Understanding the fundamentals of oscillometry from a strip of lung tissue

Metrics used in spirometry caught on in respiratory medicine not only because they provide information of clinical importance but also because of a keen understanding of what is being measured. The forced expiratory volume in 1 s (FEV1), for example, is the maximal volume of air that can be expelled...

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Main Author: Ynuk Bossé
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.978332/full
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author Ynuk Bossé
author_facet Ynuk Bossé
author_sort Ynuk Bossé
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description Metrics used in spirometry caught on in respiratory medicine not only because they provide information of clinical importance but also because of a keen understanding of what is being measured. The forced expiratory volume in 1 s (FEV1), for example, is the maximal volume of air that can be expelled during the first second of a forced expiratory maneuver starting from a lung inflated to total lung capacity (TLC). Although it represents a very gross measurement of lung function, it is now used to guide the diagnosis and management of many lung disorders. Metrics used in oscillometry are not as concrete. Resistance, for example, has several connotations and its proper meaning in the context of a lung probed by an external device is not always intuitive. I think that the popularization of oscillometry and its firm implementation in respiratory guidelines starts with a keen understanding of what exactly is being measured. This review is an attempt to clearly explain the basic metrics of oscillometry. In my opinion, the fundamentals of oscillometry can be understood using a simple example of an excised strip of lung tissue subjected to a sinusoidal strain. The key notion is to divide the sinusoidal reacting force from the tissue strip into two sinusoids, one in phase with the strain and one preceding the strain by exactly a quarter of a cycle. Similar notions can then be applied to a whole lung subjected to a sinusoidal flow imposed at the mouth by an external device to understand basic metrics of oscillometry, including resistance, elastance, impedance, inertance, reactance and resonant frequency.
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spelling doaj.art-10b6342417a24870b0bbc76712b6a3322022-12-22T02:04:20ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-09-011310.3389/fphys.2022.978332978332Understanding the fundamentals of oscillometry from a strip of lung tissueYnuk BosséMetrics used in spirometry caught on in respiratory medicine not only because they provide information of clinical importance but also because of a keen understanding of what is being measured. The forced expiratory volume in 1 s (FEV1), for example, is the maximal volume of air that can be expelled during the first second of a forced expiratory maneuver starting from a lung inflated to total lung capacity (TLC). Although it represents a very gross measurement of lung function, it is now used to guide the diagnosis and management of many lung disorders. Metrics used in oscillometry are not as concrete. Resistance, for example, has several connotations and its proper meaning in the context of a lung probed by an external device is not always intuitive. I think that the popularization of oscillometry and its firm implementation in respiratory guidelines starts with a keen understanding of what exactly is being measured. This review is an attempt to clearly explain the basic metrics of oscillometry. In my opinion, the fundamentals of oscillometry can be understood using a simple example of an excised strip of lung tissue subjected to a sinusoidal strain. The key notion is to divide the sinusoidal reacting force from the tissue strip into two sinusoids, one in phase with the strain and one preceding the strain by exactly a quarter of a cycle. Similar notions can then be applied to a whole lung subjected to a sinusoidal flow imposed at the mouth by an external device to understand basic metrics of oscillometry, including resistance, elastance, impedance, inertance, reactance and resonant frequency.https://www.frontiersin.org/articles/10.3389/fphys.2022.978332/fullimpedancelung tissueoscillometry (forced oscillation technique)respiratory mechanicspulmonary physiology
spellingShingle Ynuk Bossé
Understanding the fundamentals of oscillometry from a strip of lung tissue
Frontiers in Physiology
impedance
lung tissue
oscillometry (forced oscillation technique)
respiratory mechanics
pulmonary physiology
title Understanding the fundamentals of oscillometry from a strip of lung tissue
title_full Understanding the fundamentals of oscillometry from a strip of lung tissue
title_fullStr Understanding the fundamentals of oscillometry from a strip of lung tissue
title_full_unstemmed Understanding the fundamentals of oscillometry from a strip of lung tissue
title_short Understanding the fundamentals of oscillometry from a strip of lung tissue
title_sort understanding the fundamentals of oscillometry from a strip of lung tissue
topic impedance
lung tissue
oscillometry (forced oscillation technique)
respiratory mechanics
pulmonary physiology
url https://www.frontiersin.org/articles/10.3389/fphys.2022.978332/full
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