd
a ug hte r pair s
b
egin
nin
g at th
e tr a ch
e a a nd
e n
d in
g at the al
v e ol i
.(W
ei b
el
19 6 3
)
Th
e n a s oph
a rynge al d
epo sit
i
o n z onei
sd
efi
n ed
a s then o s e,
m
o ut h, sin u s e s
, a nd
thr o at to th
e epi
glo
t tis
, o r pr e-ge n e r at
io n
0
.G
e n e r ati
o n s0
thr o u
g h16c o r r e spo n
d
to the tr a ch
e a thr o ugh
the te rm in a
lb
r o n ch i
ol
e s a nd
a r e cla s si f
i ed
a s t hetr a c
h
e ob
r o n ch i
al d
ep
o si
ti
o n z o n e. Pul m
o n a ryd
epo si
tio n
r ef
e r s to ge n e r atio n s
1 7 thr o ug h
2 3a n
d
spans th
e r e spi
r ato ryb
r o n chi
ol
e s to th
e alv e ol
i.(
Bate s a nd
oth
e r s 1 9 6 6 ;W
eib
el 1 96
3)
T
h
e r e a r e t hr e ed
ep
o si
tio nm
e cha ni
sm
s that ap p
l y to sph
e ri
c al
a n dfi b
r o u s pa rticle sa
l i k
e—
im
p
a cti
o n , s ed i m
e ntati
o n , and d i f f
u sio n
. In add i
ti
o n ,i
nte r c ep
ti
oni
s af
o u rthm
e ch
a nis
m
,w h i
chis
m
e a ni
ngfi
il o nl yf
o rfi b
e rd
epo sit
io n
. Im
pa ct
io n
r efe r s tow h
e n thei
n e rti
a of
a pa rti
clei
n the air
str e am
r e s ult
sin
d
epo sit
i
o n, u s u al l
y at ai
rway tu r n s a nd
b i f
u r c atio n s. Im
pa cti
o ni
s r e spo n si b
lef
o r thed
epo si
tio n o fm
o st la rge pa rti
cl
e s that e nte r thea
ir
w
ay . Iti
s th
e pri
m
a rym
e ch
a nis
m
of d
epo si
tio n
in
th
e na s oph
a rjT ige al
z o n e a nd
up pe rSed i
m
e ntatio n de s c ri be s the s et tl ing of a pa rticle in the airw
aysw
hen the gr a vitatio n a
lf
o r c e o n the pa rti
cl
ei
s gr e ate r tha n r e si
sta n c e o f fe r ed b
y th
e air
. T his
m
e ch
a ni
sm
i
s th
em
o stim
po rta ntin
t helo
w
e r tr a ch
e ob
r o n ch i
al a nd
pulm
o n a ry z o n e sw
he r e ai
rf
low
s a r ew
e ake n o u
g
h to pe rm i
tg
r a vit
atio n a
l
s et tl i
ng.D
i
ff
u si
o n r ef
e r s to ai
rm
ol
e c ul
e sb
om
b
a rd i
ng a pa rti
cle r e s u
l
tin
gin
sm
al l m
o v em
e ntsthat ul t
i
m
atel yl
ead
tod
epo sit
i
o n o n alv e ol
a rw
all
s. Th i
sm
e ch
a nis
m
i
s r e spo n si b l
ef
o rd
ep
o si
ti
o n of
v e ry sm
al l pa rtic
l
e si
n v e ryl
ow
-f l
o
w
e n vir o n
m
e nts, th
u s,i
t pr ed
om i
n ate si
n th
ealv e ola r r eg
i
o n s of
thel
u n g.D epo s
it
io n b y inte r c ep
ti
o ni
s r el ia nt upo n th
ein
he r e nt di
m
e n si
o n s of fi b
e r s.A
sf
ib
e r sar e c ar
ri
ed b y
th
e air
fl
ow
, thei
r a ng l
e r elativ e to th
efl
ow
m
ay ch
a ng
e.A
t tim
es, thefi b
