Respiratory

Diffusing Capacity for Carbon Monoxide (DLCO)

Normal Range
75% to 120% of predicted value
Sample Type
Standard
Fasting
No
Unit
mL/min/mmHg

The DLCO test measures the ability of the lungs to transfer gas from inhaled air to the red blood cells in the pulmonary capillaries. It is a critical component of a Pulmonary Function Test (PFT) because it assesses the integrity of the alveolar-capillary membrane. It depends on three factors: the total surface area available for gas exchange, the thickness of the membrane, and the volume of blood (hemoglobin) in the pulmonary capillaries. It is often corrected for alveolar volume (DLCO/VA) to differentiate between intrinsic lung disease and restrictive patterns caused by extrapulmonary factors.

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Interactive
mL/min/mmHg

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Why Context Matters

DLCO results are highly sensitive to hemoglobin levels; anemia will falsely lower the value while polycythemia will falsely raise it. Smoking within 24 hours (CO-Hb levels) can also interfere. A second opinion is often needed to distinguish between emphysema, interstitial lung disease, and pulmonary vascular disease when spirometry alone is inconclusive.

Lab ranges are statistical averages, not biological laws. "Normal" for a 20-year-old male isn't normal for a 60-year-old female.

Clinical References

Source-of-truth databases and clinical guidelines for Diffusing Capacity for Carbon Monoxide (DLCO):

Related Indicators

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Medically Reviewed by Dr. Binoy Babu, MBBS

Board Certified Doctor • 10+ Years Clinical Experience

Dr. Babu is a practicing physician dedicated to empowering patients with clear, actionable medical information. He founded 2opi to bridge the gap between complex lab reports and patient understanding, ensuring everyone has access to a reliable second opinion.

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