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11

A

B

ST R

A CT

D

A N

I

E

L

M

A R K A N

D

E

R

SO N

.

A

p p

l i

c at

i

o n o

f

a Lu n

g D

e

p

o s

i

t

io n

M

o

d

e

l

to F

i b

e r

D

ata

fr

o

m

T

hr e e

N

o rth Ca r o

l i

n a

A

s

b

e sto s Te x tile P la n ts.

(

U

nde r t

h

e

d i

r e ct

i

on o

f

D r.

Jo

hn De

m

e nt

)

W

e ap p

l i

e

d

a lu ng

d

epo s

i

t

io n

m

o

d

e

l

to

fi b

e r

d

ata to

p

r o

d

u c e n a s o

p h

a rynge a

l

,

tr a che o

b

r o n c

h i

al, an

d p

ul

m

o n a ry

d

o s e e st

i

m

ate s r e c e

i

v e

d b

y

w

o r

k

e r s

i

n thr e e a s

b

e sto s

T e xt

i

le p la nts.

A

pu

b

l

is

h

e

d fi b

e r

d

epo s

it

i

o n

m

odel

w

a s cho s e n a nd the T P

SP L I

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SA S

p

r o c e

d

u r e

w

a s u s e

d

to

fi

t n o n

p

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io n

m

o

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yn a

m i

c

d i

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h

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o

d

els

w

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the n a

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ata

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(

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to

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iz e

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c

fi b

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lu n

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io n

. T

h

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iz e

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th the T E

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i m

ate a

d

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m

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h

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contr a st

m

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(

P

C

M )

fi b

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io n s

to e xpr e s s equ

iv a

le nt r eg

i

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l

lu n

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T

h

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lt

in

g

d

epo s

i

t

i

o n

f

a cto r s

w

e r e c o

m

p

a r e

d

a c r o s s p

l

a nts an

d d

epa r tme nts. T

h

e

M

a r s

h

v

i l l

e p

l

a n t

h

a

d

t

h

e h

i g h

e st

d

epo s

it

i

o n

f

a cto r a v e r a

g

e s

f

o r a

l l l

u ng r eg

i

o n s

w

h

i le

t

h

e

Da v

id

s o n

p

lan t ha

d

the

lo

w

e st a v e r age s

fo r

a

l l lu n

g r eg

i

o n s. T

h

e r a nge o f t

h

e s e fa cto r s

w

a s

1.4 4 -

3

.4

0 fi b

e r s

d

epo s

i

te

d

pe r u n

i

t P

C

M

fo r n a s op

h

a rynge al

d

epo s

it

i

o n, 0.4

5

-

1

.

3 0 fi b

e r s

d

e

p

o s

it

e

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i

t P

C

M

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h

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b

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h i

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l d

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d

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8 9

- 1 1

. 13 fi be r s

d

e

po s

it

e

d p

e r

u n

i

t P

C

M

f

o r pu

l m

o n a ry

d

epo s

i

tio n . T

h

e

p

l

an t a n

d d

epa rt

m

e nt-s

pe c

i fi

c

d

epo s

i

t

io n

f

a cto r s,

w he n

m

ultip l

i

ed b y e st

i m

ated da

i

l y a v e r age P

C

M

c o n c e ntr atio n s a n

d

e st

i m

ate

d i

n

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ale

d

a

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lu

m

e s, w

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l

t

i

n

l

ung r e

gi

o n -s

pe c

i fi

c

fi b

e r

d

o s e e st

im

ate s. T

h

e s e r e s u

lt

i

ng

d

o s e

e st

ir

fi ate s

w i l l b

e u s e

d i

n a c oho rt

m

o rtal

i

ty stu

d

y.

(2)

i n

A

C K N O

W

L E D

G

E

M

E

N

T

S

I tha nk the

m

e

m

be r s o

f m

y te chn

i

c a

l

r epo rt c o

m m i

t te e. Dr. Jo

h

n De

m

e nt

,

D

r . Le e n a

N

y la n

d

e r-F

r e n ch, an

d

Dr . Da v

i d

Le

i

th fo r t

h

e

ir

gu

i d

a n c e

d

u r

i

ng

m

y gr a

d

u ate stu

d

y a n

d

r e s e a r c

h

a n

d Su s a

nn e

W

ol

f fo r

e

du c a

t

i

ng

m

e a

b

o ut t

h

e co

h

o rt.

M

o st o

f

a

l l

, I t

h

a n

k

Ja c

l

yn

An

d

e r s o n

f

o r he r e n c o u r age

m

e nt a n

d

pat

i

en c e.

T

h is r e s e a r c

h w

a s s u

p p

o rte

d b

y a gr a nt

f

r o

m

t

h

e

N

at

i

o n a

l

Li stitute

f

o r

O

c c u

p

at

i

o na

l S

a

f

et y

(3)

I V

C

O N

T E

N

T

S

Page

L I

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T

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F F I

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v

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A

B B R E

V

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M

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O

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v

i

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V

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W

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m

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I

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S C U SS

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R E F E

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N C

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9

A

P

P E

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2

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P

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A P P E

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P P E N

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64

A

P

P E

N D

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6 5

(4)

L I S T

O

F F I

G U R

E S

Page

1

N

a s op ha rynge al Depo sit

i

o n

b

y L e ngth a n

d A

e r od yn a

m

i

c E qu

iv a

l

e nt D

i

a

m

ete r 1 0

2. Tr a che o

b

r o n c

h i

al D epo s

i

tion

b

y L e ngth a n

d

A e r od yn a

m i

c E qu

i

v ale nt D

ia

m

ete r 1 1

3. Pu l

m

o n a ry D epo s

i

tio n

b

y L e ngt

h

a n

d A

e r o

d

jo i a

m i

c E qu

i

v ale n t D

ia

m

ete r 1 2

4. Regr e s s

io n

o

f

T P

SP

L I

N

E a n

d H

a r r

i

s

M

o

d

e

l D

epo s

i

t

i

o n Est

i m

ate s 1

3

5.

N

a s op ha rynge al

D

epo s

it

i

o n Fa cto r s

b

y P

l

a nt a n

d D

epa rt

m

ent 1 4

6

. Tr a c

h

e o

b

r o n c

h i

al D e

p

o s

i

tio n Facto r s

b

y P

l

a nt a n

d

Depa r tme nt 1 5

(5)

V I

T E

M

P

C

M

I

CR P

De

N A S O

T R

A C H

P

U

L

L I S T O F

A

B B R E

V

I

A

T I O

N

S

A

N

D

S

Y

M

B O L S

tr a n s

m

i

s s

i

o n e

l

e ctr o n

m

i

c r o s c op y

p ha s e c on tr a st

m

i

c r o s c op y

In te r n at

i

o n al

C

o

m

m i

s s

io n

on Ra

d i

olog

i

c al Pr ote ction

a e r o

d

yn a

m

i

c equ

iv a

l

e nt

d ia

m

ete r

n a s op

h

a rynge al

tr a c

h

e o

b

r o n c

h i

al

(6)

C H

A

P T E R I

IN

T R

O D U C

T I

O N

T

h

e c a u s al l

in

k

b

et

w

e e n e xpo s u r e to a s

b

e sto s a n

d

the

ri

sk o

f

m

e s ot

h

e

l i

o

m

a,

l

u ng

c a n c e r, an

d

a s

b

e sto s

i

s

i

s

w

e

l l

-e sta

b l i

s

h

e

d

.