e rle n
g
th is pa r al lel to thefl
ow d ir e c
ti
o n . Th i
s c a n r e s u lti
n afi b
e rm
u ch
lo n ge r th
a n thetr a n s
p
o rtin
g
air
w ay 's
d i
am
ete rm
o vi
ng
t hr o ug h the r e spir a
to ry sy stem
. H ow
e v e r, s o
m
eti m
es,t
h
e s efi b
e r sm
ay r otatew
he nm
o vin
gw i
th i
n the ai
rfl
ow, s o that th
ey a r e to ow i d
ef
o r thea
i
rway, r e s ul tingi
nd
epo sit
i
o n.St
r ai
gh
t a nd ri
gi
dfi b
e r s, s u ch
a s gl
a s s a nd, to al
e s s e r e x te n t,a
m p h ib
ole a s
b
e sto s a r ele s s
p
r o n e to th i
sin v e r s
i
o n.T h
e s e rp
entin e
a nd fl
e xi b l
e chry
s oti l
ea s
b
e sto sfi b
e r s a r em
o r e s u s c epti b l
e to thi
sin v e r s
i
o n a nd
, the r ef
o r e chrys oti le
's o
ri
e n tati
o ni
nthe a
i
rwayi
s cl
a s si fi
ed
a s r a nd
om
.(
Ti
m
b
r el l
196 5)
Th i
sm
e ch
a ni
sm
o c c u r s thr o u
gh
o ut th
er e sp
ir a
to ry sy stem b
uth
a s a n e spe ci
al l
yla r
ge ef f
e ct o nlo n
g, thi
nfi b
e r si
n then a s op ha rynge al c o
m
partm
e nt.F
i b
e rd
epo sit
i
o nm
od
els
h
a v eb
e e nd
e v el
oped
,w h i
ch
c al
c ul
ated
epo sit
i
o nfr
a cti
o n sb
a s ed
upo n c ert ain
pa r am
ete r s. Fi b
e r ch
a r a cteri
sti
c s,
w h i
ch
af f
e ctd
ep
o sit
i
o n,in c
l
ud
el
e ng
th
,d
iam
ete r, a nd
de n sity and a r e oft e n u s ed to c alc ulate ae r od j mam ic
equi
v ale ntd i
am
ete r s. Th
efact or s o f r esp ir at io n su ch a s tidal vo lu
m
e and r e sp ir ato ry fr equ ency have an ef fe ct o n fi b e rd
ep
o si
ti
o n.G
en er al l
y, ti d
al
v olu
m
e alo n e
h
a sb
e e n u s ed i
nm
od
el
sb
e c a u s e th
e hitem
atio n al
C
om
m
i
s si
o n o n R ad i
olo
gi
c al Pr ote ctio n
(
I C
R P)
c o n cl
ud
ed
th
at th
e u s u al ph
ysio
l
o gi
c al
ad
j
u stm
e nt tod
em
a nds o fi
n c r e a s ed
v e nti la
tio n
i
s toin c r e a s e
the ti
dal v olum
em
o r e th
a n th
er e sp
i
r ato ry fr equ e n c y, and
th
at ch
a n ge si
n ti d
al v o lum
ew i
th
c onsta nt r e spir a
to ryfr
equ e n cysho ul
d
pr od
u c e the gr e ate st ch
a nge si
nd
ep
o si
tio n
thr o ugh
o ut th
e r e spir a
to ry sy stem
.(
Bate sa n
d
oth
e r s 196 6)
El
e ctr o stati
c ef f
e ctsw
e r e n otin c
l
ud
ed i
n th
e c al
c ula
tio n s o
f
a nyd
ep
o sit
i
o nm
od
els, hi ad d i
ti
o n, t
h
e r eis a
h
o st of i
nd i
vi d
u al
ch
a r a cte ri
s tic s
,w h i
ch w
o ul d b
e e x pe cted
toa
f f
e ctd
epo si
tio n
, s u ch
a s BM
I, age, s e x , sm
