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Tom 4, Nr 2-3 (2023)
Wytyczne / stanowisko ekspertów
Wysłany: 2023-07-27
Zaakceptowany: 2023-08-29
Opublikowany online: 2023-09-28
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Standardy techniczne dla oscylometrii

Gregory G. King1, Jason Bates2, Kenneth I. Berger3, Peter Calverley4, Pedro L. de Melo5, Raffaele L. Dellacà6, Ramon Farré7, Graham L. Hall8, Iulia Ioan9, Charles G. Irvin2, David W. Kaczka10, David A. Kaminsky2, Hajime Kurosawa11, Enrico Lombardi12, Geoffrey N. Maksym13, François Marchal9, Beno W. Oppenheimer3, Shannon J. Simpson8, Cindy Thamrin1, Maarten van den Berge14, Ellie Oostveen15, Tłumaczenie: dr hab. n. med. Irena Wojsyk, dr hab. n. med. Eliza Wasilewska
Pneum Pol 2023;4(2-3):47-69.
Afiliacje
  1. The Department of Respiratory Medicine and Airway Physiology and Imaging Group, Royal North Shore Hospital and The Woolcock Institute of Medical Research, The University of Sydney NSW 2006, Australia
  2. Department of Medicine, Pulmonary/Critical Care Division, University of Vermont, Larner College of Medicine, Burlington, Vermont, USA
  3. Division of Pulmonary, Critical Care, and Sleep Medicine, NYU School of Medicine and André Cournand Pulmonary Physiology Laboratory, Belleuve Hospital, New York, USA
  4. Institute of Ageing and Chronic Disease,University of Liverpool, Liverpool, UK
  5. Institute of Biology and Faculty of Engineering, Department of Physiology, Biomedical Instrumentation Laboratory, State University of Rio de Janeiro, Rio de Janeiro, Brazil
  6. Dipartimento di Elettronica, Informazione e Bioingegneria – DEIB, Politecnico di Milano University, Milano, Italy
  7. Unitat de Biofísica i Bioenginyeria, Facultat de Medicina, Universitat de Barcelona-IDIBAPS, Barcelona, Spain and CIBER de Enfermedades Respiratorias, Madrid, Spain
  8. Children’s Lung Health, Telethon Kids Institute; School of Physiotherapy and Exercise Science, Curtin University, Perth WA, Australia
  9. Department of Pediatric Lung Function Testing, Children’s Hospital, Vandoeuvre-lès-Nancy, France; EA 3450 DevAH — Laboratory of Physiology, Faculty of Medicine, University of Lorraine, Vandoeuvre-lès-Nancy, France
  10. Departments of Anesthesia, Biomedical Engineering and Radiology, University of Iowa, Iowa City, Iowa, USA
  11. Department of Occupational Health, Tohoku University School of Medicine, Sendai, Japan
  12. Pediatric Pulmonary Unit, Meyer Pediatric University Hospital, Florence, Italy
  13. School of Biomedical Engineering, Dalhousie University, Halifax, NS B3H 4R2, Canada
  14. University of Groningen, University Medical Center Groningen, Department of Pulmonary Diseases, Groningen, The Netherlands
  15. Department of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Belgium

dostęp płatny

Tom 4, Nr 2-3 (2023)
WYTYCZNE I REKOMENDACJE
Wysłany: 2023-07-27
Zaakceptowany: 2023-08-29
Opublikowany online: 2023-09-28

Streszczenie

Oscylometria, zwana także metodą oscylacji wymuszonych (FOT, forced oscillatory technique) mierzy własności mechaniczne układu oddechowego (górnych i dolnych dróg oddechowych, miąższu płuc czy ściany klatki piersiowej). Pomiary dokonywane są podczas spokojnego oddychania, w trakcie dostarczania sygnału ciśnienia oscylacyjnego (nazywanego sygnałem wejścia lub wymuszającym), do układu oddechowego, najczęściej przez usta. Wobec coraz powszechniejszego zastosowania oscylometrii zarówno w praktyce klinicznej, jak i w badaniach naukowych, niezwykle istotne jest, aby wszystkie dane techniczne dotyczące urządzeń, przetwarzania i analizy sygnału oraz protokołów badań były transparentne i jasno opisane, co umożliwia standaryzację, porównanie i powtórzenie badań klinicznych i naukowych. Z tego powodu grupa robocza międzynarodowych ekspertów Europejskiego Towarzystwa Chorób Płuc (ERS, European Respiratory Society), aktywnie uczestniczących w badaniach z zastosowaniem oscylometrii opracowała aktualizację Standardów Technicznych Oscylometrii opublikowanych w 2003 roku. Celem grupy roboczej było dostarczenie technicznych zaleceń dotyczących urządzeń, oprogramowania, protokołów badania oraz kontroli jakości pomiarów oscylometrycznych.