H

o

w

e v e r

, quest

i

on s pe r s

i

st r e

g

a r

d i

n

g

t

h

e

d

egr e e

to

w h i

ch

d i ff

e r en t

f

i

b

e r c

h

a r a cte

ri

st

i

c s c o nt

ri b

ute to t

h

e s e pu

l

m

o n a ry d

i

s e a s e s. F

i b

e r t j ^ e ,

fi b

e r

d i

m

e n s

i

o n , a n

d f i b

e r

d

o s e a r e

m

o st o

f

te n c

it

e

d

a s

d

ete r

m i

n a nts o

f ri

s

k f

o r t he

a

fo r e

m

e nt

i

o n e

d p

atho

l

o g

i

e s.

(

St

a nto n a n

d

othe r s 1 9 8 1 ;

H

e

i

n a n

d

ot he r s 2 0

0

7

)

T

h

e r e a r e two ge n e r a

l

t y pe s o

f

a s

b

e sto s

a

m

p

h i b

ole a n

d

c

h

rys ot

i l

e. A

m

p h

i b

ole

a s

b

e sto s

b

r o a

d l

y c o v e r s

f

i v e

m

in e r a

l

t

y

pe s,

in c

lu

d in

g a ct

in o

l i

te, tr e

m

o

l i

te, a nt

h

op h y

l

l

i

te,

c r o c

i d

o

l i

te, a n

d

a

m

o s

i

te a s

b

e sto s. T

h

e s e a r e c

h

a r a cte

ri

z e

d b

y str a

i

g ht, c rystal l

in e

f

ibe r s.

C hr

ys ot

i l

e a s

b

e sto s

is

m

a

d

e

fi

-o

m

a s e rpe n tin e

m i

n e r al. Its f

i b

e r s a r e lo ng a n

d

r elat

iv e

l y

f le x

i b l

e.

(

A

T

SD

R

2 0 0 1

)

T

h

e r e

la

t

iv e

to x

i

c

i

t y o

f

a

m

p h i b

o

l

e s a n

d

c

h

rys ot

i le

h

a s

b

e e n

d

ebated.

S

o

m

e ha v e a r

gu e

d

that chrys ot

i le a s

b

e sto s ha s a s

i

gn

i f

i c an t

b

ut c o

m

pa r at

iv e

l y

w

e a

ke r

c a u s at

iv e r e

l

at

i

o n s

h i

p

w i

t

h m

e s ot

h

e

l i

o

m

a

w h i l

e e x

h i b i

t

i

n

g

c o

m

pa r a

b l

e e

f fe c

ts to

a

m

p

h i b

ole a s

b

e stos

w i

t

h

r e spe ct to lu n g c anc e r a n

d

a s

b

e sto s

i

s.

(

Sta

yn e r, Dan

k

o v

ic

, Le

m

e n

1 9 9 6

)

Othe r s c o nte n

d

that chr

y

s ot

i

le

m

ay ha v e

l i

t t

l

e to n o c a r c

i

n oge n

i

c e

f f

e cts

w

hats o e v e r.

(

D

u nn

i g

an 1 9

8

8

)

S

t

i l l

ot

h

e rs o ccup y t

h

e

m

i d d le

gr o u n

d

, a rgu

i

ng t

h

at chrys ot

i l

e

d

o e s n ot

c a u s e

m

esot

h

e

l i

o

m

a

b

ut

m

ay

b

e

i

m

p l i

c ate

d i

n

lu

n

g

c a n c e r .

(

Y

a r

b

o r o u

gh

2

0 0

7

)

O f

t

h

e

a s

b

e sto s

-c o nta

in

i

n

g

pr o

d

u cts

in

t

h

e

w

o r

l d

, 9 0

-

9

5

%

c o nta

i

n o n

l

y c

h

rys ot

i l

e a s

b

e sto s, s o t

h i

s

d

e

b

ate c o u

l d h

a v e w

i

de-r a n

(7)

Re s e a r ch fr o

m

a sbe sto s a n i

m

al stud ie s in d ic ate s that lo ng, th in

fi

ber s ar e

m

o r e to xic

b

ut r

i

s

k

s a s s o c

i

ate

d w i

t

h

c e rta

i

n

fi b

e r s

i

z e s

m

ay v a ry

b

y

d i

s e a s e.

(

Be r

m

a n an

d

ot

h

e r s 1 9 9 5 ;

D

a v

i

s an

d J

o n e s 1 9

8 8

; Pott,

H

ut

h

, Fr

i

e

d

r

i

c

h

s 1

9

7 4 ; Pot t 1

9 8

7 ;

S

ta nto n a n

d

W

r en ch 1 9 7 2 ;

S

ta nto n an

d

othe r s 1 9 8 1

)

L i p p

m

a n

(

1 9 8 0

)

r e v

i

e

w

e

d

the a n

i m

al data a nd the

l i

m

ited stud

i

e s

of

fi b

e r

d

istr

i

but

i

o n s

w i

t

h

in lu n gs o

f

e x po s e

d

hu

m

a n s. He

d

ete r

m i

n e

d

t

h

at a s

b

e sto s

i

s r

i

s

k i

s

m

o st c

l

o s el y r elate

d

to s u r

f

a c e a r e a o

f

r eta

i

n e

d fi b

e r s

i

n t

h

e

l

u ng ;

m

e s ot

h

e

l i

o

m

a

w i

t

h

n u

m b

e r

o

f fi b

e r s

l

o n

g

e r t ha n 5 fi

m

an

d

t

h i

nne r t

h

a n

0

1 ix

m

; a n

d l

u ng c a n ce r

w i

t

h fi b

er s

l

o n

g

e r t

h

a n

10

ju

m

an

d

t

h i

c

k

e r t

h

a n

0

. 1

5 [

i

m

.

(

L

i

p p

m

a nn 1 9

8

8

)

H

o

w

e v e r,

m

o st o

f

t

h

e

b

a s

i

s o

f

t

h i

s

w

o r

k

w

a s r at a n

d m

o u s e

d

ata,

w

h

i

c

h

r a

i

s e s c o n c e r n s a

b

o ut e xtr apo

l

at

i

o n to

h

u

m

a n pat

h

o

g

e n e s

i

s.

E

p

i d

e

m i

o

l

og

i

c a

l

stu

d i

e s

h

a v e n ot a s s e s s e

d fi b

e r s

i

z e- s

p

e c

i fi

c r

i

s

k

s.

A i

r

b

or n e

fi b

e r c o n c e ntr at

i

o n s

, a s e st

im

ate s o

f

e x po s u r e,

h

a v e

b

e e n tr a

d i

t

i

o n al

l

y

d

ete r

m i

n e

d b

y p ha s e c o ntr a st

m i

c r o s c op y

(

P

C

M ) W

h

e n t

h

e s e e xpo s u r e c o n c e ntr at

i

o n

e st

i m

ate s a r e e xtr apo

l

ate

d

o v e r a

w

o r

k i

ng

l i f

et

i m

e, t hey

h

a v e s

h

own to

b

e e x c e

l l

ent

pr e

d i

cto r s o

f m

al

i g

n an t a n

d

n o n-

m

a

l i

gn a nt pul

m

o n a ry

d i

s o r

d

e r s.

