Background/Aim. Impulse oscillometry (IOS) is a method for estimating lung function which is used for early detection of bronchial hyperresponsiveness (BHR) and asthma. The aim of the study was to ...determine the prevalence of BHR, the correlation between spirometry and IOS and sensitivity and specificity of IOS in proving BHR in patients with persistent allergic rhinitis. Methods. The study included 81 patients with allergic rhinitis. From all of them, medical history was taken, allergy testing was done, as well as measurements of parameters of lung function by the IOS and spirometry before and after nonspecific bronchial provocation test with histamin via Aerosol provocative system. Changes of the IOS parameters to fall in FEV1 of 20% were measured and compared with changes in the spirometry parameters. After bronchial challenge test subjects were divided into two groups: the group with BHR (group 1) and that without BHR (group 2). Results. The mean age of participants was 25.7 ? 5.7 years, and 50.5% were men. Out of the total number of subjects with allergy rhinitis, 56 (58.9%) had a positive BPT. After bronchoprovocation an average increase in the group 1 was 88.15% for Rrs5, 111.98% for Fres, and for AX 819.69%. The high degree of correlation between the IOS and spirometry was proven in the group 2, while the whole group 1 had a weak correlation between parameters of these two methods. High sensitivity and low specificity for Rrs5 and Fres compared to FEV1 in diagnosing BHR was proven. Conclusion. The study demonstrated a high prevalence of BHR in the study group of patients with persistent allergic rhinitis, poor correlation in relation to the spirometric measurements in the group with BHR and a high sensitivity and low specificity of IOS for the detection of early changes in the airways.
nema
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Background/Aim. Impulse oscillometry (IOS) is a technique valid for measuring the lung function in obstructive lung diseases and bronchial provocation tests. However, no consensus exists for its use. ...The aim of the study was to assess impulse oscillometry sensitivity for detection of early airways changes during bronchial provocation testing and to compare with changes obtained with spirometry and bodyplethysmography in male army recruits. Methods. Male military recruits were submitted to bronchial provocation test with histamine by the aerosol provocation system. Out of 52 male military recruits subjected to attempts to make the diagnosis of asthma the study included 31 subjects with fall of forced expiratory volume in one second (FEV1) above 20%. The changes of impulse oscillometry were measured one step before and after provocation dose (PD) of histamine and compared with the changes of bodyplethysmography and spirometry. Results. The average age of male army recruits was 23.3 year. After bronchoprovocation there was an average increase of the total resistance at 5 Hz (R5) by 66.6%, resonant frequency (Fres) by 102.2%, Goldman index (AX) by 912.1%, the arway resistance (Raw) by 121.5%, and a decrease in reactance at 5 Hz (X5) by 132.1% and FEV1 by 25.6%. One step before the last inhaled of PD20 there was an average increase of 26.7% in R5, 24.1% in Fres, 85.3% in AX, 11.9% in Raw and a decrease in X5 by 26.9% and FEV1 by 4.3%. A correlation between impulse oscillometry and bodyplethysmography parameters was obtained. Conclusion. This paper demonstrates a sufficient sensitivity of impulse oscillometry to detect changes in airways, so it may play a complementary role in the diagnosis of asthma in male military recruits.
nema
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
This paper presents a system for classification of asthma and chronic obstructive pulmonary disease (COPD) based on fuzzy rules and the trained neural network.
Fuzzy rules and neural network ...parameters are defined according to Global Initiative for Asthma (GINA) and Global Initiative for chronic Obstructive Lung Disease (GOLD) guidelines. For neural network training more than one thousand medical reports obtained from database of the company CareFusion were used. Afterwards the system was validated on 455 patients by physicians from the Clinical Centre University of Sarajevo.
Out of 170 patients with asthma, 99.41% of patients were correctly classified. In addition, 99.19% of the 248 COPD patients were correctly classified. The system was 100% successful on 37 patients with normal lung function. Sensitivity of 99.28% and specificity of 100% in asthma and COPD classification were obtained.
Our neuro-fuzzy system for classification of asthma and COPD uses a combination of spirometry and Impulse Oscillometry System (IOS) test results, which in the very beginning enables more accurate classification. Additionally, using bronchodilatation and bronhoprovocation tests we get a complete patient's dynamic assessment, as opposed to the solution that provides a static assessment of the patient.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Respiratory diseases can be very difficult to diagnose because their symptoms are sometimes very similar to each other. If we analyze asthma and COPD (Chronic Obstructive Pulmonary Disease), diseases ...which are targeted in our research, we come to the conclusion that early detection of airway impairment can greatly assist in an early diagnosis. In this paper we present an integrated software suite that can help doctors make correct diagnosis of diseases such as asthma and COPD, using lung function tests. The software is based on object oriented methodology. The parameters of spirometry, IOS (Impulse Oscillometry System) and body plethysmography, used in the diagnosis of respiratory disease, will be included in the neuro-fuzzy system in order to help the software suggest proper diagnosis of asthma, COPD or normal lung condition. In order to meet all the conditions that are necessary for the proper and complete diagnosis of respiratory diseases, there is also information about the symptoms, allergies and auscultation of the patient included. In cases where it is not possible to determine the diagnosis on the basis of symptoms, spirometry and IOS test, the software indicates BDT (bronchial dilation test) and BPT (bronchial provocation test), after which new tests are required for spirometry, IOS and body plethysmography in order to get a complete diagnosis.
Asthma is a disorder characterized by chronic airway inflammation, airway hypersensitivity to a variety of stimuli, and airway obstruction that is at least partially or even completely reversible. To ...make correct diagnosis of asthma, diagnosis must be based on typical symptoms of asthma and identification of airway hyper responsiveness (AHR) or variable airway obstruction. In some cases, additionally we need to use bronchial provocation test using nonspecific stimuli, such as methacholine or histamine, what is useful for the determination of AHR. However, it is somewhat invasive in nature and it is not available in primary-care clinics or even in many general hospitals. Bronchodilator response (BDR) to short-acting β2-agonists is a valuable test to evaluate variable airway obstruction, which is only useful in patients with reduced lung function at the time of visit. Developed integrated software suite is user friendly tool which considers all this parameters to assist clinicians in the analysis and interpretation of pulmonary function tests data to better detect, diagnose, and treat asthma conditions. A total sum of 72 patient reports with previously diagnosed asthma by clinicians was tested with this tool. The software has performed the classification of asthma in the same way as doctors in 65 (90.27%) cases.
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