Method and system for measuring lung tissue damage and disease risk

An imaging system for lung disease, comprising:

• an X-ray imaging modality;
• and a computer programmed to:
• receive data representing lung X-ray images of an individual, use said data to calculate an X-ray attenuation score from one or more measurements of a density deviation at one or more airway bifurcation locations compared to a density value at a region surrounding the bifurcation, and combine the X-ray attenuation score with a lung function score of the individual calculated from one or more lung function measurement tests selected from the group consisting of a CT lung function analysis, a spirometry test, a lung ventilation scan, a lung perfusion scan, and a pH value from an exhaled breath condensate test, wherein said combined X-ray attenuation score and lung function score provides an assessment of the individual against a lung disease risk index.