(

D e

m

e nt

, Br o v

ra

,

O

ku n

19 9

4 ; H e

i

n a n

d

ot

h

e r s 2 0 0 7

)

H

owe v e r, P

C

M

c o n c e ntr at

i

o n e st

i m

ate s

h

a v e

b

e en u n a

b l

e to

e xp

l

a

i

n

d i ff

e r e n c e s

i

n

d i

s e a s e

i

n

d i

c

i d

e n c e

b

et

w

e e n

d i f f

e r e nt a s

b

e sto s

i

n

d

u str

i

e s, s u c

h

a s

m i

n

i

n

g/ m i l l i

n g a n

d

te xt

i l

e s.

(

S

tayne r, Da n

k

o v

i

c, Le

m

e n 1 9 9 6

)

T he P C

M

m

etho

d h

a s s e v e r al

we a

k

n e s s e s. F

i

r st,

i

t c a n n ot r e

l i

a

b l

y

d

etect

fi b

e r s s

h

o rte r t

h

a n 5

j

x

m

,

w h i

c

h l

e a v e s a

l

a rge

pr opo r t

i

o n o

f

t

h

e

fi b

e r

d i

str

i b

ut

i

o n un c o u nte

d

.

S

e c o n

d

,

i

t ha s a

l i m i

t o

f

r e s o

l

ut

i

o n o

f

ap pr o x

i m

ate

l

y

0

.2 5 /x

m

, le a v

i

ng

fi b

e r s w

i

t h d

i

a

m

ete r s <0.2 5 [x

m

u n c o u nted,

d

e sp

i

te their

l

engt

h

s

b

e

i

ng > 5

/

x

m

. Tr a n s

m i

s s

i

o n e

l

e ctr o n

m i

c r o s c o

p y

(

T E

M )

c a n

m

e a s u r e t he e nt

i

r e

a s

b

e sto s

fi b

e r a e r o s ol an

d

, t

h

u s, c o u

l d b

e u s e

d

to

d

e v e

l

op

m

o r e c o

m

p

l

(8)

that

m

i g ht pr o v e to

b

e

m

o r e pr ed ictiv e in ep i

d

e

m i

olog

i

c

i

n v e st

i

gat

i

o n s.

(

D

e

m

e nt a n

d

ot

h

e r s

2 0 0 7

)

T r ans

m i

s s

i

o n ele ctr on

m

ic r o s c op y a n al ys e s o

f

a

i

rbo r n e a s

b

e sto s

fi b

e r s

h

a v e shown

d i f f

e r e n c e s

i

n

fi b

e r

l

e ngt

h

a nd

d i

a

m

ete r

d

istri

b

ut

i

o n s

i

n d i f

f

e r e nt indu strie s.

(

D e

m

e nt a nd

W

a

l l i

ng

f

o r

d 19 9 0

)

F

o r e x a

m

p

l

e, c

h

r ys ot

i l

e

m i

n

i

ng a n

d m i l l i

n g o

p

e r at

i

o n s

h

a

d

a gr e ater

pr opo rt

i

o n o

f i

ts a e r o s ol

d i

str

i b

ut

i

o n c o

m

po s e

d

o

f

s

h

o rt

fi b

er s

(

< 5

[

i

m

)

c o

m

pa r e

d

to

c

h

rys ot

i l

e te xt

i l

e

p l

a nts.

(

De

m

e nt a n

d H

a r r

i

s 1

9 7 9

;

D

e

m

e nt a n

d

W

a

l l i

n

g f

o r

d

1 9

9 0

;

G i b b

s a n

d

H

w

a ng 1 9

8

0

)

In a

d d i

t

i

o n, T E

M

a n a

l

ys e s

h

a v e s

h

o

w

n t

h

at

d i f

fe r e nt

d

epa rt

m

e nts

w i

th

i

n the

s a

m

e p la nt o r

i

n

d

u stry e x

h i b i

t

d i

spa r ate

fi b

e r s

i

z e

d i

str

i b

ut

i

o n s.

(

De

m

e nt a nd

H

a r r

i

s 1 9 7 9 ;

De

m

e n t 1

9 80

; D e

m

ent a n

d

W

a

l l i

n g

f

o r

d

1

9 9 0

)

D

e

m

e nt a n

d

c ol

l

e a

g

u e s o

b

s e r v e

d

t

h

at

l

o nge r

a n

d w i d

e r

fi b

e r s c o

m

po s e a gr e ate r pr opo rt

i

o n o

f

t he

fi b

e r s

i

z e

d i

str

i b

ut

i

o n

i

n e a r

l

y

ope r at

i

o n s t

h

a n

l

ate r ope r at

i

o n s o

f

a c

h

rys ot

i

le a s

b

e sto s te xt

i

le p la nt.

(

D

e

m

e nt a n

d

W

al l

i

ng fo r

d

1 9 9 0 ; D e

m

e nt a n

d

othe r s 2 0

0

7

)

S

u

b

s equ e nt a n a

l

ys

i

s

i

n

d i

c ate

d

t

h

at

w

o rke r s

i

n

pr epa r at

i

o n a n

d

c a r

d i

ng

(

e a r

l

y ope r at

i

o n s

)

w

e r e at lo

w

e r r

i

s

k

fo r

l

u ng c a n c e r tha n t

h

o s e

i

n

(9)

C H A

P T E R I I

R E V I E

W

O F D E P

O

S I T I O

N A

N

D

F I B E R

D

E P

O SI T I

O N

M

O D

E L

S

T h

e c u r r e n t r e s e a r c

h

a

i

m

s to

f

o c u s a n al ys

is o n

fi b

e r

d

o s e.

A

t te

m

pts to a s s e s s

d

o s e

h

a v e ge n e r a

l l

y

b

e en

d i

r e cte

d

to

w

a r

d l

ung

d

epo s

it

i

o n .

T h

e r e ar e t

h

r e e

d

epo s

i

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 R

A

C

H

)

, an

d

pul

m

o n a ry

(

P

U

L

)

. T

h

e

m

o st

o

ft

en c

i

te

d l

un g

m

o

d

el

m

at

h

e

m

atic a

l

l y

d

e s c r

i b

e s t

h

e

d i

c

h

oto

m

o u s syste

m

o

f

a

ir

w

ay s a n

d

c o n s

i

sts o

f

2 4 s u c c e s s

iv e

ge n e r at

i

o n s

(

0-2

3

)

o f

d

a ug hte r pa

ir s

b

eg

in

n

in

g at t

h

e tr a c

h

e a a n

d

e n

d in

g at the a

l

v e o

l i

.

(W

e

i b

e

l

1

9 6 3

)

T

h

e n a s op

h

a rynge a

l d

epo s

it

i

o n z one

i

s

d

e

fi

n e

d

a s the

n o s e,

m

o ut h, s

in u s e s

, a n

d

thr o at to t

h

e ep

i

g

lo

t t

is

, o r pr e

-ge n e r at

io n

0

.

G

e n e r at

i

o n s

0

t

hr o u

g h

16c o r r e spo n

d

to the tr a c

h

e a thr o ug

h

the te r

m in a

l

b

r o n c

h i

o

l

e s a n

d

a r e cla s s

i f

i e

d

a s t he

tr a c

h

e o

b

r o n c

h i

a

l d

e

p

o s

i

t

i

o n z o n e. Pu

l m

o n a ry

d

epo s

i

t

io n

r e

f

e r s to ge n e r at

io n s

1 7 thr o u

g h

2 3

a n

d

spans t

h

e r e sp

i

r ato ry

b

r o n ch

i

o

l

e s to t

h

e alv e o

l

i.

