Respiratory level tracking with visual biofeedback for consistent breath-hold level with potential application in image-guided interventions

Autor: W. J. Heerink, M. D. Dorrius, H. J. M. Groen, P. M. A. Van Ooijen, R. Vliegenthart, M. Oudkerk
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: European Radiology Experimental, Vol 2, Iss 1, Pp 1-9 (2018)
Druh dokumentu: article
ISSN: 2509-9280
DOI: 10.1186/s41747-018-0052-7
Popis: Abstract Background To present and evaluate a new respiratory level biofeedback system that aids the patient to return to a consistent breath-hold level with potential application in image-guided interventions. Methods The study was approved by the local ethics committee and written informed consent was waived. Respiratory motion was recorded in eight healthy volunteers in the supine and prone positions, using a depth camera that measures the mean distance to thorax, abdomen and back. Volunteers were provided with real-time visual biofeedback on a screen, as a ball moving up and down with respiratory motion. For validation purposes, a conversion factor from mean distance (in mm) to relative lung volume (in mL) was determined using spirometry. Subsequently, without spirometry, volunteers were given breathing instructions and were asked to return to their initial breath-hold level at expiration ten times, in both positions, with and without visual biofeedback. For both positions, the median and interquartile range (IQR) of the absolute error in lung volume from initial breath-hold were determined with and without biofeedback and compared using Wilcoxon signed rank tests. Results Without visual biofeedback, the median difference from initial breath-hold was 124.6 mL (IQR 55.7–259.7 mL) for the supine position and 156.3 mL (IQR 90.9–334.7 mL) for the prone position. With the biofeedback, the difference was significantly decreased to 32.7 mL (IQR 12.8–59.6 mL) (p
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