Affordable, portable and self-administrable electrical impedance tomography enables global and regional lung function assessment

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作者
Fedi Zouari
Wei Yi Oon
Dipyaman Modak
Wing Hang Lee
Wang Chun Kwok
Peng Cao
Wei-Ning Lee
Terence Chi Chun Tam
Eddie C. Wong
Russell W. Chan
机构
[1] Gense Technologies Ltd.,Department of Medicine
[2] Queen Mary Hospital,Department of Medicine, Li Ka Shing Faculty of Medicine
[3] The University of Hong Kong,Department of Diagnostic Radiology, Li Ka Shing Faculty of Medicine
[4] The University of Hong Kong,Department of Electrical and Electronic Engineering, Faculty of Engineering
[5] The University of Hong Kong,undefined
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Accessibility of diagnostic screening and treatment monitoring devices for respiratory diseases is critical in promoting healthcare and reducing sudden complications and mortality. Spirometry is the standard for diagnosing and monitoring several lung diseases. However, it lacks regional assessment capabilities necessary for detecting subtle regional changes in certain diseases. It also requires challenging breathing maneuvers difficult for elderlies, children, and diseased patients. Here, we actualized an affordable, portable, and self-administrable electrical impedance tomography (EIT) system for home-based lung function assessment and telemedicine. Through simultaneous EIT-spirometry trials on healthy subjects, we demonstrated that our device can predict spirometry indicators over a wide range and can provide regional mapping of these indicators. We further developed a close-to-effortless breathing paradigm and tested it by longitudinally monitoring a COVID-19 discharged subject and two healthy controls with results suggesting the paradigm can detect initial deterioration followed by recovery. Overall, the EIT system can be widely applicable for lung function screening and monitoring both at homes and clinics.
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