Development of a Non-Invasive Dynamic Pulmonary Function Monitor

作者: Michael D. Sokoloff , Larry Bortner , Ralph J. Panos

DOI: 10.1115/1.4006358

关键词:

摘要: Characterizing the complexity of airflow limitation in diagnosing and assessing disease severity asthma, COPD, cystic fibrosis, other respiratory diseases can help guide clinicians toward most appropriate treatments. Current technologies allow obstructive lung to be measured with about 5%−10% precision. A noninvasive dynamic pulmonary function monitor (DPFM) quantify ventilation inhomogeneities, such as those originating partially blocked or constricted small airways, 1% precision if inert gas concentrations accurately precisely over three four decades sensitivity. We have studied linearity a commercially available mass spectrometer, sampling exhaled by mechanical analog, mimicking multibreath washout measurement. The root mean square deviation concentration for each “breath,” compared expected value purely exponential decay, is found 1.1% concentration. corresponding overall impairment, specific measure inhomogeneity, 0.2%, which indicates that were inhomogeneities observed, impairment could

参考文章(39)
Deborah Rose, Margaret Lethbridge-Çejku, Jackline Vickerie, Summary health statistics for u.s. Adults: national health interview survey, 2004. Vital and health statistics. Series 10, Data from the National Health Survey. pp. 1- 164 ,(2006)
Angela Haczku, Kiarash Emami, Martin C. Fischer, Stephen Kadlecek, Masaru Ishii, Reynold A. Panettieri, Rahim R. Rizi, Hyperpolarized 3He MRI in asthma measurements of regional ventilation following allergic sensitization and challenge in mice--preliminary results. Academic Radiology. ,vol. 12, pp. 1362- 1370 ,(2005) , 10.1016/J.ACRA.2005.08.027
Andrew D. Smith, Jan O. Cowan, Karen P. Brassett, G. Peter Herbison, D. Robin Taylor, Use of Exhaled Nitric Oxide Measurements to Guide Treatment in Chronic Asthma The New England Journal of Medicine. ,vol. 352, pp. 2163- 2173 ,(2005) , 10.1056/NEJMOA043596
Henry Milgrom, Childhood Asthma: Breakthroughs and Challenges Advances in Pediatrics. ,vol. 53, pp. 55- 100 ,(2006) , 10.1016/J.YAPD.2006.04.007
A. Bouhuys, R. J�nsson, S. Lichtneckert, S. -E. Lindell, C. Lundgren, G. Lundin, T. R. Ringquist, Effects of histamine on pulmonary ventilation in man. Clinical Science. ,vol. 19, pp. 79- 94 ,(1959) , 10.1007/BF00445124
J. Jane Pillow, Inez Frerichs, Janet Stocks, Lung function tests in neonates and infants with chronic lung disease: global and regional ventilation inhomogeneity. Pediatric Pulmonology. ,vol. 41, pp. 105- 121 ,(2006) , 10.1002/PPUL.20319
Paul D. Robinson, Michael D. Goldman, Per M. Gustafsson, Inert gas washout: theoretical background and clinical utility in respiratory disease. Respiration. ,vol. 78, pp. 339- 355 ,(2009) , 10.1159/000225373
Sooky Lum, Per Gustafsson, Henrik Ljungberg, Georg Hülskamp, Andrew Bush, Siobhán B Carr, Rosemary Castle, Ah-fong Hoo, John Price, Sarath Ranganathan, John Stroobant, Angie Wade, Colin Wallis, Hilary Wyatt, Janet Stocks, None, Early detection of cystic fibrosis lung disease: multiple-breath washout versus raised volume tests Thorax. ,vol. 62, pp. 341- 347 ,(2007) , 10.1136/THX.2006.068262
Diane R. Gold, Anne L. Fuhlbrigge, Inhaled Corticosteroids for Young Children with Wheezing The New England Journal of Medicine. ,vol. 354, pp. 2058- 2060 ,(2006) , 10.1056/NEJME068058
Saba Samee, Talissa Altes, Patrick Powers, Eduard E. de Lange, Jack Knight-Scott, Gary Rakes, John P. Mugler III, Jonathan M. Ciambotti, Bennet A. Alford, James R. Brookeman, Thomas A.E. Platts-Mills, Imaging the lungs in asthmatic patients by using hyperpolarized helium-3 magnetic resonance: Assessment of response to methacholine and exercise challenge Journal of Allergy and Clinical Immunology. ,vol. 111, pp. 1205- 1211 ,(2003) , 10.1067/MAI.2003.1544