(

Bate s a n

d

ot

h

e r s 1 9 6 6 ;

W

e

ib

el 1 9

6

3

)

T

h

e r e a r e t hr e e

d

e

p

o s

i

tio n

m

e cha n

i

s

m

s that a

p p

l y to sp

h

e r

i

c a

l

a n d

fi b

r o u s pa rticle s

a

l i k

e

im

p

a ct

i

o n , s e

d i m

e ntat

i

o n , an

d d i f f

u s

io n

. In a

dd i

t

i

o n ,

i

nte r c e

p

t

i

on

i

s a

f

o u rth

m

e c

h

a n

is

m

,

w h i

ch

is

m

e a n

i

ng

fi

il o nl y

f

o r

fi b

e r

d

epo s

it

io n

. I

m

pa ct

io n

r efe r s to

w h

e n the

i

n e rt

i

a o

f

a pa rt

i

cle

i

n the a

ir

str e a

m

r e s u

lt

s

in

d

epo s

it

i

o n, u s u a

l l

y at a

i

rway tu r n s a n

d

b i f

u r c atio n s. I

m

pa ct

i

o n

i

s r e spo n s

i b

le

f

o r the

d

epo s

i

tio n o f

m

o st la rge pa rt

i

c

l

e s that e nte r the

a

ir

w

ay . It

i

s t

h

e pr

i

m

a ry

m

e c

h

a n

is

m

o

f d

epo s

i

t

io n

in

t

h

e na s op

h

a rjT ige a

l

z o n e a n

d

up pe r

(10)

Sed i

m

e ntatio n de s c ri be s the s et tl ing of a pa rticle in the air

w

ays

w

hen the gr a vitat

io n a

l

f

o r c e o n the pa rt

i

c

l

e

i

s gr e ate r tha n r e s

i

sta n c e o f fe r e

d b

y t

h

e a

ir

. T h

is

m

e c

h

a n

i

s

m

i

s t

h

e

m

o st

im

po rta nt

in

t he

lo

w

e r tr a c

h

e o

b

r o n c

h i

al a n

d

pul

m

o n a ry z o n e s

w

he r e a

i

r

f

lo

w

s a r e

w

e ak

e n o u

g

h to pe r

m i

t

g

r a v

it

at

io n a

l

s et t

l i

ng.

D

i

f

f

u s

i

o n r e

f

e r s to a

i

r

m

o

l

e c u

l

e s

b

o

m

b

a r

d i

ng a pa rt

i

c

le r e s u

l

t

in

g

in

s

m

a

l l m

o v e

m

e nts

that ul t

i

m

atel y

l

ea

d

to

d

epo s

it

i

o n o n alv e o

l

a r

w

al

l

s. T

h i

s

m

e c

h

a n

is

m

i

s r e spo n s

i b l

e

f

o r

d

e

p

o s

i

t

i

o n o

f

v e ry s

m

al l pa rt

ic

l

e s

i

n v e ry

l

o

w

-

f l

o

w

e n v

ir o n

m

e nts, t

h

u s,

i

t pr e

d

o

m i

n ate s

i

n t

h

e

alv e ola r r eg

i

o n s o

f

the

l

u n g.

D epo s

it

io n b y inte r c e

p

t

i

o n

i

s r el ia nt upo n t

h

e

in

he r e nt d

i

m

e n s

i

o n s o

f fi b

e r s.

A

s

f

i

b

e r s

ar e c ar

ri

e

d b y

t

h

e a

ir

fl

o

w

, the

i

r a n

g l

e r elativ e to t

h

e

fl

o

w

m

ay c

h

a n

g

e.

A

t ti

m

es, the

fi b

e r

le n

g

th is pa r al lel to the

fl

o

w d ir e c

t

i

o n . T

h i

s c a n r e s u lt

i

n a

fi b

e r

m

u c

h

lo n ge r t

h

a n the

tr a n s

p

o rt

in

g

a

ir

w ay '

s

d i

a

m

ete r

m

o v

i

n

g

t hr o ug h the r e sp

ir a

to ry sy ste

m

. H o

w

e v e r

, s o

m

et

i m

es,

t

h

e s e

fi b

e r s

m

ay r otate

w

he n

m

o v

in

g

w i

t

h i

n the a

i

r

fl

ow, s o that t

h

ey a r e to o

w i d

e

f

o r the

a

i

rway, r e s ul ting

i

n

d

epo s

it

i

o n.

St

r a

i

g

h

t a n

d ri

g

i

d

fi b

e r s, s u c

h

a s g

l

a s s a nd, to a

l

e s s e r e x te n t,

a

m p h ib

o

le a s

b

e sto s a r e

le s s

p

r o n e to t

h i

s

in v e r s

i

o n.

T h

e s e r

p

ent

in e

a n

d fl

e x

i b l

e chr

y

s ot

i l

e

a s

b

e sto s

fi b

e r s a r e

m

o r e s u s c ept

i b l

e to th

i

s

in v e r s

i

o n a n

d

, the r e

f

o r e chrys ot

i le

'

s o

ri

e n tat

i

o n

i

n

the a

i

rway

i

s c

l

a s s

i fi

e

d

a s r a n

d

o

m

.

(

T

i

m

b

r e

l l

196 5

)

T

h i

s

m

e c

h

a n

i

s

m

o c c u r s t

hr o u

g

h

o ut t

h

e

r e sp

ir a

to ry sy ste

m b

ut

h

a s a n e spe c

i

a

l l

y

la r

ge e

f f

e ct o n

lo n

g, th

i

n

fi b

e r s

i

n the

n a s op ha rynge al c o

m

part

m

e nt.

F

i b

e r

d

epo s

it

i

o n

m

o

d

e

ls

h

a v e

b

e e n

d

e v e

l

ope

d

,

w h i

c

h

c a

l

c u

l

ate

d

epo s

it

i

o n

fr

a ct

i

o n s

b

a s e

d

upo n c ert a

in

pa r a

m

ete r s. F

i b

e r c

h

a r a cte

ri

st

i

c s

,

w h i

c

h

a

f f

e ct

d

e

p

o s

it

i

o n,

in c

l

u

d

e

l

e n

g

t

h

,

d

ia

m

ete r, a n

d

de n sity and a r e oft e n u s ed to c alc ulate ae r od j ma

m ic

equ

i

v ale nt

d i

a

m

ete r s. T

h

e

(11)

fact 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 r

d

e

p

o s

i

t

i

o n.

G

en er a

l l

y, t

i d

a

l

v o

lu

m

e a

lo n e

h

a s

b

e e n u s e

d i

n

m

o

d

e

l

s

b

e c a u s e t

h

e hite

m

atio n a

l

C

o

m

m

i

s s

i

o n o n R a

d i

o

lo

g

i

c al Pr ote ct

io n

(

I C

R P

)

c o n c

l

u

d

e

d

t

h

at t

h

e u s u al p

h

ys

io

l

o g

i

c a

l

ad

j

u st

m

e nt to

d

e

m

a nds o f

i

n c r e a s e

d

v e nt

i la

t

io n

i

s to

in c r e a s e

the t

i

dal v olu

m

e

m

o r e t

h

a n t

h

e

r e sp

i

r ato ry fr equ e n c y, an

d

t

h

at c

h

a n ge s

i

n t

i d

al v o lu

m

e

w i

t

h

c onsta nt r e sp

ir a

to ry

fr

equ e n cy

sho ul

d

pr o

d

u c e the gr e ate st c

h

a nge s

i

n

d

e

p

o s

i

t

io n

thr o ug

h

o ut t

h

e r e sp

ir a

to ry sy ste

m

.

