Spatio-Temporal Classification of Lung Ventilation Patterns using 3D EIT Images: A General Approach for Individualized Lung Function Evaluation (2307.00307v1)
Abstract: The Pulmonary Function Test (PFT) is an widely utilized and rigorous classification test for lung function evaluation, serving as a comprehensive tool for lung diagnosis. Meanwhile, Electrical Impedance Tomography (EIT) is a rapidly advancing clinical technique that visualizes conductivity distribution induced by ventilation. EIT provides additional spatial and temporal information on lung ventilation beyond traditional PFT. However, relying solely on conventional isolated interpretations of PFT results and EIT images overlooks the continuous dynamic aspects of lung ventilation. This study aims to classify lung ventilation patterns by extracting spatial and temporal features from the 3D EIT image series. The study uses a Variational Autoencoder network with a MultiRes block to compress the spatial distribution in a 3D image into a one-dimensional vector. These vectors are then concatenated to create a feature map for the exhibition of temporal features. A simple convolutional neural network is used for classification. Data collected from 137 subjects were finally used for training. The model is validated by ten-fold and leave-one-out cross-validation first. The accuracy and sensitivity of normal ventilation mode are 0.95 and 1.00, and the f1-score is 0.94. Furthermore, we check the reliability and feasibility of the proposed pipeline by testing it on newly recruited nine subjects. Our results show that the pipeline correctly predicts the ventilation mode of 8 out of 9 subjects. The study demonstrates the potential of using image series for lung ventilation mode classification, providing a feasible method for patient prescreening and presenting an alternative form of PFT.
- Symptom clusters, associated factors and health-related quality of life in patients with chronic obstructive pulmonary disease: a structural equation modelling analysis. Journal of Clinical Nursing, 32(1-2):298–310, 2023.
- MONASTA LORENZO. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017 a systematic analysis for the global burden of disease study 2017: a systematic analysis for the global burden of disease study 2017. The Lancet Respiratory Medicine, 8(6):585–596, 2020.
- Towards the elimination of chronic obstructive pulmonary disease: a lancet commission. The Lancet, 400(10356):921–972, 2022.
- Jill Jin. Screening for chronic obstructive pulmonary disease. JAMA, 327(18):1831–1831, 2022.
- Ers/ats technical standard on interpretive strategies for routine lung function tests. European Respiratory Journal, 60(1), 2022.
- Normal predictive values of spirometry in korean population. Tuberculosis and Respiratory Diseases, 58(3):230–242, 2005.
- Matthew J Hegewald. Impact of obesity on pulmonary function: current understanding and knowledge gaps. Current Opinion in Pulmonary Medicine, 27(2):132–140, 2021.
- Lung function in healthy never smoking adults: reference values and lower limits of normal of a swiss population. Thorax, 51(3):277–283, 1996.
- Pulmonary function and health-related quality of life after covid-19 pneumonia. Respiratory medicine, 176:106272, 2021.
- Lei Zhu and LiminDong. lung function diagnosis. Chinese Journal of Tuberculosis and Respiratory Diseases, 35(3):235–237, 2012.
- Brian H Brown. Electrical impedance tomography (EIT): a review. Journal of medical engineering & technology, 27(3):97–108, 2003.
- A narrative review of electrical impedance tomography in lung diseases with flow limitation and hyperinflation: methodologies and applications. Annals of Translational Medicine, 8(24), 2020.
- Inez Frerichs. Electrical impedance tomography (EIT) in applications related to lung and ventilation: a review of experimental and clinical activities. Physiological measurement, 21(2):R1, 2000.
- Bedside contribution of electrical impedance tomography to setting positive end-expiratory pressure for extracorporeal membrane oxygenation–treated patients with severe acute respiratory distress syndrome. American journal of respiratory and critical care medicine, 196(4):447–457, 2017.
- Regional lung function determined by electrical impedance tomography during bronchodilator reversibility testing in patients with asthma. Physiological measurement, 37(6):698, 2016.
- Unmatched ventilation and perfusion measured by electrical impedance tomography predicts the outcome of ards. Critical Care, 25(1):192, 2021.
- Prone position improves lung ventilation–perfusion matching in non-intubated covid-19 patients: a prospective physiologic study. Critical Care, 26(1):1–3, 2022.
- Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the translational EIT development study group. Thorax, 72(1):83–93, 2017.
- Interpretative strategies for lung function tests. European respiratory journal, 26(5):948–968, 2005.
- Artificial intelligence outperforms pulmonologists in the interpretation of pulmonary function tests. European Respiratory Journal, 53(4), 2019.
- Amanda Keener. Redefining the diagnostic criteria for copd. Nature, 581(7807):S4–S4, 2020.
- Interpreting lung function data using 80% predicted and fixed thresholds misclassifies more than 20% of patients. Chest, 139(1):52–59, 2011.
- Automated interpretation of pulmonary function tests in adults with respiratory complaints. Respiration, 93(3):170–178, 2017.
- Christophe Delclaux. No need for pulmonologists to interpret pulmonary function tests, 2019.
- Classification of normal and abnormal respiration patterns using flow volume curve and neural network. In 2010 5th International Symposium on Health Informatics and Bioinformatics, pages 110–113, 2010.
- Classification of obstructive and non-obstructive pulmonary diseases on the basis of spirometry using machine learning techniques. Journal of Computational Science, 63:101768, 2022.
- An alternative spirometric measurement. area under the expiratory flow–volume curve. Annals of the American Thoracic Society, 17(5):582–588, 2020.
- Deep neural network analyses of spirometry for structural phenotyping of chronic obstructive pulmonary disease. JCI insight, 5(13), 2020.
- Deep learning–based approach to predict pulmonary function at chest ct. Radiology, page 221488, 2023.
