Whither lung EIT: Where are we, where do we want to go and what do we need to get there?

被引:130
作者
Adler, Andy [1 ]
Amato, Marcelo B. [2 ]
Arnold, John H. [3 ]
Bayford, Richard [4 ]
Bodenstein, Marc [5 ]
Boehm, Stephan H. [6 ]
Brown, Brian H. [7 ]
Frerichs, Inez [8 ]
Stenqvist, Ola [9 ]
Weiler, Norbert [8 ]
Wolf, Gerhard K. [3 ]
机构
[1] Carleton Univ, Ottawa, ON K1S 5B6, Canada
[2] Univ Sao Paulo, Hosp Clin, Div Pulm, Resp Intens Care Unit, BR-05508 Sao Paulo, Brazil
[3] Harvard Univ, Sch Med, Dept Anesthesia, Div Crit Care Med,Childrens Hosp Boston, Boston, MA 02115 USA
[4] Middlesex Univ, Dept Nat Sci, London N17 8HR, England
[5] Univ Med Mainz, Anasthesiol Klin, Mainz, Germany
[6] Swisstom AG, Landquart, Switzerland
[7] Univ Sheffield, Sheffield S10 2TN, S Yorkshire, England
[8] Univ Med Ctr Schleswig Holstein, Dept Anaesthesiol & Intens Care Med, Kiel, Germany
[9] Sahlgrens Univ Hosp, Dept Anaesthesia & Intens Care Med, Gothenburg, Sweden
关键词
electrical impedance tomography; lung protective ventilation; ELECTRICAL-IMPEDANCE TOMOGRAPHY; FREQUENCY OSCILLATORY VENTILATION; REGIONAL VENTILATION; PULMONARY PERFUSION; FUNCTIONAL EIT; BORN INFANTS; VOLUME; INJURY; PRESSURE; PRETERM;
D O I
10.1088/0967-3334/33/5/679
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Breathing moves volumes of electrically insulating air into and out of the lungs, producing conductivity changes which can be seen by electrical impedance tomography (EIT). It has thus been apparent, since the early days of EIT research, that imaging of ventilation could become a key clinical application of EIT. In this paper, we review the current state and future prospects for lung EIT, by a synthesis of the presentations of the authors at the 'special lung sessions' of the annual biomedical EIT conferences in 2009-2011. We argue that lung EIT research has arrived at an important transition. It is now clear that valid and reproducible physiological information is available from EIT lung images. We must now ask the question: How can these data be used to help improve patient outcomes? To answer this question, we develop a classification of possible clinical scenarios in which EIT could play an important role, and we identify clinical and experimental research programmes and engineering developments required to turn EIT into a clinically useful tool for lung monitoring.
引用
收藏
页码:679 / 694
页数:16
相关论文
共 62 条
  • [1] Adjacent stimulation and measurement patterns considered harmful
    Adler, Andy
    Gaggero, Pascal Olivier
    Maimaitijiang, Yasheng
    [J]. PHYSIOLOGICAL MEASUREMENT, 2011, 32 (07)
  • [2] GREIT: a unified approach to 2D linear EIT reconstruction of lung images
    Adler, Andy
    Arnold, John H.
    Bayford, Richard
    Borsic, Andrea
    Brown, Brian
    Dixon, Paul
    Faes, Theo J. C.
    Frerichs, Inez
    Gagnon, Herve
    Gaerber, Yvo
    Grychtol, Bartlomiej
    Hahn, Guenter
    Lionheart, William R. B.
    Malik, Anjum
    Patterson, Robert P.
    Stocks, Janet
    Tizzard, Andrew
    Weiler, Norbert
    Wolf, Gerhard K.
    [J]. PHYSIOLOGICAL MEASUREMENT, 2009, 30 (06) : S35 - S55
  • [3] Allaud Louis A., 1977, Schlumberger: The History of a Technique, DOI DOI 10.1017/S0016756800042102
  • [4] Barret K, 2009, GANONGS REV MED PHYS
  • [5] Electrical impedance tomography measured at two thoracic levels can visualize the ventilation distribution changes at the bedside during a decremental positive end-expiratory lung pressure trial
    Bikker, Ido G.
    Preis, Carsten
    Egal, Mahamud
    Bakker, Jan
    Gommers, Diederik
    [J]. CRITICAL CARE, 2011, 15 (04):
  • [6] Principles of electrical impedance tomography and its clinical application
    Bodenstein, Marc
    David, Matthias
    Markstaller, Klaus
    [J]. CRITICAL CARE MEDICINE, 2009, 37 (02) : 713 - 724
  • [7] Regional lung perfusion estimated by electrical impedance tomography in a piglet model of lung collapse
    Borges, Joao Batista
    Suarez-Sipmann, Fernando
    Bohm, Stephan H.
    Tusman, Gerardo
    Melo, Alexandre
    Maripuu, Enn
    Sandstrom, Mattias
    Park, Marcelo
    Costa, Eduardo L. V.
    Hedenstierna, Goran
    Amato, Marcelo
    [J]. JOURNAL OF APPLIED PHYSIOLOGY, 2012, 112 (01) : 225 - 236
  • [8] Borsic A, 2009, P EIT C MANCH UK 16
  • [9] In Vivo Impedance Imaging With Total Variation Regularization
    Borsic, Andrea
    Graham, Brad M.
    Adler, Andy
    Lionheart, William R. B.
    [J]. IEEE TRANSACTIONS ON MEDICAL IMAGING, 2010, 29 (01) : 44 - 54
  • [10] Brown B H, 1987, Clin Phys Physiol Meas, V8 Suppl A, P91, DOI 10.1088/0143-0815/8/4A/012