ok i
ng statu s, etc. Th
e s e pa r am
ete r s a r e n oti
n cluded i
n a ny depo si
tio nm
odels r e vie
w
edfo r
this
te chni
c al r epo rt.(
A
sg ha ri
a n a nd Y
u1 9 8 8 ; Be e c
k
m
a n s 1 9 7 2 ;H
a r ris a n
d
Ti m
br el l 1 9 7 5;H
a r ri
s a nd
Fr a s e r 1 9 7 6; Y u a nd
othe r s1 9 9 5
)
T
h
e c u r r e nt r e s e a r ch
ai m
s to ap p ly
al
im
gd
epo si
ti
o nm
od
el
to siz e
-s
p
e ci fi
c T EM
fi b
e r a e r o s ol d
atai
n o rd
e r to c r e ate af
r am
ew
o rk b
yw
hi
ch
n a s oph
a ryng
e al, tr a che ob
r o n ch i
al
,a n
d
pul
m
o n a ryd
o s em
ayb
e e sti m
ated
.T h
e u s e of
the s ed
o s e e stim
ate si
n ep i d
em io
logi
ca n a
l
ys e sm
ayim
pr o v e up
o n the pr ed i
cti
v e c ap
a cit
i
e s of
e xi
sti
ng e x po s u r e-r e sC H A
P T E R I I IM
E TH O
DS
De
m
e nt a nd
c ol le agu e s(
2 0 0 7)
ha v e pr e vi
o u sl y de v eloped am
ethod
to ad
j
u st P CM
f
ib
e r c o n c e ntr ati
o n s u si
ng
T EM
an al
ys e s of
a r chi
v ed m
em
br a n ef
ilte r s am
pl
e s c oll
e c ted i
n a na s
b
e sto s te x ti l
e pl
a nti
nC h
a rl
e sto n ,S
o uth C
a r oli
n a,U SA
.C
o u nted f i b
e r sw
e r em
e a s u r ed
a n
d fi
ti
n tob i
v a ri
atel
e ng
th/ d i
am
ete r c ateg
o ri
e s. Th
e pr op
o rti
o n of T
EM
f
ib
e r si
n ag i
v e ne xpo s u r e z o n e
(
w
hi
ch
c o r r e spo nd
ed
cl
o s el yw i
th
te x ti l
ed
epa rtm
e nts)
,w h i
ch f
el li
n to a gi
v e nd i
am
ete r/l
e ng th
c atego ry,w
a sd i
vi d
ed b
y th
e pr opo rti
o n of
al l
TE
M
f
ib
e r sm
e a s u r ed b
y PC
M
to pr o
d
u c e PC
M
ad
j
u stm
entf
a cto r s.(Q
ui
nn and
oth
e r s 2 0 0 0) W
h
e n t he PC
M
f
a cto r sw
e r em
ul
ti
pl i
ed b
y th
em
e a nP C
M
e x po s u r e s(
fi b
e r s > 5/
xm /
cm
^)
f
o r th
at e xpo s u r e z o n e, c o r r e cted
e st
i m
ate s of
e x po s u r ew
e r e pr od
u ced
. Be c a u s e TE
M
m
e a s u r e s th
efi b
e r s PC
M
c an n otr el
i
abl
y c o u nt, thed i
stri b
uti
o ni
nclud
ed fi
be r s sho rte r th
a n 5 fim
a nd
t hi
n n e r th
a n 0.2 5 [im
.(
Dem
e nt a nd
othe r s 2 0 07
)
T h
i
sm
et hod w a s ap p li
ed
to thefi
br o u s a e r o s ol c ol l
e cted f
r om
th
r e e a sb
e sto s te x ti l
ep
l
an tsi
nN
o rth C
a r ol i
n afi
-o
m
19
6 4 to 1 9 7 1.M
em b
r a n efi l
te r sf
r om
e a ch
pl
a n t and
e xpo s u r ez on e
w
e r e si
m
i l
a rl y
a n al y
z ed
u si
ng
TE
M
. Pl
ants and
z one s a r el i
sted i
nA p p
e nd i
xA
.A m
o ng the th
