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Current Respiratory Medicine Reviews

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ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

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Systematic Review Article

Outpatient Use of Electrical Impedance Tomography in Patients with Chronic Obstructive Pulmonary Disease: A Scoping Review

Author(s): Diana Quintero Medina, Vicente Benavides-Cordoba* and Esther Cecilia Wilches Luna

Volume 18, Issue 3, 2022

Published on: 04 August, 2022

Page: [208 - 216] Pages: 9

DOI: 10.2174/1573398X18666220518144330

Price: $65

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Abstract

Objective: Electrical Impedance Tomography (EIT) has emerged as a non-invasive, radiation- free imaging modality that allows monitoring at the patient's bedside, providing real-time information on the regional distribution of pulmonary ventilation. Although there has been increasing research on EIT in Intensive Care Units (ICUs), few studies use this tool in patients with spontaneous breathing. The objective is to describe the current evidence regarding the outpatient use of EIT in patients with chronic obstructive pulmonary disease (COPD).

Methods: A scoping review was performed. An extensive search was conducted in seven healthbased databases, Scopus, Medline, OVID, Scielo, PEDro, EBSCO, and VHL search portal. In this scoping review, the checklist recommended by PRISMA was used. To assess the quality of the studies, the BEME protocol of "questions to ask about the evidence of an investigation or evaluation" was used.

Results: In this scoping review, 7 studies published between 2009 and 2019 related to the outpatient use of EIT in COPD patients were identified. The evidence reviewed allowed us to identify that the frequent use is related to the evaluation of the distribution of ventilation, the evaluation of regional respiratory mechanics, and the degree of pre- and post-bronchodilator obstruction.

Conclusion: EIT is used on an outpatient basis in patients with COPD as an evaluation tool that complements the information regarding the clinical results of pulmonary function tests, improving the monitoring of the course of the disease in real-time, non-invasively, and without ionizing radiation.

Keywords: Pulmonary disease, chronic obstructive, tomography, electric impedance, diagnostic imaging, post-bronchodilator obstruction.

