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Biomedical subjects

I Frerichs

Publications and source records attributed to I Frerichs.

23 records · Page 2Linked to original sources

Gravity-dependent phenomena in lung ventilation determined by functional EIT.

Gravity exerts an effect on the distribution of intrapulmonary ventilation. A study on the detection of gravity-dependent inhomogeneity of ventilation by a functional EIT technique is presented. The study was performed on five human subjects, whose ventilation distribution was modified by changes in body position. The subjects were studied during spontaneous tidal breathing. The qualitative and quantitative analysis of the functional EIT images revealed that the ventilation is higher in the dependent lung regions when compared with the non-dependent ones. These EIT findings correspond to current knowledge of the physiological behaviour of the lungs as derived from the radioactive-gas methods and raise the possibility of applying the less complicated functional EIT in future studies on ventilation distribution in the lungs. This may be of major interest in the monitoring of intensive care patients with severe pulmonary disorders.

Adult↗

Local mechanics of the lung tissue determined by functional EIT.

A new functional EIT (f-EIT) evaluation technique providing information on the local dynamic behaviour of the lung is presented. Out of a series of single EIT thoracic images local time courses of the impedance change are extracted. To detect regional differences in the dynamic behaviour of the lung tissue the local time courses at different locations are related to the average time course of the impedance change over the whole thoracic cross section. The time shifts between this reference signal and the signals from separate positions are calculated from the phase information of the complex cross spectra and evaluated in terms of the local phase angle. The computed phaseshifts are imaged over the cross section creating an 'f-EIT phase image' characterizing the local dynamic properties. To relate the observed differences to the proper lung location the resulting images are presented as a combination of the f-EIT ventilation images, which represent the local amplitude of ventilation and the f-EIT phase images. The new imaging technique was tested in spontaneously breathing humans. Alterations to pulmonary dynamics were induced by changing the body posture of the subjects. The f-EIT phase imaging procedure was shown to identify lung regions with different dynamics and it is expected that this technique will also distinguish pathologically determined alterations.

Biomechanical Phenomena↗

[Asymptotic behavior of calculated concentration time curves].

The measured concentration time curve of an injected substance is often used as a basis for calculating the distribution volume. For the first time, the present paper describes a generally applicable formula for calculating the asymptote of a concentration time curve in medical applications. With a knowledge of this formula, previously unexplained phenomena (varying results obtained from two different methods of calculating the distribution volume) can now be understood. At the same time, errors of methodology (choice of injection and measuring sites) can be avoided.

Biological Availability↗