r e e pl
an ts, 2 2,7 8 4f
ib
e r sw
e r e c o u nted
, c atego ri
z ed
, a nd
u s ed
to c al
c u late pl
a n t,z o n e,
d i
am
ete r c atego ry , and l
e n g th
c atego ry-s
8
A
l ite r atu r e r e view w
a s c on du cted of a v ai lab le lung depo si t io nm
odels an d am
ode lb
y Rob
e rtH
a r ri
s a nd
c ol l
e ag
u e sw
a s s ele c
ted
.(
Ha r ri
s 19
7 2 ; H a r ri
s and
Tim
b
rel l
1 9 7 5;Ha r ri
sa n d Fr a s e r 1 9 7 6
)
In la rge pa rt, th i
sd
e ci
si
o nw
a sm
otiv a
ted b
y the a v ai
lab i l i
ty ofm
od
eld
epo sitio n e stim
ate si
n a n a c c e s si b
lef
o rm
. In ad d it
i
o n, t hi
sm
od
eli
s wel l kn ow
nin
thes c eint
i f
i c c om
m
u ni
ty.M
od
eld
ep
o si
tio n
e sti mate sf
o rf
ib
e r s of
al
l siz e s
w
e r e c ol l
e cted
fr om
Ha r r
is
'd i
s s e rtati
o n(
H
a r ri
s 19
7 2)
and
Har ris a
n d Ti m b
r ell
's pub l i
c atio n
(
H
a r ri
s a nd
Ti m b
r el l
1
9 7
5)
.O
nl
yd
epo sit
i
o n e sti m
ate s u si
ng
a ti d
al
v ol
um
e of
1,4 5 0 cm
w
e r e s el
ec ted
. Th i
sw
a scho s e n a s a r epr e s e ntat
i
o n of
them
od
e r ate p h ysic a
l
e x e rtio n
ge n e r al l y r epr e s e ntati
v e of
t hew
o rk
.(
A
nd
e r s o n a nd
oth
e r s 20 0 6
; B ate s a nd
oth
e r s 1 9 6 6 ; D em
e nt 1 9 80
)
H
a r ri
s'
m
od
el
in c
lud
ed
e stim
ate sf
o r o rd
e r ed
a nd
r a nd
om
o ri
e ntatio n
b
ut o nl yd
epo si
ti
o n e sti
m
ate sc o r r e spo nd
i
ng to the lat te r o ri
e ntationw
e r e u s ed
a s the f i be r ty pe in the s e p la ntsw
a sc
h
rys oti l
e.(
Ti m b
r el l
1 96 5
)
T
h
ed
epo sit
i
o n e sti m
ate sfr
om
H
a rri
s'
m
od
el
w e r e c ol l
e cted i
nto th
r e eS A S d
atafi le s
(
SA S
In sti
tute In c.2 0 0 8
)
in
w h i
ch
th
e e sti m
ate sf
o r n a s oph
a ryn ge al
, tr a ch
e ob
r on ch i
al
, a nd
pu
lm
o n a r yd
epo si
tio n
w
e r e o rg
a niz e
d
.I
n o rd
e r to c o n v e rt t hed i
s c r ete e sti m
ate s of
e a chf
il
ein
to thr e e sm
o othm
odels
,w
hi
ch c o ul d b
e ap p li
ed
to o u rfi b
e rd
ata,w
e u s ed
th
e T PS
P L IN
Ep
r o c ed
u re. Th i
sp
r o c ed
u r efi
ts a n o npa r am
etri
c r eg
r e s si
o nm
od
el
and
c om
pute s sm
o oth ingsp
l i
n e s to ap
pr o xi m
ate sm
o oth m
ul
tiv a
ri
atefi m
cti
o n s.(
SA S
In sti
tute In c. 199 9
)
Th
ee xp la n ato ry v a
ri
ab le s
w
e r efi b
e rl
e n gth
and
a e r od
yn am i
c equiv a
l
e ntd i
am
ete r(
De)
. Th
er e spo n s e v a
ri
ab
le sw
e r e n a s oph
a rynge al
, tr a ch
e ob