(

Bate s

a n

d

ot

h

e r s 196 6

)

E

l

e ctr o stat

i

c e

f f

e cts

w

e r e n ot

in c

l

u

d

e

d i

n t

h

e c a

l

c u

la

t

io n s o

f

a ny

d

e

p

o s

it

i

o n

m

o

d

els, hi a

d d i

t

i

o n

, t

h

e r e

is a

h

o st o

f i

n

d i

v

i d

u a

l

c

h

a r a cte r

i

s t

ic s

,

w h i

c

h w

o u

l d b

e e x pe cte

d

to

a

f f

e ct

d

epo s

i

t

io n

, s u c

h

a s B

M

I, age, s e x , s

m

o

k i

ng statu s, etc. T

h

e s e pa r a

m

ete r s a r e n ot

i

n clude

d i

n a ny depo s

i

tio n

m

odels r e v

ie

w

ed

fo r

th

is

te chn

i

c al r epo rt.

(

A

sg ha r

i

a n a n

d Y

u

1 9 8 8 ; Be e c

k

m

a n s 1 9 7 2 ;

H

a r r

is a n

d

T

i m

br el l 1 9 7 5;

H

a r r

i

s a n

d

Fr a s e r 1 9 7 6; Y u a n

d

othe r s

1 9 9 5

)

T

h

e c u r r e nt r e s e a r c

h

a

i m

s to a

p p ly

a

l

i

m

g

d

epo s

i

t

i

o n

m

o

d

e

l

to s

iz e

-s

p

e c

i fi

c T E

M

fi b

e r a e r o s o

l d

ata

i

n o r

d

e r to c r e ate a

f

r a

m

e

w

o r

k b

y

w

h

i

c

h

n a s op

h

a ryn

g

e al, tr a che o

b

r o n c

h i

a

l

,

a n

d

pu

l

m

o n a ry

d

o s e

m

ay

b

e e st

i m

ate

d

.

T h

e u s e o

f

the s e

d

o s e e st

im

ate s

i

n e

p i d

e

m io

log

i

c

a n a

l

ys e s

m

ay

im

pr o v e u

p

o n the pr e

d i

ct

i

v e c a

p

a c

it

i

e s o

f

e x

i

st

i

ng e x po s u r e-r e s

(12)

C H A

P T E R I I I

M

E T

H O

D

S

De

m

e nt a n

d

c ol le agu e s

(

2 0 0 7

)

ha v e pr e v

i

o u sl y de v eloped a

m

etho

d

to a

d

j

u st P C

M

f

i

b

e r c o n c e ntr at

i

o n s u s

i

n

g

T E

M

an a

l

ys e s o

f

a r ch

i

v e

d m

e

m

br a n e

f

ilte r s a

m

p

l

e s c ol

l

e c te

d i

n a n

a s

b

e sto s te x t

i l

e p

l

a nt

i

n

C h

a r

l

e sto n ,

S

o ut

h C

a r ol

i

n a,

U SA

.

C

o u nte

d f i b

e r s

w

e r e

m

e a s u r e

d

a n

d fi

t

i

n to

b i

v a r

i

ate

l

e n

g

t

h/ d i

a

m

ete r c ate

g

o r

i

e s. T

h

e pr o

p

o rt

i

o n o

f T

E

M

f

i

b

e r s

i

n a

g i

v e n

e xpo s u r e z o n e

(

w

h

i

c

h

c o r r e spo n

d

e

d

c

l

o s el y

w i

t

h

te x t

i l

e

d

epa rt

m

e nts

)

,

w h i

c

h f

el l

i

n to a g

i

v e n

d i

a

m

ete r

/l

e ng t

h

c atego ry,

w

a s

d i

v

i d

e

d b

y t

h

e pr opo rt

i

o n o

f

a

l l

T

E

M

f

i

b

e r s

m

e a s u r e

d b

y P

C

M

to pr o

d

u c e P

C

M

a

d

j

u st

m

ent

f

a cto r s.

(Q

u

i

nn an

d

ot

h

e r s 2 0 0 0

) W

h

e n t he P

C

M

f

a cto r s

w

e r e

m

u

l

t

i

p

l i

e

d b

y t

h

e

m

e a n

P C

M

e x po s u r e s

(

fi b

e r s > 5

/

x

m /

c

m

^

)

f

o r t

h

at e xpo s u r e z o n e, c o r r e cte

d

e st

i m

ate s o

f

e x po s u r e

w

e r e pr o

d

u ce

d

. Be c a u s e T

E

M

m

e a s u r e s t

h

e

fi b

e r s P

C

M

c an n ot

r el

i

ab

l

y c o u nt, the

d i

str

i b

ut

i

o n

i

nclu

d

e

d fi

be r s sho rte r t

h

a n 5 fi

m

a n

d

t h

i

n n e r t

h

a n 0.2 5 [i

m

.

(

De

m

e nt a n

d

othe r s 2 0 0

7

)

T h

i

s

m

et hod w a s ap p l

i

e

d

to the

fi

br o u s a e r o s ol c o

l l

e cte

d f

r o

m

t

h

r e e a s

b

e sto s te x t

i l

e

p

l

an ts

i

n

N

o rt

h C

a r o

l i

n a

fi

-o

m

1

9

6 4 to 1 9 7 1.

M

e

m b

r a n e

fi l

te r s

f

r o

m

e a c

h

p

l

a n t an

d

e xpo s u r e

z on e

w

e r e s

i

m

i l

a r

l y

a n a

l y

z e

d

u s

i

n

g

T

E

M

. P

l

ants an

d

z one s a r e

l i

ste

d i

n

A p p

e n

d i

x

A

.

A m

o ng the t

h

r e e p

l

an ts, 2 2,7 8 4

f

i

b

e r s

w

e r e c o u nte

d

, c atego r

i

z e

d

, a n

d

u s e

d

to c a

l

c u late p

l

a n t,

z o n e,

d i

a

m

ete r c atego ry , an

d l

e n g t

h

c atego ry

-s

(13)

8

A

l ite r atu r e r e vie

w w

a s c on du cted of a v ai lab le lung depo si t io n

m

odels an d a

m

ode l

b

y Ro

b

e rt

H

a r r

i

s a n

d

c o

l l

e a

g

u e s

w

a s s e

le c

te

d

.

(

Ha r r

i

s 1

9

7 2 ; H a r r

i

s an

d

T

im

b

re

l l

1 9 7 5;Ha r r

i

s

a n d Fr a s e r 1 9 7 6

)

In la rge pa rt, t

h i

s

d

e c

i

s

i

o n

w

a s

m

ot

iv a

te

d b

y the a v a

i

la

b i l i

ty of

m

o

d

el

d

epo sitio n e sti

m

ate s

i

n a n a c c e s s

i b

le

f

o r

m

. In a

d d it

i

o n, t h

i

s

m

o

d

el

i

s wel l kn o

w

n

in

the

s c eint

i f

i c c o

m

m

u n

i

ty.

M

o

d

el

d

e

p

o s

i

t

io n

e sti mate s

f

o r

f

i

b

e r s o

f

a

l

l s

iz e s

w

e r e c o

l l

e cte

d

fr o

m

Ha r r

is

'

d i

s s e rtat

i

o n

(

H

a r r

i

s 1

9

7 2

)

an

d

Har r

is a

n d T

i m b

r el

l

's pu

b l i

c at

io n

(

H

a r r

i

s a n

d

T

i m b

r e

l l

1

9 7

5

)

.

