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基于快速响应呼吸气体分析仪的快速采样算法加速大流行感染诊断。

Accelerating the Diagnosis of Pandemic Infection Based on Rapid Sampling Algorithm for Fast-Response Breath Gas Analyzers.

机构信息

Institute of Optoelectronics, Military University of Technology, 2 Kaliskiego Str., 00-908 Warsaw, Poland.

出版信息

Sensors (Basel). 2024 Sep 24;24(19):6164. doi: 10.3390/s24196164.

Abstract

This paper presents a novel technique for extracting the alveolar part of human breath. Gas exchange occurs between blood and inhaled air in the alveoli, which is helpful in medical diagnostics based on breath analysis. Consequently, the alveolar portion of the exhaled air contains specific concentrations of endogenous EVOC (exogenous volatile organic compound), which, among other factors, depend on the person's health condition. As this part of the breath enables the screening for diseases, accurate sample collection for testing is crucial. Inaccurate sampling can significantly alter the composition of the specimen, alter the concentration of EVOC (biomarkers) and adversely affect the diagnosis. Furthermore, the volume of alveolar air is minimal (usually <350 mL), especially in the case of people affected by respiratory system problems. For these reasons, precise sampling is a key factor in the effectiveness of medical diagnostic systems. A new technique ensuring high accuracy and repeatability is presented in the article. It is based on analyzing the changes in carbon dioxide concentration in human breath using a fast and compensated non-dispersive infrared (NDIR) sensor and the simple moving adjacent average (SMAA) algorithm. Research has shown that this method accurately identifies exhalation phases with an uncertainty as low as 20 ms. This provides around 350 ms of breath duration for carrying out additional stages of the diagnostic process using various types of analyzers.

摘要

本文提出了一种提取人体呼气中肺泡部分的新方法。气体交换发生在肺泡中的血液和吸入空气中,这有助于基于呼吸分析的医学诊断。因此,呼出空气中的肺泡部分含有特定浓度的内源性 EVOC(外源性挥发性有机化合物),其浓度取决于人的健康状况等因素。由于这部分呼吸可以用于疾病筛查,因此准确的样本采集对于测试至关重要。不准确的采样会显著改变样本的组成,改变 EVOC(生物标志物)的浓度,并对诊断产生不利影响。此外,肺泡气的体积很小(通常 <350 毫升),尤其是在患有呼吸系统问题的人群中。出于这些原因,精确采样是医疗诊断系统有效性的关键因素。本文提出了一种新的技术,该技术基于使用快速补偿非分散式红外(NDIR)传感器和简单移动相邻平均(SMAA)算法分析人体呼吸中二氧化碳浓度的变化。研究表明,该方法可以以低至 20 毫秒的不确定度准确识别呼气阶段。这为使用各种类型的分析仪进行诊断过程的其他阶段提供了大约 350 毫秒的呼气持续时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e78/11478416/86a47485fd62/sensors-24-06164-g001.jpg

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