r o n ch i
al
, o r pul m
o n a ryd
epo sit
i
o n9
S
i
n c e Ha rri s'm
od
el u s edfi b
e r le ngth
a nd
a e r od
ynam i
c equi
v al
e ntd i
am
ete r a s them
od
el pr ed i
cto r sf
o r depo si
tio n,w
e u s ed H
a rri
s 'm
od
el
e xpr e s si
o nf
o r D e. Th
ef
o rm
ul
ai
sg
i
v e nb
el
ow
:D
e =(
2
>d 1 2
)
^
p/
( [
0.3
8 5/
(
In 2f
i
- 0
.5
)]
+[
1.2 3/
(
hi 2/
3
+ 0.5) ] )
w
he r e :d
=d i
am
ete r of fi b
e rp=
d
e n si
ty of chr ys oti lef
ibe r= 2.7 g/
cm
^
(
K
um
z e r o v and
othe r s 2 0 0 4)
j
S
^ a spe ct r ati
o=l
e ngth / d iam
ete rT h
e T PSP
L
IN
Ed
epo sit
i
o nm
od
el
sw
e r e ap pl i
ed
to e a ch fi b
e r si
z eb
y T EM
to pr od
u c ee sti
m
ated
n a s op ha rynge al, tr a che ob
r o n chi
al, a nd
pul
m
o n a ryd
epo si
ti
o n fi
-a ct
i
on s(p
r ob
ab i l i
ti
e s)
. Th
ed
epo sit
i
o nf
r a cti
o n sw
e r e a v e r aged f
o r al l fi b
e r si
n al
e ng th/ d i
am
ete rc atego ry to pr o
d
u c em
e a nd
ep
o si
tio nf
r a ctio n sin
2 4d i
am
eter a nd l
e ng
th
c ategori
e sb
y stud y
p lan t an
d
e xpo s u r e z o n e.To
d
eri
v e r egi
o n al
lu ngd
o s e e stim
ate sf
r om
t he PC
M
c o n c e ntr ati
o n s th
em
e a nf
r a cti
o n sw
e r e the nm
ul
ti
pl i
ed b
y th
e PC
M
f
a cto r s to c r e ated
epo si
ti
o nf
a cto r s.T h
ed
epo si
ti
o nf
a cto r sf
o r al l fi b
e r-s
i
z e c ategori
e sw i
th i
n e a ch
pl
a nt a nd
e xpo s u r e z o n ew
e r e the ns u
m
m
ed
to pr o vi d
e a n o v e r al l d
epo si
ti
o nf
a cto rf
o r e a ch p la nt and
e x po s u r e z o n e. Th
e s ef
a cto r s c anb
em
ult
i
p li
ed b
yd
ai l
y a v e r ageP C
M
-d
ete r
m i
n ed fi b
e r c o n c e ntr atio n s a nd
th
ee st
i
m
ated i
nh
al
ed
ai
r v ol
um
e o v e r aw
o rk
sh i ft
to pr od
u c e e sti m
ate s of d
o s e(
f
ib
e r sd
ep
o si
ted
i
n e a ch l
u n g r egi
o n)
f
o rw
o rk
e r s of
a gi
v e n tim
e a nd
j
ob
c atego ry.T h
e u ni
tf
o r the s ef
a cto r s5 ; ' '
C
H A
P T E R IV
y' t
:
;
-sr
^;
';
:^-^/
;
: ,^;
>
-
: R ESU
L TS
',
"
' '
^ ^ : , ;
'
;
T he T P
SP L I
N
Em
od
els fo r e a ch depo si
ti
o n z o n e a r e di
sp l
ayed i
n Fi
gu r e s 1, 2, a nd 3
.Pred i c t e d V a l u e of N a so
0 6 7
0 33
3 3 5
0 0 0 5 0 0
3 3 S
L eng t h
F i gu r e 1: Na s op ha rynge al
(
N a s o)
D epo sitio n b y Le ngth a n d Ae r od yn amic E quiv ale nt D iamete r T he fi gu r e r epr e s e nts the T P S P L IN E model, w h ich pr ed icts n a s op ha ryn ge al depo sitio n fr a ctio n s ba s edupo n the e xp la n ato ryv a riab le s, fi be r le ngtha nd a e r od yn amic equiv ale nt d iamete rs *