O

n

l

y

d

epo s

it

i

o n e st

i m

ate s u s

i

n

g

a t

i d

a

l

v o

l

u

m

e o

f

1,4 5 0 c

m

w

e r e s e

l

ec te

d

. T

h i

s

w

a s

cho s e n a s a r epr e s e ntat

i

o n o

f

the

m

o

d

e r ate p h ys

ic a

l

e x e rt

io n

ge n e r al l y r epr e s e ntat

i

v e o

f

t he

w

o r

k

.

(

A

n

d

e r s o n a n

d

ot

h

e r s 2

0 0 6

; B ate s a n

d

ot

h

e r s 1 9 6 6 ; D e

m

e nt 1 9 8

0

)

H

a r r

i

s

'

m

o

d

e

l

in c

lu

d

e

d

e st

im

ate s

f

o r o r

d

e r e

d

a n

d

r a n

d

o

m

o r

i

e ntat

io n

b

ut o nl y

d

epo s

i

t

i

o n e st

i

m

ate s

c o r r e spo nd

i

ng to the lat te r o r

i

e ntation

w

e r e u s e

d

a s the f i be r ty pe in the s e p la nts

w

a s

c

h

rys ot

i l

e.

(

T

i m b

r e

l l

1 9

6 5

)

T

h

e

d

epo s

it

i

o n e st

i m

ate s

fr

o

m

H

a r

ri

s

'

m

o

d

e

l

w e r e c o

l l

e cte

d i

nto t

h

r e e

S A S d

ata

fi le s

(

SA S

In st

i

tute In c.

2 0 0 8

)

in

w h i

c

h

t

h

e e st

i m

ate s

f

o r n a s op

h

a ryn ge a

l

, tr a c

h

e o

b

r on c

h i

a

l

, a n

d

pu

lm

o n a r y

d

epo s

i

t

io n

w

e r e o r

g

a n

iz e

d

.

I

n o r

d

e r to c o n v e rt t he

d i

s c r ete e st

i m

ate s o

f

e a ch

f

i

l

e

in

to thr e e s

m

o oth

m

ode

ls

,

w

h

i

ch c o u

l d b

e ap p l

i

e

d

to o u r

fi b

e r

d

ata,

w

e u s e

d

t

h

e T P

S

P L I

N

E

p

r o c e

d

u re. T

h i

s

p

r o c e

d

u r e

fi

ts a n o npa r a

m

et

ri

c r e

g

r e s s

i

o n

m

o

d

e

l

an

d

c o

m

pute s s

m

o oth ing

sp

l i

n e s to a

p

pr o x

i m

ate s

m

o ot

h m

u

l

t

iv a

ri

ate

fi m

c

ti

o n s.

(

SA S

In s

ti

tute In c. 1

99 9

)

T

h

e

e xp la n ato ry v a

ri

a

b le s

w

e r e

fi b

e r

l

e n gt

h

an

d

a e r o

d

yn a

m i

c equ

iv a

l

e nt

d i

a

m

ete r

(

De

)

. T

h

e

r e spo n s e v a

ri

a

b

le s

w

e r e n a s op

h

a rynge a

l

, tr a c

h

e o

b

r o n c

h i

a

l

, o r pu

l m

o n a ry

d

epo s

it

i

o n

(14)

9

S

i

n c e Ha rri s'

m

o

d

el u s ed

fi b

e r le ngt

h

a n

d

a e r o

d

yna

m i

c equ

i

v a

l

e nt

d i

a

m

ete r a s the

m

o

d

el pr e

d i

cto r s

f

o r depo s

i

tio n,

w

e u s e

d H

a r

ri

s '

m

o

d

e

l

e xpr e s s

i

o n

f

o r D e. T

h

e

f

o r

m

u

l

a

i

s

g

i

v e n

b

e

l

o

w

:

D

e =

(

2

>

d 1 2

)

^

p

/

( [

0.

3

8 5

/

(

In 2

f

i

- 0

.5

)]

+

[

1.2 3

/

(

hi 2

/

3

+ 0.5

) ] )

w

he r e :

d

=

d i

a

m

ete r o

f fi b

e r

p=

d

e n s

i

ty of chr ys oti le

f

ibe r= 2.7 g

/

c

m

^

(

K

u

m

z e r o v an

d

othe r s 2 0 0 4

)

j

S

^ a spe ct r at

i

o=

l

e ngth / d ia

m

ete r

T h

e T P

SP

L

I

N

E

d

epo s

it

i

o n

m

o

d

e

l

s

w

e r e ap p

l i

e

d

to e a c

h fi b

e r s

i

z e

b

y T E

M

to pr o

d

u c e

e sti

m

ate

d

n a s op ha rynge al, tr a che o

b

r o n ch

i

al, a n

d

pu

l

m

o n a ry

d

epo s

i

t

i

o n fi

-a ct

i

on s

(p

r o

b

a

b i l i

t

i

e s

)

. T

h

e

d

epo s

it

i

o n

f

r a ct

i

o n s

w

e r e a v e r age

d f

o r a

l l fi b

e r s

i

n a

l

e ng t

h/ d i

a

m

ete r

c atego ry to pr o

d

u c e

m

e a n

d

e

p

o s

i

tio n

f

r a ctio n s

in

2 4

d i

a

m

eter a n

d l

e n

g

t

h

c atego

ri

e s

b

y stu

d y

p lan t an

d

e xpo s u r e z o n e.

To

d

e

ri

v e r eg

i

o n a

l

lu ng

d

o s e e sti

m

ate s

f

r o

m

t he P

C

M

c o n c e ntr at

i

o n s t

h

e

m

e a n

f

r a ct

i

o n s

w

e r e the n

m

u

l

t

i

p

l i

e

d b

y t

h

e P

C

M

f

a cto r s to c r e ate

d

epo s

i

t

i

o n

f

a cto r s.

T h

e

d

epo s

i

t

i

o n

f

a cto r s

f

o r a

l l fi b

e r

-s

i

z e c atego

ri

e s

w i

t

h i

n e a c

h

p

l

a nt a n

d

e xpo s u r e z o n e

w

e r e the n

s u

m

m

e

d

to pr o v

i d

e a n o v e r a

l l d

epo s

i

t

i

o n

f

a cto r

f

o r e a ch p la nt an

d

e x po s u r e z o n e. T

h

e s e

f

a cto r s c an

b

e

m

u

lt

i

p l

i

e

d b

y

d

a

i l

y a v e r age

P C

M

-

d

ete r

m i

n e

d fi b

e r c o n c e ntr atio n s a n

d

t

h

e

e st

i

m

ate

d i

n

h

a

l

e

d

a

i

r v o

l

u

m

e o v e r a

w

o r

k

s

h i ft

to pr o

d

u c e e st

i m

ate s o

f d

o s e

(

f

i

b

e r s

d

e

p

o s

i

te

d

i

n e a c

h l

u n g r eg

i

o n

)

f

o r

w

o r

k

e r s o

f

a g

i

v e n ti

m

e a n

d

j

o

b

c atego ry.