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[1]
GOLD. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease In:. 2020.
[2]
OMS. Enfermedad pulmonar obstructiva crónica (EPOC). World Health Organization 2013.
[3]
Rehabilitation P. American thoracic society. Am J Respir Crit Care Med 1999; 159.
[4]
Celli BR, Decramer M, Wedzicha JA, et al. ATS/ERS Task Force for COPD Research. An official American Thoracic society/european respiratory society statement: Research questions in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2015; 191(7): e4-e27.
[http://dx.doi.org/10.1164/rccm.201501-0044ST] [PMID: 25830527]
[5]
Albouaini K, Egred M, Alahmar A, Wright DJ. Cardiopulmonary exercise testing and its application. Postgrad Med J 2007; 83(985): 675-82.
[http://dx.doi.org/10.1136/hrt.2007.121558] [PMID: 17989266]
[6]
Tomicic V, Cornejo R. Lung monitoring with electrical impedance tomography: Technical considerations and clinical applications. J Thorac Dis 2019; 11(7): 3122-35.
[http://dx.doi.org/10.21037/jtd.2019.06.27] [PMID: 31463141]
[7]
de Lema B, Casan P, Riu P. Tomografía por impedancia eléctrica. Estandarización del procedimiento para su aplicación en neumología. Arch Bronconeumol 2006; 42(6): 299-301.
[http://dx.doi.org/10.1157/13089542] [PMID: 16827979]
[8]
Smit HJ, Vonk Noordegraaf A, Marcus JT, Boonstra A, de Vries PM, Postmus PE. Determinants of pulmonary perfusion measured by electrical impedance tomography. Eur J Appl Physiol 2004; 92(1-2): 45-9.
[http://dx.doi.org/10.1007/s00421-004-1043-3] [PMID: 14985995]
[9]
Costa ELV. Detecção de pneumotórax em tempo real através da tomografia de impedância elétrica 2008. Faculdade de Medicina. Universidade de São Paulo 2008.
[http://dx.doi.org/10.11606/T.5.2008.tde-04082008-104749]
[10]
Filho LVF da S. Rossi FdeS, Deutsch Ad, Yagui AC, Timenetsky K, Rebello CdeM. Persistence of ventilatory defect after resolution of pulmonary interstitial emphysema in a preterm baby. J Matern Neonatal Med 2010; 23(7): 712-6.
[http://dx.doi.org/10.3109/14767050903314168] [PMID: 20540662]
[11]
Rossi F de S, Yagui ACZ, Haddad LB, Deutsch AD, Rebello CM. Electrical impedance tomography to evaluate air distribution prior to extubation in very-low-birth-weight infants: A feasibility study. Clinics (São Paulo) 2013; 68(3): 345-50.
[http://dx.doi.org/10.6061/clinics/2013(03)OA10] [PMID: 23644854]
[12]
de Souza RB. Detecção da abertura e colapso alveolar durante o ciclo ventilatório através da tomografia de impedância elétrica 2011. Faculdade de Medicina. Universidade de São Paulo 2011.
[http://dx.doi.org/10.11606/T.5.2011.tde-07022012-102823]
[13]
Kobylianskii J, Murray A, Brace D, Goligher E, Fan E. Electrical impedance tomography in adult patients undergoing mechanical ventilation: A systematic review. J Crit Care 2016; 35: 33-50.
[http://dx.doi.org/10.1016/j.jcrc.2016.04.028] [PMID: 27481734]
[14]
Bachmann MC, Morais C, Bugedo G, et al. Electrical impedance tomography in acute respiratory distress syndrome. Crit Care 2018; 22(1): 263.
[http://dx.doi.org/10.1186/s13054-018-2195-6] [PMID: 30360753]
[15]
Franchineau G, Bréchot N, Lebreton G, et al. Bedside contribution of electrical impedance tomography to setting positive end-expiratory pressure for extracorporeal membrane oxygenation–treated patients with severe acute respiratory distress syndrome. Am J Respir Crit Care Med 2017; 196(4): 447-57.
[http://dx.doi.org/10.1164/rccm.201605-1055OC] [PMID: 28103448]
[16]
Pikkemaat R, Tenbrock K, Lehmann S, Leonhardt S. Electrical impedance tomography: New diagnostic possibilities using regional time constant maps. Appl Cardiopul P 2012; 16: 212-25.
[17]
Krueger-Ziolek S, Schullcke B, Zhao Z, Gong B, Moeller K. Determination of regional lung function in cystic fibrosis using electrical impedance tomography. Curr Dir Biomed Eng 2016; 2: 633-6.
[http://dx.doi.org/10.1515/cdbme-2016-0139]
[18]
Zhao Z, Fischer R, Frerichs I, Müller-Lisse U, Möller K. Regional ventilation in cystic fibrosis measured by electrical impedance tomography. J Cyst Fibros Off J Eur Cyst Fibros Soc 2012; 11(5): 412-8.
[http://dx.doi.org/10.1016/j.jcf.2012.03.011] [PMID: 22658424]
[19]
Nguyen DT, Jin C, Thiagalingam A, McEwan AL. A review on electrical impedance tomography for pulmonary perfusion imaging. Physiol Meas 2012; 33(5): 695-706.
[http://dx.doi.org/10.1088/0967-3334/33/5/695] [PMID: 22532291]
[20]
Balleza M, Calaf N, Feixas T, et al. Medición del patrón ventilatorio mediante tomografía por impedancia eléctrica en pacientes con EPOC. Arch Bronconeumol 2009; 45(7): 320-4.
[http://dx.doi.org/10.1016/j.arbres.2009.01.013] [PMID: 19497652]
[21]
Zhang C, Dai M, Liu W, et al. Global and regional degree of obstruction determined by electrical impedance tomography in patients with obstructive ventilatory defect. PLoS One 2018; 13(12): e0209473.
[http://dx.doi.org/10.1371/journal.pone.0209473] [PMID: 30571739]
[22]
Milne S, Huvanandana J, Nguyen C, et al. Time-based pulmonary features from electrical impedance tomography demonstrate ventilation heterogeneity in chronic obstructive pulmonary disease. J Appl Physiol 2019; 127(5): 1441-52.
[http://dx.doi.org/10.1152/japplphysiol.00304.2019] [PMID: 31556831]
[23]
Vogt B, Zhao Z, Zabel P, Weiler N, Frerichs I. Regional lung response to bronchodilator reversibility testing determined by electrical impedance tomography in chronic obstructive pulmonary disease. Am J Physiol Lung Cell Mol Physiol 2016; 311(1): L8-L19.
[http://dx.doi.org/10.1152/ajplung.00463.2015] [PMID: 27190067]
[24]
Gawelczyk B, Pulletz S, Hauber HP, et al. (2009). Assessment of Regional Lung Function in COPD Patients Using Electrical Impedance Tomography. In A38. COPD: DIAGNOSIS & EVALUATION (p. A1481). American Thoracic Society.
[http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_MeetingAbstracts.A1481]
[25]
Frerichs I, Amato MBP, van Kaam AH, et al. TREND study group. Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: Consensus statement of the TRanslational EIT developmeNt stuDy group. Thorax 2017; 72(1): 83-93.
[http://dx.doi.org/10.1136/thoraxjnl-2016-208357] [PMID: 27596161]
[26]
Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med 2018; 169(7): 467-73.
[http://dx.doi.org/10.7326/M18-0850] [PMID: 30178033]
[27]
Harden RM, Grant J, Buckley G, Hart IR. BEME Guide No. 1: Best evidence medical education. Med Teach 1999; 21(6): 553-62.
[http://dx.doi.org/10.1080/01421599978960] [PMID: 21281174]
[28]
Vogt B, Pulletz S, Elke G, et al. Spatial and temporal heterogeneity of regional lung ventilation determined by electrical impedance tomography during pulmonary function testing. J Appl Physiol 2012; 113(7): 1154-61.
[http://dx.doi.org/10.1152/japplphysiol.01630.2011] [PMID: 22898553]
[29]
Frerichs I, Zhao Z, Becher T, Zabel P, Weiler N, Vogt B. Regional lung function determined by electrical impedance tomography during bronchodilator reversibility testing in patients with asthma. Physiol Meas 2016; 37(6): 698-712.
[http://dx.doi.org/10.1088/0967-3334/37/6/698] [PMID: 27203725]
[30]
Trenk F, Mendes L, Carvalho P, Paiva RP, Henriques J, Maglaveras N, et al. Evaluation of lung ventilation distribution in chronic obstructive pulmonary disease patients using the global inhomogeneity index. Proc Annu Int Conf IEEE Eng Med Biol Soc EMBS 2016; 5286-9.
[http://dx.doi.org/10.1109/EMBC.2016.7591920]
[31]
Quesada L, León Ramentol CC, Betancourt Bethencourt J, Nicolau Pestana E. Elementos teóricos y prácticos sobre la bioimpedancia eléctrica en salud. Rev Arch Médico Camagüey 2016; 20: 565-78.
[32]
Ward LC, Heitmann BL, Craig P, Stroud D, Azinge EC, Jebb S, et al. Association between ethnicity, body mass index, and bioelectrical impedance Implications for the population specificity of prediction equationsAnn N Y Acad Sci. New York Academy of Sciences 2000; Vol. 904: pp. 199-202.
[http://dx.doi.org/10.1111/j.1749-6632.2000.tb06449.x]

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