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A parametric model of the relationship between EIT and total lung volume

Nicolas Coulombe1, Hervé Gagnon1, François Marquis2, Yoanna Skrobik2 and Robert Guardo1

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Spirometry and electrical impedance tomography (EIT) data from 26 healthy subjects (14 males, 12 females) were used to develop a model linking contrast variations in EIT difference images to lung volume changes. Eight recordings, each 64 s long, were made for each subject in four postures (standing, sitting, reclining at 45°, supine) and two breathing modes (quiet tidal and deep breathing). Age, gender and five anthropometric variables were recorded. The database was divided into four subsets. The first subset, data from 22 subjects (12 males, 10 females) recorded in deep breathing mode, was used to create the model. Validation was done with the other subsets: data recorded during quiet tidal breathing in the same 22 subjects, and data recorded in both breathing modes for the other four subjects. A quadratic equation in ΔVP (lung volume changes recorded by the spirometer) provided a very good fit to total contrast changes in the EIT images. The model coefficients were found to depend on posture, gender, thoracic circumference and scapular skin fold. To validate the model, the quadratic equation was inverted to estimate lung volume changes from the EIT images. The estimated changes were then compared to the measured volume changes. Validations with each data subset yielded mean standard errors ranging from 9.3% to 12.4%. The proposed model is a first step in enabling inter individual comparisons of EIT images since: (1) it provides a framework for incorporating the effects of anthropometric variables, gender and posture, and (2) it references the images to a physical quantity (volume) verifiable by spirometry.


PACS

87.63.Pn Electrical impedance tomography (EIT)

47.63.Ec Pulmonary fluid mechanics

87.19.U- Hemodynamics

Subjects

Fluid dynamics

Biological physics

Medical physics

Dates

Issue 4 (August 2005)

Received 15 February 2005, accepted for publication 8 March 2005

Published 4 April 2005



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