Gas exchange |
O2/CO2 analysis |
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No regional information
Limited accuracy
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Intrabreath R Shunt Bohr Fowler dead space |
Noninvasive
Minimal risk to subjects
Relatively simple to implement
Equipment requirements moderate
Inexpensive to make measurements if equipment is available
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No regional information
Limited accuracy
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MIGET |
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Imaging |
SPECT |
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Exposure to ionizing radiation
Semiquantitative as usually implemented
Relatively low resolution compared to other imaging techniques
Repeated measures possible but must be spaced to clear tracer
Data acquisition can be time consuming
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PET |
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Exposure to ionizing radiation
Repeated measures possible but must be spaced to clear tracer
Relatively expensive
Limited lung field analysis
Any ventilation distal to vascular obstruction is not evaluated because tracer is not delivered
Limited postures possible
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MRI |
Noninvasive
Minimal risk with adequate screening
No exposure to ionizing radiation
Resolution relatively high to high depending on technique
Repeated measures possible
Regional information
Quantitative
Validation studies for some techniques
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Technically demanding
Expensive
Some techniques time consuming
Potential allergic reactions to contrast, if used
Limited availability especially for SF6 and hyperpolarized gas imaging
Limited postures possible
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CT |
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Exposure to ionizing radiation
Potential contrast reaction
Repeated measures in humans limited by radiation exposure
Limited validation
Limited postures possible
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EIT |
Inexpensive
Portable
Temporal information
No ionizing radiation
Minimal risk
Repeated measures possible
Minimal to no patient input required
Modest validity
Multiple postures possible
Regional Information
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Unclear and nonuniform spatial resolution
Low resolution
Reconstruction of image is complex
Image is dominated by information close to electrodes
Small field of view
not suitable for some patients (e.g. pacemaker)
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Microspheres |
Fluorescent or radioactive |
Relatively high resolution
Quantitative
Repeated measures possible
Regional information
Validation studies show reasonable validity
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