دورية أكاديمية

A new tidal breathing measurement device detects bronchial obstruction during methacholine challenge test.

التفاصيل البيبلوغرافية
العنوان: A new tidal breathing measurement device detects bronchial obstruction during methacholine challenge test.
المؤلفون: Zachariades A; Nicosia Lung Center, Nicosia, Cyprus., Bachar N; NanoVation-GS LTD., Haifa, Israel. Electronic address: nadavb@nanovation-gs.com., Danino N; NanoVation-GS LTD., Haifa, Israel., Shafran I; NanoVation-GS LTD., Haifa, Israel., Shtrichman R; NanoVation-GS LTD., Haifa, Israel., Shuster G; NanoVation-GS LTD., Haifa, Israel., Voigt W; NanoVation-GS LTD., Haifa, Israel; Medical Innovation and Management, Steinbeis University Berlin, Berlin, Germany.
المصدر: Advances in medical sciences [Adv Med Sci] 2024 Mar; Vol. 69 (1), pp. 1-7. Date of Electronic Publication: 2023 Dec 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101276222 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1898-4002 (Electronic) Linking ISSN: 18961126 NLM ISO Abbreviation: Adv Med Sci Subsets: MEDLINE
أسماء مطبوعة: Publication: March, 2014- : Amsterdam : Elsevier
Original Publication: Białystok, Poland : Medical University of Białystok, [2006]-
مواضيع طبية MeSH: Methacholine Chloride* , Bronchial Provocation Tests*/methods , Bronchial Provocation Tests*/instrumentation, Humans ; Male ; Female ; Adult ; Prospective Studies ; Spirometry/instrumentation ; Spirometry/methods ; Middle Aged ; Asthma/diagnosis ; Asthma/physiopathology ; Tidal Volume ; Young Adult ; Bronchial Hyperreactivity/diagnosis ; Bronchial Hyperreactivity/physiopathology
مستخلص: Purpose: Bronchial hyperresponsiveness (BHR), a hallmark of bronchial asthma, is typically diagnosed through a methacholine inhalation test followed by spirometry, known as the methacholine challenge test (MCT). While spirometry relies on proper patients' cooperation and precise execution of forced breathing maneuvers, we conducted a comparative analysis with the portable nanomaterial-based sensing device, SenseGuard™, to non-intrusively assess tidal breathing parameters.
Materials and Methods: In this prospective study, 37 adult participants with suspected asthma underwent sequential spirometry and SenseGuard™ measurements after inhaling increasing methacholine doses.
Results: Among the 37 participants, 18 were MCT responders, 17 were non-responders and 2 were excluded due to uninterpretable data. The MCT responders exhibited a significant lung function difference when comparing the change from baseline to maximum response. This was evident through a notable decrease in forced expiratory volume in 1 ​s (FEV 1 ) levels in spirometry, as well as in prominent changes in tidal breathing parameters as assessed by SenseGuard™, including the expiratory pause time (T rest ) to total breath time (T tot ) ratio, and the expiratory time (T ex ) to T tot ratio. Notably, the ratios T rest /T tot (∗p ​= ​0.02), T ex /T tot (∗p ​= ​0.002), and inspiratory time (T in ) to T ex (∗p ​= ​0.04) identified MCT responders distinctly, corresponding to spirometry (∗p ​< ​0.0001).
Conclusions: This study demonstrates that tidal breathing assessment using SenseGuard™ device reliably detects clinically relevant changes of respiratory parameter during the MCT. It effectively distinguishes between responders and non-responders, with strong agreement to conventional spirometry-measured FEV 1 . This technology holds promise for monitoring clinical respiratory changes in bronchial asthma patients pending further studies.
Competing Interests: Declaration of competing interest The authors declare no conflict of interests.
(Copyright © 2023 Medical University of Bialystok. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Asthma; Methacholine challenge test; Respiratory parameters; Tidal breathing; Wearable sensor
المشرفين على المادة: 0W5ETF9M2K (Methacholine Chloride)
تواريخ الأحداث: Date Created: 20231214 Date Completed: 20240502 Latest Revision: 20240502
رمز التحديث: 20240503
DOI: 10.1016/j.advms.2023.11.001
PMID: 38096771
قاعدة البيانات: MEDLINE
الوصف
تدمد:1898-4002
DOI:10.1016/j.advms.2023.11.001