T
h
e n a s oph
a ryn ge al m
od
el p
r ed i
cted d
ep
o si
ti
o ni
n th
eh
e ad
, n o s e, a nd
th
r o at to thee
p i gl
ot ti
s.A
s r od l
e n g th i
n c r e a s ed
,d
epo si
ti
o n of fi b
e r si
n th i
s c om
p
a rtm
e ntb
e c am
epr ogr e s s
i
v el y gr e ate r tha nw h
at wo ul d b
e e x pe cted f
o r c om
pa ct pa rti
cl
e s of
th
e s am
efT * ;^^ - -**
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b y inte r c eptio n o n n a s al hair s. Th is ef fe ct be c a
m
e n eg l i g i b le at h i g h equiv ale nt d iam
etersbe c a u s e a v e r
y l
a rg
efr
a ctio n
d
epo si
ted i
n th i
s r egi
o nb
yi m p
a c ti
o n , r ega rd l
e s s of
i
nte r c eptio n al depo si
ti
o n .A
s e xpe cted
, sm
all
e r, sh
o rte rf
ib
e r s pa s s ed e a si l
y th
r o ugh
th i
sc o
m p
a rtm
e nt be c a u s e hi
g hf lo
w
r ate s eli m i
n ate si
gni f
i c a nt s ed i m
e ntati
o n a nd di f f
u sio n
.Predi ctnd Valu e of Tra c h
0 2 0 0
0 13 3
0 0 E 7
3 3 5
0 0 0 0
Len g t h
F igu r e 2: Tr a che obr o n ch ial
(
Tr a ch)
Depo sitio n b y Le ngtha nd Ae r od yn amic E quiv ale ntD iamete r T he fi gu r e r epr e s e nts the T P S P L I N E model,w h ich pr ed icts tr a che obr o n ch ial depo sitio n fr a ctio n s ba s ed upo n thee xp la n ato ry v a riab le s, fi be r le ngth a nd a e r od ynamic equiv ale nt d iamete r
T
h
e tr a ch
e ob
r o n ch i
al m
od
el
pr ed i
cted
a v e ry sm
al l d
epo sit
i
o nfr
a ctio n of h i
gh
e
q
uiv a
l
e ntd ia
m
ete rfi b
e r si
n th i
s c om p
a rtme n t. Th i
s wa sp
ri m
a ri l
yb
e c a u s em
o stl
a rg
e"
i
a e r o
d
ynam
ic
equi
v ale n
td i
am
ete r r od
sd
epo si
ti
n the na s oph
a rynge al z one. H ow
e v e r,
i m
pa cti
o n p layed
a si
gni f
i c a nt r ol
ei
n th
ed
ep
o si
ti
o n of
th i
s r em
ai
nin
g c oh
o rt of fi b
e r s ata
ir
wayb i f
u r c atio n s
. Lo ng, th infi b
e r s sti l l d
epo si
t at ah i
gh
e r r atei
n thi
s r egio n
th
a n c om
pa ct1 2
Predi cted V a lu e of P u l
0 3 3 3
0 67
3 3 5
Le n g th
F igu r e 3: Pulmo n a ry
(
Pul)
Depo sitio n b y Le n gth a nd Ae r od yn amic E quiv ale ntD iamete r T he fi gu r e r epr e s e nts the T P S P L I N E model, w h ich pr ed icts pulmo n a ry depo sitio n fr a ctio n s ba s ed upo n the e xp la n ato ry v a riab le s,fi be r le ngth a nd a e r od yn amic equ iv ale ntdiamete r.
