Algorithm for automatic forced spirometry quality assessment: technological developments.

We hypothesized that the implementation of automatic real-time assessment of quality of forced spirometry (FS) may significantly enhance the potential for extensive deployment of a FS program in the community. Recent studies have demonstrated that the application of quality criteria defined by the A...

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Main Authors: Umberto Melia, Felip Burgos, Montserrat Vallverdú, Filip Velickovski, Magí Lluch-Ariet, Josep Roca, Pere Caminal
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4281176?pdf=render
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author Umberto Melia
Felip Burgos
Montserrat Vallverdú
Filip Velickovski
Magí Lluch-Ariet
Josep Roca
Pere Caminal
author_facet Umberto Melia
Felip Burgos
Montserrat Vallverdú
Filip Velickovski
Magí Lluch-Ariet
Josep Roca
Pere Caminal
author_sort Umberto Melia
collection DOAJ
description We hypothesized that the implementation of automatic real-time assessment of quality of forced spirometry (FS) may significantly enhance the potential for extensive deployment of a FS program in the community. Recent studies have demonstrated that the application of quality criteria defined by the ATS/ERS (American Thoracic Society/European Respiratory Society) in commercially available equipment with automatic quality assessment can be markedly improved. To this end, an algorithm for assessing quality of FS automatically was reported. The current research describes the mathematical developments of the algorithm. An innovative analysis of the shape of the spirometric curve, adding 23 new metrics to the traditional 4 recommended by ATS/ERS, was done. The algorithm was created through a two-step iterative process including: (1) an initial version using the standard FS curves recommended by the ATS; and, (2) a refined version using curves from patients. In each of these steps the results were assessed against one expert's opinion. Finally, an independent set of FS curves from 291 patients was used for validation purposes. The novel mathematical approach to characterize the FS curves led to appropriate FS classification with high specificity (95%) and sensitivity (96%). The results constitute the basis for a successful transfer of FS testing to non-specialized professionals in the community.
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spelling doaj.art-2ea34f0454b84e8aaff141c3c37750cc2022-12-22T03:58:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11623810.1371/journal.pone.0116238Algorithm for automatic forced spirometry quality assessment: technological developments.Umberto MeliaFelip BurgosMontserrat VallverdúFilip VelickovskiMagí Lluch-ArietJosep RocaPere CaminalWe hypothesized that the implementation of automatic real-time assessment of quality of forced spirometry (FS) may significantly enhance the potential for extensive deployment of a FS program in the community. Recent studies have demonstrated that the application of quality criteria defined by the ATS/ERS (American Thoracic Society/European Respiratory Society) in commercially available equipment with automatic quality assessment can be markedly improved. To this end, an algorithm for assessing quality of FS automatically was reported. The current research describes the mathematical developments of the algorithm. An innovative analysis of the shape of the spirometric curve, adding 23 new metrics to the traditional 4 recommended by ATS/ERS, was done. The algorithm was created through a two-step iterative process including: (1) an initial version using the standard FS curves recommended by the ATS; and, (2) a refined version using curves from patients. In each of these steps the results were assessed against one expert's opinion. Finally, an independent set of FS curves from 291 patients was used for validation purposes. The novel mathematical approach to characterize the FS curves led to appropriate FS classification with high specificity (95%) and sensitivity (96%). The results constitute the basis for a successful transfer of FS testing to non-specialized professionals in the community.http://europepmc.org/articles/PMC4281176?pdf=render
spellingShingle Umberto Melia
Felip Burgos
Montserrat Vallverdú
Filip Velickovski
Magí Lluch-Ariet
Josep Roca
Pere Caminal
Algorithm for automatic forced spirometry quality assessment: technological developments.
PLoS ONE
title Algorithm for automatic forced spirometry quality assessment: technological developments.
title_full Algorithm for automatic forced spirometry quality assessment: technological developments.
title_fullStr Algorithm for automatic forced spirometry quality assessment: technological developments.
title_full_unstemmed Algorithm for automatic forced spirometry quality assessment: technological developments.
title_short Algorithm for automatic forced spirometry quality assessment: technological developments.
title_sort algorithm for automatic forced spirometry quality assessment technological developments
url http://europepmc.org/articles/PMC4281176?pdf=render
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AT filipvelickovski algorithmforautomaticforcedspirometryqualityassessmenttechnologicaldevelopments
AT magilluchariet algorithmforautomaticforcedspirometryqualityassessmenttechnologicaldevelopments
AT joseproca algorithmforautomaticforcedspirometryqualityassessmenttechnologicaldevelopments
AT perecaminal algorithmforautomaticforcedspirometryqualityassessmenttechnologicaldevelopments