- Chronic obstructive pulmonary disease: thoracic ct texture analysis and machine learning to predict pulmonary ventilation. Radiology, 293(3):676–684, 2019.
- A 3d-cnn model with ct-based parametric response mapping for classifying copd subjects. Scientific Reports, 11(1):1–12, 2021.
- An interpretable deep learning workflow for discovering subvisual abnormalities in ct scans of covid-19 inpatients and survivors. Nature Machine Intelligence, 4(5):494–503, 2022.
- Early assessment of lung function in coronavirus patients using invariant markers from chest x-rays images. Scientific reports, 11(1):12095, 2021.
- Mri-derived regional flow-volume loop parameters detect early-stage chronic lung allograft dysfunction. Journal of Magnetic Resonance Imaging, 50(6):1873–1882, 2019.
- Pulmonary ventilation imaging based on 4-dimensional computed tomography: comparison with pulmonary function tests and spect ventilation images. International Journal of Radiation Oncology* Biology* Physics, 90(2):414–422, 2014.
- Four-dimensional computed tomography ventilation image-guided lung functional avoidance radiation therapy: A single-arm prospective pilot clinical trial. International Journal of Radiation Oncology* Biology* Physics, 115(5):1144–1154, 2023.
- Time-series hyperpolarized xenon-129 mri of lobar lung ventilation of copd in comparison to v/q-spect/ct and ct. European Radiology, 29:4058–4067, 2019.
- Feasibility of quantitative regional ventilation and perfusion mapping with phase-resolved functional lung (preful) mri in healthy volunteers and copd, cteph, and cf patients. Magnetic resonance in medicine, 79(4):2306–2314, 2018.
- Whither lung EIT: where are we, where do we want to go and what do we need to get there? Physiological measurement, 33(5):679, 2012.
- Standalone electrical impedance tomography predicts spirometry indicators and enables regional lung assessment. In 2022 44th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), pages 3277–3280, 2022.
- Evaluation of surrogate measures of pulmonary function derived from electrical impedance tomography data in children with cystic fibrosis. Physiological measurement, 39(4):045008, 2018.
- Linearity of electrical impedance tomography during maximum effort breathing and forced expiration maneuvers. Physiological measurement, 38(1):77, 2016.
- Imaging regional lung function: A critical tool for developing inhaled antimicrobial therapies. Advanced drug delivery reviews, 85:100–109, 2015.
- Regional lung function measures determined by electrical impedance tomography during repetitive ventilation manoeuvres in patients with copd. Physiological Measurement, 42(1):015008, 2021.
- Spatial ventilation inhomogeneity determined by electrical impedance tomography in patients with chronic obstructive lung disease. Frontiers in Physiology, 12:2224, 2021.
- Regional lung response to bronchodilator reversibility testing determined by electrical impedance tomography in chronic obstructive pulmonary disease. American Journal of Physiology-Lung Cellular and Molecular Physiology, 311(1):L8–L19, 2016.
- Spatial and temporal heterogeneity of regional lung ventilation determined by electrical impedance tomography during pulmonary function testing. Journal of applied physiology, 113(7):1154–1161, 2012.
- Global and regional lung function in cystic fibrosis measured by electrical impedance tomography. Pediatric pulmonology, 51(11):1191–1199, 2016.
- Evaluation of regional pulmonary ventilation in spontaneously breathing patients with idiopathic pulmonary fibrosis (ipf) employing electrical impedance tomography EIT: A pilot study from the european ipf registry (euripfreg). Journal of Clinical Medicine, 10(2):192, 2021.
- Regional lung function in nonsmokers and asymptomatic current and former smokers. ERJ open research, 5(3), 2019.
- Pulmonary rehabilitation ameliorates regional lung function in chronic obstructive pulmonary disease: a prospective single-arm clinical trial. Annals of Translational Medicine, 10(16), 2022.
- The effect of physical therapy on regional lung function in critically ill patients. Frontiers in Physiology, 12:749542, 2021.
- Effect of position change from the bed to a wheelchair on the regional ventilation distribution assessed by electrical impedance tomography in patients with respiratory failure. Frontiers in Medicine, 8:744958, 2021.
- Monitoring of regional lung ventilation using electrical impedance tomography after cardiac surgery in infants and children. Pediatric cardiology, 35:990–997, 2014.
- Observational study of the effect of tracheal intubation and tracheal tube position on regional lung ventilation during general anaesthesia. In ANAESTHESIA, volume 73, pages 13–13. WILEY 111 RIVER ST, HOBOKEN 07030-5774, NJ USA, 2018.
- Effects of tracheal intubation and tracheal tube position on regional lung ventilation: an observational study. Anaesthesia, 75(3):359–365, 2020.
- Comparison of global and regional compliance-guided positive end-expiratory pressure titration on regional lung ventilation in moderate-to-severe pediatric acute respiratory distress syndrome. Frontiers in Medicine, 9:841, 2022.
- Otmar Scherzer. Handbook of mathematical methods in imaging. Springer Science & Business Media, 2010.
- Three-dimensional electrical impedance tomography with multiplicative regularization. IEEE Transactions on Biomedical Engineering, 66(9):2470–2480, 2019.
- A deep generative model-integrated framework for three-dimensional time-difference electrical impedance tomography. IEEE Transactions on Instrumentation and Measurement, 2022.
- Auto-encoding variational bayes. arXiv preprint arXiv:1312.6114, 2013.
- Multiresunet: Rethinking the u-net architecture for multimodal biomedical image segmentation. Neural networks, 121:74–87, 2020.
- Feature-based inversion using variational autoencoder for electrical impedance tomography. IEEE Transactions on Instrumentation and Measurement, 71:1–12, 2022.