In the pu
l m
o n a rym
od
el, a s e xpe cted
, th
ed
epo si
ti
o n of
sm
al l
equiv al
e n td
iam
ete rr o
d
s pr ed
om i
n ate s. In th i
s a r e a, them
e ch
a ni
sm
of
s ed i m
e ntati
o n a nd d i f f
u si
o n we r ep
r e v al
e nt.A l
ow f
r a cti
o n of l
o ngf
ib
e r sw
e r e pr ed i
cted
tod
epo si
ti
n th i
s r egi
o n pri m
a ri l
ybe c a u s e o
f
th
el
a rge pr opo rti
o n th
atd
epo si
ti
n pr e vi
o u s c om
pa r tm
e nts.H
ow e v e r, a
s
i g
ni f
i c a ntf
r a cti
o n of
lo n g, thi
n fi b
e r sw
a s e xpe cted
to r e a ch th
e pul m
o n a ry r egi
o n . Th i
si
sc o n s
i
ste ntw i
thf
i nd i
ngs of
v e ry l
o n g, t hi
nfi b
e r sf
o u nd i
n thed
e epl
u n g.(
Li
p pm
a n 1 9 8 8)
T
h
e T PS
P L IN
Em
od
el
sf
o r al l
th
r e el
u ng
r egi
o n sf
it Ha r ri
s 'm
od
el
e sti
m
ate s v e rywe
l l
, a s sh
ow
ni
n Fi g
u r e4
.A
pp
e nd i
xB
e xh i b i
ts th
e T PSP L IN E
a nd i
nputd
ep
o si
ti
o n v al
u es13
♦ N A
S O
T R A
C H
P
U L
L i
n e a r(
N A S O
)
—
L i
n e a r(
T R A C H
)
L in e a r
(
P U
L)
0
.0
0
.20
.4
0 6
T P S P L
I NE
Pred ic
ted D
ep
o sit
io n
0
.8
1
.0
F i gu r e 4: L in e a r Regr e s sio n of T P S P L I N E a nd Ha r ris
M
odel Depo sitio n Estimate s T he depo sitio n e stimate softhe Ha r ris modela nd T P S P L I N E model fo r i de ntic al le ngth a nd De w e r e p lot ted a nd r egr e s s edto dete rmin e
T P S P L I N E model f it Fo r n a s op ha rynge al depo sitio n r^= l Fo r tr a che obr o n ch ial depo sitio n r^=0 9 9 9 Fo r
pulmo n a ry depo sitio n r^=0 9 9 9
T
h
e r e s ult
sfr
om
th
e ap pl i
c ati
o n of
the T PSP L
I N
Em
od
el
to th
e T EM
d
ata a r eg i
v e ni
nA
p pe nd i
xC
, D , a nd
E, r e spe ctiv el
y ,f
o r n a s oph
a rynge al
, tr a ch
e ob
r o n ch i
al
, a nd
pul m
o n a ryc o
m p
a rtm
e nts. Th
e s ei
n cl
ud
e th
em
e a n s and
sta nd
a rd d
e vi
ati
o n sf
o rd
ep
o si
tio nfr
a cti
o n s o fe a c
h p l
a nt, e xp
o s u r e z o n e,d i
am
ete r c ateg
o ry, a nd l
e ng
th
c ateg
o ry
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n ati
o n, hi ad d it
i
o n,c e
l l
pr opo rti
o n s a nd
sta nd
a rd d
e vi
ati
o n s a r e tab
ulated
. Th
e s e v al
u e s r epr e s e nt the
fr
a cti
o n of
fi b
e r s c o u nted i
n ag i
v e np l
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o r e a ch
e x po s u r e z o n e th
atf
al l w it
h i
n ad i
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ete r/ l
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m
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1,0 0 0f
ibe r sw
e r e c o u ntedi
n p la nt 1, z o n e 1, a nd
5 0 0 of
th
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e r sw
e r e t hi
nn e r tha n 0.2 5 fim
a nd sh
o rte r tha n 1.5f
im
, th
atd i
am
ete r/l
e ngth c atego ryw
o ul d h
a v e a c el
l pr opo rtio n of
0.5.A
ls o,
i
n cl
ud
ed i
nA
p pe nd i
c e s a r e th
e PC
M
f
a cto r s,T
h
e n a s op ha r yn ge al depo si
ti
o n fa cto r s fo r al l T EM
f i be r s a r e s um m
a riz ed in F i gu r e5 T
h
e hi gh
e std
epo si
ti
o nf
a cto r sw
e r e ob
s e r v ed i
n P la nt3
. T he low
e std
ep
o si
ti
o nf
a cto r so c c u r r e
d i
n P la nt 1. Pl
a nt 3, Zo n e 6 had the h i g he st depo sitio n fa cto r of a ny z o n e. In othe rw
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PC
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ib
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CL Q. Q. D. Q. Q.
