Feasibility of using ‘lung density’ values estimated from EIT images for clinical diagnosis of lung abnormalities in mechanically ventilated ICU patients

Author： Nebuya Satoru Koike Tomotaka Imai Hiroshi Iwashita Yoshiaki Brown Brian H Soma Kazui

Publisher： IOP Publishing

E-ISSN： 1361-6579|36|6|1261-1271

ISSN： 0967-3334

Source： Physiological Measurement, Vol.36, Iss.6, 2015-06, pp. : 1261-1271

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Abstract

This paper reports on the results of a study which compares lung density values obtained from electrical impedance tomography (EIT), clinical diagnosis and CT values (HU) within a region of interest in the lung. The purpose was to assess the clinical use of lung density estimation using EIT data. In 11 patients supported by a mechanical ventilator, the consistency of regional lung density measurements as estimated by EIT was validated to assess the feasibility of its use in intensive care medicine. There were significant differences in regional lung densities recorded in the supine position between normal lungs and diseased lungs associated with pneumonia, atelectasis and pleural effusion (normal; 240 ± 71.7 kg m⁻³, pneumonia; 306 ± 38.6 kg m⁻³, atelectasis; 497 ± 130 kg m⁻³, pleural effusion; 467 ± 113 kg m⁻³: Steel–Dwass test, p < 0.05). In addition, in order to compare lung density with CT image pixels, the image resolution of CT images, which was originally 512 × 512 pixels, was changed to 16 × 16 pixels to match that of the EIT images. The results of CT and EIT images from five patients in an intensive care unit showed a correlation coefficient of 0.66 ± 0.13 between the CT values (HU) and the lung density values (kg m⁻³) obtained from EIT. These results indicate that it may be possible to obtain a quantitative value for regional lung density using EIT.