Główne zmiany wprowadzone w tym dokumencie w porównaniu z oryginałem z 2003 roku obejmują: 1) nowe procedury kontroli jakości wynikające z analizy poszczególnych oddechów oraz postępowania z artefaktami; 2) zalecenie transparentnego przedstawienia sposobu przetwarzania sygnału, kontroli jakości, postępowania z artefaktami oraz protokołów badania (np. ilość i czas trwania poszczególnych pomiarów podczas badania) w raportach badań zamieszczanych w dokumentacji medycznej i publikacjach, co pozwoli na porównanie i powtarzanie badań wykonanych z zastosowaniem różnych urządzeń i w różnych pracowniach; 3) przegląd podsumowujący nowe dane uzasadniające przyjęte punkty odcięcia dla prób rozkurczowych oraz prowokacyjnych oskrzeli; 4) zaktualizowaną listę należnych wartości impedancji u dorosłych i dzieci.

Streszczenie

Oscylometria, zwana także metodą oscylacji wymuszonych (FOT, forced oscillatory technique) mierzy własności mechaniczne układu oddechowego (górnych i dolnych dróg oddechowych, miąższu płuc czy ściany klatki piersiowej). Pomiary dokonywane są podczas spokojnego oddychania, w trakcie dostarczania sygnału ciśnienia oscylacyjnego (nazywanego sygnałem wejścia lub wymuszającym), do układu oddechowego, najczęściej przez usta. Wobec coraz powszechniejszego zastosowania oscylometrii zarówno w praktyce klinicznej, jak i w badaniach naukowych, niezwykle istotne jest, aby wszystkie dane techniczne dotyczące urządzeń, przetwarzania i analizy sygnału oraz protokołów badań były transparentne i jasno opisane, co umożliwia standaryzację, porównanie i powtórzenie badań klinicznych i naukowych. Z tego powodu grupa robocza międzynarodowych ekspertów Europejskiego Towarzystwa Chorób Płuc (ERS, European Respiratory Society), aktywnie uczestniczących w badaniach z zastosowaniem oscylometrii opracowała aktualizację Standardów Technicznych Oscylometrii opublikowanych w 2003 roku. Celem grupy roboczej było dostarczenie technicznych zaleceń dotyczących urządzeń, oprogramowania, protokołów badania oraz kontroli jakości pomiarów oscylometrycznych.

Główne zmiany wprowadzone w tym dokumencie w porównaniu z oryginałem z 2003 roku obejmują: 1) nowe procedury kontroli jakości wynikające z analizy poszczególnych oddechów oraz postępowania z artefaktami; 2) zalecenie transparentnego przedstawienia sposobu przetwarzania sygnału, kontroli jakości, postępowania z artefaktami oraz protokołów badania (np. ilość i czas trwania poszczególnych pomiarów podczas badania) w raportach badań zamieszczanych w dokumentacji medycznej i publikacjach, co pozwoli na porównanie i powtarzanie badań wykonanych z zastosowaniem różnych urządzeń i w różnych pracowniach; 3) przegląd podsumowujący nowe dane uzasadniające przyjęte punkty odcięcia dla prób rozkurczowych oraz prowokacyjnych oskrzeli; 4) zaktualizowaną listę należnych wartości impedancji u dorosłych i dzieci.

Pełny tekst:

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Słowa kluczowe

technika oscylacji wymuszonych, oscylometria impulsowa, badania czynnościowe płuc

Informacje o artykule
Tytuł

Standardy techniczne dla oscylometrii

Czasopismo

Pneumonologia Polska

Numer

Tom 4, Nr 2-3 (2023)

Typ artykułu

Wytyczne / stanowisko ekspertów

Strony

47-69

Opublikowany online

2023-09-28

Wyświetlenia strony

182

Wyświetlenia/pobrania artykułu

14

Rekord bibliograficzny

Pneum Pol 2023;4(2-3):47-69.

Słowa kluczowe

technika oscylacji wymuszonych
oscylometria impulsowa
badania czynnościowe płuc

Autorzy

Gregory G. King
Jason Bates
Kenneth I. Berger
Peter Calverley
Pedro L. de Melo
Raffaele L. Dellacà
Ramon Farré
Graham L. Hall
Iulia Ioan
Charles G. Irvin
David W. Kaczka
David A. Kaminsky
Hajime Kurosawa
Enrico Lombardi
Geoffrey N. Maksym
François Marchal
Beno W. Oppenheimer
Shannon J. Simpson
Cindy Thamrin
Maarten van den Berge
Ellie Oostveen
Tłumaczenie: dr hab. n. med. Irena Wojsyk, dr hab. n. med. Eliza Wasilewska

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