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P la nt / Zo n e
F i gu r e 5: Na s op ha rynge al
(
N A S O)
Depo sitio n Fa cto r s b y P la n ta nd Zo n eT
h
e tr a che ob
r o n chi
ald
epo si
ti
o n fa c to r s a r e sh
ow
ni
n Fi
gu r e 6.Si m i l
a r to th
en a s op
h
a ryng
e al d
ata,P l
a nt3 h
ad h i g h
e rm
e a nd
ep
o si
ti
o nf
a cto r s th
a n th
e oth
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^a
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1 4 0 0
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1200'
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o
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s
<0 600
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0 2 00
0 000
P la nt /Zo n e
Figu r e 6: T r a che obr o n ch ial
(
T R A C K)
Depositio n Fa cto r s by Pla nt a nd Zo n eT
h
e pul
m
o n a ryd
ep
o si
ti
o nf
a cto r s ar ed i
sp l
ayed i
n Fi
gu r e7
. Th
e s am
e tr e nd
sw
e r e,
o
b
s er ved
a sw i
th
na s op h
a ry
ng
eal
and
tr a ch
e ob
r o n ch i
al d
ep
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t th
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P la nt /Zo n e
^:
F igu r e 7: Pulmo n a ry
(
P U L)
Depo sitio n Fa cto r s by P la nt a nd Zo n e.A
l l
pl
an t a nd
e x po s u r e z o n ed
epo si
ti
o nf
a cto r s a r e r epo rted i
n tab
ul
a rf
o rm i
nA
p p
e nd i
c e s E, F, a nd G
."
M
C
HA
P T E R VD I S C U S SI
O N
T
h
ep
ri
m
a ry pa r am
ete r s th
atd
ete rm i
n ed
t he e sti m
ated d
epo si
tio n
f
a cto r sw
e r em
e a nd
epo sit i
o nf
r a cti
o n s a nd
PC
M
ad
j
u stm
en tf
a cto r s. Th
ePC
M
ad
j
u stm
en tf
a cto r sw
e r ed
ete rm i
n ed f
o r pla n
t,d
epa rtm
e nt, a nd d i
am
ete r/
le ngth
c atego ry,b
ut th
e s e d i d n ot v a ry b yd
ep
o sit
i
on r eg i
o n . In c o ntr a st, t
h
ed
epo si
tio n
f
r a cti
o n sw
e r ed
epe nd
e nt up
o np
r e vi
o u s and
s ubs e
q
u e ntd
epo si
ti
o nf
r a ctions.F
o r e x am
p l
e,i f
th
e c om b i
n ed d
ep
o si
ti
o nf
r a ctio n
f
o rn a s op
h
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a nd
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m
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75
, th
e tr a ch
e ob
r o n ch i
ald
epo si
ti
o nfr a c
tio n c o ul d
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o r e tha n0
.2
5. Th
e r efo r e
,
i f
ad
ep
o si
tio n
f
a cto rf
o r a gi
v e n e xp
o s u r ez o n e
w
a sh i
gh
a c r o s s all
thr e e c om
pa rtm
en ts(
e.g.. P
la n
t 3, Zo n e6
)
th
en the e x c eptio
nal
m
ag
nit
ud
e of
thed
ep
o si
ti
o nf
a c to rw
a sl i k
el
yd
u e to ah i
gh
PC
M
f
a cto r. T hi
s s ug ge sts t hatthe r e
w
e r e ag
r e ate r pr opo rti
o n of fi b
e r s u n c o un ted b y P C
M
fi b
e r c o n c e ntr ati
o n sin
the s ez o n e s c o
m p
a r ed
to oth
e r z o n e s a nd
, the r ef
o r e, th
e e x po s u r ew
o ul d b
e hi
gh
e r th
a n s ug ge sted
b
y the PC
M
c onc e n tr ati
o n alo n e. Th
is c o uld b
ed
u e tof i b
e rd i
stri b
uti
o nd i f f
e r e n c e sb
etwe e ne xpo s u r e z o n e s. I
f
th
ed
epo si
tio n
fa cto r fo r a gi
v e n e xpo s u r e z o n e v a rie
d b
ylu n
gc o