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. Author manuscript; available in PMC: 2021 Jul 12.
Published in final edited form as: Compr Physiol. 2020 Jul 8;10(3):1155–1205. doi: 10.1002/cphy.c180042

Table 1.

A list of the advantages and disadvantages of the techniques

Type Technique (s) Advantages Disadvantages
Gas exchange O2/CO2 analysis
  • Small risk to subjects

  • Simple to implement

  • Equipment requirements modest

  • Inexpensive

  • No regional information

  • Limited accuracy

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

  • No regional information

  • Limited accuracy

MIGET
  • Quantitative

  • Well established

  • Allows estimate of diffusion limitation

  • Relatively inexpensive to make measurements if equipment is available

  • Invasive

  • Technically demanding

  • No regional information

  • V˙A/Q˙ inequality express as individual distributions of V˙A and Q˙ to V˙A/Q˙ ratio

Imaging SPECT
  • Minimally invasive

  • Low risk to subjects

  • Repeated measures possible

  • Regional information

  • Relatively inexpensive compared to other imaging techniques

  • 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

PET
  • Quantitative

  • High resolution

  • Some validation studies performed

  • 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

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

  • 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

CT
  • High resolution

  • Regional information

  • Less expensive than some other imaging techniques

  • Can be quantitative

  • Exposure to ionizing radiation

  • Potential contrast reaction

  • Repeated measures in humans limited by radiation exposure

  • Limited validation

  • Limited postures possible

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

  • 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)

Microspheres Fluorescent or radioactive
  • Relatively high resolution

  • Quantitative

  • Repeated measures possible

  • Regional information

  • Validation studies show reasonable validity

  • Destructive technique (tissue obtained post mortem)

  • Distortion of tissue ex vivo may affect results