T h

e u n

i

t

f

o r the s e

f

a cto r s

(15)

5 ; ' '

C

H A

P T E R I

V

y

' t

:

;

-s

r

^

;

'

;

:^

-^/

;

: ,^

;

>

-

: R E

SU

L T

S

'

,

"

' '

^ ^ : , ;

'

;

T he T P

SP L I

N

E

m

o

d

els fo r e a ch depo s

i

t

i

o n z o n e a r e d

i

s

p l

aye

d i

n F

i

gu r e s 1, 2, a n

d 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 r

s *

T

h

e n a s op

h

a ryn ge a

l m

o

d

e

l p

r e

d i

cte

d d

e

p

o s

i

t

i

o n

i

n t

h

e

h

e a

d

, n o s e, a n

d

t

h

r o at to the

e

p i gl

ot t

i

s.

A

s r o

d l

e n g t

h i

n c r e a s e

d

,

d

epo s

i

t

i

o n o

f fi b

e r s

i

n t

h i

s c o

m

p

a rt

m

e nt

b

e c a

m

e

pr ogr e s s

i

v el y gr e ate r tha n

w h

at wo u

l d b

e e x pe cte

d f

o r c o

m

pa ct pa rt

i

c

l

e s o

f

t

h

e s a

m

e

(16)

fT * ;^^ - -**

^ : <rfi'

^

^t P>^^'

r.

-1 -1

#

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 ia

m

eters

be c a u s e a v e r

y l

a r

g

e

fr

a ct

io n

d

epo s

i

te

d i

n t

h i

s r eg

i

o n

b

y

i m p

a c t

i

o n , r ega r

d l

e s s o

f

i

nte r c eptio n al depo s

i

t

i

o n .

A

s e xpe cte

d

, s

m

al

l

e r, s

h

o rte r

f

i

b

e r s pa s s ed e a s

i l

y t

h

r o ug

h

t

h i

s

c o

m p

a rt

m

e nt be c a u s e h

i

g h

f lo

w

r ate s el

i m i

n ate s

i

gn

i f

i c a nt s e

d i m

e ntat

i

o n a n

d di f f

u s

io 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 the

e 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 c

h

e o

b

r o n c

h i

a

l m

o

d

e

l

pr e

d i

cte

d

a v e ry s

m

a

l l d

epo s

it

i

o n

fr

a ctio n o

f h i

g

h

e

q

u

iv a

l

e nt

d ia

m

ete r

fi b

e r s

i

n t

h i

s c o

m p

a rtme n t. T

h i

s wa s

p

r

i m

a r

i l

y

b

e c a u s e

m

o st

l

a r

g

e

"

i

a e r o

d

yna

m

ic

equ

i

v a

le n

t

d i

a

m

ete r r o

d

s

d

epo s

i

t

i

n the na s op

h

a rynge al z one. H o

w

e v e r

,

i m

pa ct

i

o n p laye

d

a s

i

gn

i f

i c a nt r o

l

e

i

n t

h

e

d

e

p

o s

i

t

i

o n o

f

t

h i

s r e

m

a

i

n

in

g c o

h

o rt o

f fi b

e r s at

a

ir

way

b i f

u r c at

io n s

. Lo ng, th in

fi b

e r s st

i l l d

epo s

i

t at a

h i

g

h

e r r ate

i

n th

i

s r eg

io n

t

h

a n c o

m

pa ct

(17)

1 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 ry

m

o

d

el, a s e xpe cte

d

, t

h

e

d

epo s

i

t

i

o n o

f

s

m

a

l l

equiv a

l

e n t

d

ia

m

ete r

r o

d

s pr e

d

o

m i

n ate s. In t

h i

s a r e a, the

m

e c

h

a n

i

s

m

o

f

s e

d i m

e ntat

i

o n a n

d d i f f

u s

i

o n we r e

p

r e v a

l

e nt.

A l

o

w f

r a ct

i

o n o

f l

o ng

f

i

b

e r s

w

e r e pr e

d i

cte

d

to

d

epo s

i

t

i

n t

h i

s r eg

i

o n pr

i m

a r

i l

y

be c a u s e o

f

t

h

e

l

a rge pr opo rt

i

o n t

h

at

d

epo s

i

t

i

n pr e v

i

o u s c o

m

pa r t

m

e nts.

H

ow e v e r

, a

s

i g

n

i f

i c a nt

f

r a ct

i

o n o

f

lo n g, th

i

n f

i b

e r s

w

a s e xpe cte

d

to r e a ch t

h

e pu

l m

o n a ry r eg

i

o n . T

h i

s

i

s

c o n s

i

ste nt

w i

th

f

i n

d i

ngs o

f

v e r

y l

o n g, t h

i

n

fi b

e r s

f

o u n

d i

n the

d

e ep

l

u n g.

(

L

i

p p

m

a n 1 9 8 8

)

T

h

e T P

S

P L I

N

E

m

o

d

e

l

s

f

o r a

l l

t

h

r e e

l

u n

g

r eg

i

o n s

f

it Ha r r

i

s '

m

o

d

e

l

e st

i

m

ate s v e ry

we

l l

, a s s

h

o

w

n

i

n F

i g

u r e

4

.

A

p

p

e n

d i

x

B

e x

h i b i

ts t

h

e T P

SP L IN E

a n

d i

nput

d

e

p

o s

i

t

i

o n v a

l

u es

(18)

13

♦ 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

.2

0

.

4

0 6

T P S P L

I N

E

Pre

d ic

te

d D

e

p

o s

it

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 s

ofthe 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 u

lt

s

fr

o

m

t

h

e ap p

l i

c at

i

o n o

f

the T P

SP L

I N

E

m

o

d

e

l

to t

h

e T E

M

d

ata a r e

g i

v e n

i

n

A

p pe n

d i

x

C

, D , a n

d

E, r e spe ctiv e

l

y ,

f

o r n a s op

h

a rynge a

l

, tr a c

h

e o

b

r o n c

h i

a

l

, a n

d

pu

l m

o n a ry

c o

m p

a rt

m

e nts. T

h

e s e

i

n c

l

u

d

e t

h

e

m

e a n s an

d

sta n

d

a r

d d

e v

i

at

i

o n s

f

o r

d

e

p

o s

i

tio n

fr

a ct

i

o n s o f

e a c

h p l

a nt, e x

p

o s u r e z o n e,

d i

a

m

ete r c ate

g

o ry, a n

d l

e n

g

t

h

c ate

g

o r

y

c o

m b i

n at

i

o n, hi a

d d it

i

o n,

c e

l l

pr opo rt

i

o n s a n

d

sta n

d

a r

d d

e v

i

at

i

o n s a r e ta

b

ulate

d

. T

h

e s e v a

l

u e s r e

pr e s e nt the

fr

a ct

i

o n o

f

fi b

e r s c o u nte

d i

n a

g i

v e n

p l

a nt

f

o r e a c

h

e x po s u r e z o n e t

h

at

f

a

l l w it

h i

n a

d i

a

m

ete r

/ l

e n

g

t

h

c atego ry. Fo r e x a

m

p

l

e,

i f

1,0 0 0

f

ibe r s

w

e r e c o u nted

i

n p la nt 1, z o n e 1, a n

d

5 0 0 o

f

t

h

o s e

fi b

e r s

w

e r e t h

i

nn e r tha n 0.2 5 fi

m

a nd s

h

o rte r tha n 1.5

f

i

m

, t

h

at

d i

a

m

ete r

/l

e ngth c atego ry

w

o u

l d h

a v e a c e

l

l pr opo rtio n o

f

0.5.

A

ls o

,

i

n c

l

u

d

e

d i

n

A

p pe n

d i

c e s a r e t

h

e P

C

M

f

a cto r s,

(19)

T

h

e n a s op ha r yn ge al depo s

i

t

i

o n fa cto r s fo r al l T E

M

f i be r s a r e s u

m m

a riz ed in F i gu r e

5 T

h

e h

i gh

e st

d

epo s

i

t

i

o n

f

a cto r s

w

e r e o

b

s e r v e

d i

n P la nt

3

. T he lo

w

e st

d

e

p

o s

i

t

i

o n

f

a cto r s

o c c u r r e

d i

n P la nt 1. P

l

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 r

w

o r

d

s,

i f

P

C

M

f

i

b

e r c o n c e ntr at

i

o n s a r e equ a

l

,

w

e

w

o u

l d

e x pe ct t

h

e

h i

g

h

e st

m

e an

n a s op ha ryn ge al do s e

i

n P

l

a nt 3

w

o r

k

e r s.

4 00 0

O 3 5 0 0

D 0 1 *^

" in O a.

a

a

o

3 0 0 0

2 5 0 0

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m

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c c c c c c

o o o o o o

N N N N N N

CO

S2 22 2 22 22

c c c c c c

ro CO CO ro ro ro

CL Q. Q. D. Q. Q.

c i 5

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 e

T

h

e tr a che o

b

r o n ch

i

al

d

epo s

i

t

i

o n fa c to r s a r e s

h

o

w

n

i

n F

i

gu r e 6.

Si m i l

a r to t

h

e

n a s op

h

a ryn

g

e a

l d

ata,

P l

a nt

3 h

a

d h i g h

e r

m

e a n

d

e

p

o s

i

t

i

o n

f

a cto r s t

h

a n t

h

e ot

h

e r p

l

a nts a n

d

(20)

^a

p<s '

«

15

1 4 0 0

u

^

1200

'

e

.

§

1

000

o

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I

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h.

O

4^

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c o

o

a

s

<

0 600

0400

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 e

T

h

e pu

l

m

o n a ry

d

e

p

o s

i

t

i

o n

f

a cto r s ar e

d i

s

p l

aye

d i

n F

i

gu r e

7

. T

h

e s a

m

e tr e n

d

s

w

e r e

,

o

b

s er ve

d

a s

w i

t

h

na s o

p h

a r

y

n

g

ea

l

an

d

tr a c

h

e o

b

r o n c

h i

a

l d

e

p

o s

i

t

i

o n

f

a cto r s e x c e

p

t t

h

at

P l

a nt

2

,

(21)

-V^t ^ " i^

-16

1 2 0 0 0

o

a.

c 1 0 00 0

3

(0

8

. 8 00 0

(0

£ , 6 0 0 0

o

(0

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&

2

Q - 1 3 a

000

0 0 0

0 00 0

CN CO •*

0 } <U 0 )

c c c

o o o

n n n n n n n

Q-in CD

(C <u

~ c

o (1) c o

■- <N CO •*

(U (D (1) j)

m to

<U 0 )

c c

o o

ro JD J S J 5 J 5 SS ^

E Q. Q. Q. Q. a. S :

N N N N N N N

a a a sa sa £ j a

(0 ra m n j n s

5 : E E E E

T

-CM CO ■*

0) 0 ) V 0 )

c c c c

o o o o

N N N N

CO C O CO C O

re ro

Q. Q.

CO CD

E E

CD CO

E E

CO

0 ) c o N m c CD E

0) c o N C O

c CD E

c o N C O

c CD E

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

p

l

an t a n

d

e x po s u r e z o n e

d

epo s

i

t

i

o n

f

a cto r s a r e r epo rte

d i

n ta

b

u

l

a r

f

o r

m i

n

A

p p

e n

d i

c e s E, F, a n

d G

.

"

M

(22)

C

H

A

P T E R V

D I S C U S SI

O N

T

h

e

p

r

i

m

a ry pa r a

m

ete r s t

h

at

d

ete r

m i

n e

d

t he e st

i m

ate

d d

epo s

i

t

io n

f

a cto r s

w

e r e

m

e a n

d

epo s

it i

o n

f

r a ct

i

o n s a n

d

P

C

M

a

d

j

u st

m

en t

f

a cto r s. T

h

e

PC

M

a

d

j

u st

m

en t

f

a cto r s

w

e r e

d

ete r

m i

n e

d f

o r p

la n

t,

d

epa rt

m

e nt, a n

d d i

a

m

ete r

/

le ngt

h

c atego ry,

b

ut t

h

e s e d i d n ot v a ry b y

d

e

p

o s

it

i

on r e

g i

o n . In c o ntr a st

, t

h

e

d

epo s

i

t

io n

f

r a ct

i

o n s

w

e r e

d

epe n

d

e nt u

p

o n

p

r e v

i

o u s an

d

s ubs e

q

u e nt

d

epo s

i

t

i

o n

f

r a ctions.

F

o r e x a

m

p l

e,

i f

t

h

e c o

m b i

n e

d d

e

p

o s

i

t

i

o n

f

r a ct

io n

f

o r

n a s op

h

a rynge a

l

a n

d

pu

l

m

o n a ry c o

m

pa rt

m

e nts

w

a s

0

7

5

, t

h

e tr a c

h

e o

b

r o n c

h i

al

d

epo s

i

t

i

o n

fr a c

tio n c o u

l d

n ot be

m

o r e tha n

0

.

2

5. T

h

e r e

fo r e

,

i f

a

d

e

p

o s

i

t

io n

f

a cto r

f

o r a g

i

v e n e x

p

o s u r e

z o n e

w

a s

h i

g

h

a c r o s s a

ll

thr e e c o

m

pa rt

m

en ts

(

e.g.

. P

la n

t 3, Zo n e

6

)

t

h

en the e x c ept

io

na

l

m

a

g

n

it

u

d

e o

f

the

d

e

p

o s

i

t

i

o n

f

a c to r

w

a s

l i k

e

l

y

d

u e to a

h i

g

h

P

C

M

f

a cto r. T h

i

s s ug ge sts t hat

the r e

w

e r e a

g

r e ate r pr opo rt

i

o n o

f fi b

e r s u n c o un te

d b y P C

M

fi b

e r c o n c e ntr at

i

o n s

in

the s e

z o n e s c o

m p

a r e

d

to ot

h

e r z o n e s a n

d

, the r e

f

o r e, t

h

e e x po s u r e

w

o u

l d b

e h

i

g

h

e r t

h

a n s ug ge ste

d

b

y the P

C

M

c onc e n tr at

i

o n alo n e. T

h

is c o ul

d b

e

d

u e to

f i b

e r

d i

str

i b

ut

i

o n

d i f f

e r e n c e s

b

etwe e n

e xpo s u r e z o n e s. I

f

t

h

e

d

epo s

i

t

io n

fa cto r fo r a g

i

v e n e xpo s u r e z o n e v a r

ie

d b

y

lu n

g

c o

m

pa rt

m

e nt r e

l

ativ e to ot

h

e r e x

p

o s u r e z one s

(

e.

g

.,

P l

ant

2

,

Z

o n e

7

)

t

h

at v a r

i

at

io n

w

a s

l i k

e

l

y

du e

to a

d

epo s

i

tio n

fr a c

t

io n

that

w

a s e spe c

i

a

l l

y

h i g h

o r

l

o

w i

n one c o

m

pa rt

m

en t. T

h i

s

in

d

i

c ate s that the f

ib

e r

d is

tr

i b

ut

io n

m

ay

b

e

m

o r e s

k

e

w

e

d

r e

la

t

i

v e to ot

h

e r e xpo s u r e z o n e s.

References

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