Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the TRanslational EIT developmeNt stuDy group.
Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the TRanslational EIT developmeNt stuDy group.
复制标题
胸部电阻抗断层扫描检查、数据分析、术语、临床使用和建议：翻译 EIT 发展研究组的共识声明。
DOI：
10.1136/thoraxjnl-2016-208357
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发表时间：
2017-01
期刊：
影响因子：
10
通讯作者：
TREND study group
中科院分区：
文献类型：
--
作者：
Frerichs I;Amato MB;van Kaam AH;Tingay DG;Zhao Z;Grychtol B;Bodenstein M;Gagnon H;Böhm SH;Teschner E;Stenqvist O;Mauri T;Torsani V;Camporota L;Schibler A;Wolf GK;Gommers D;Leonhardt S;Adler A;TREND study group
电阻抗成像技术已经经历了30 的发展历程。使用这项技术的功能性胸部检查被认为具有临床意义，特别是在监测机械通气患者的局部肺通气量和慢性肺部疾病患者的局部肺功能测试方面。随着EIT成为一项成熟的医疗技术，它需要共识检查、命名、数据分析和解释方案。需要这样的共识来比较、理解和复制来自不同研究小组和不同研究小组之间的研究结果，以便进行大规模临床试验，并最终实现常规临床应用。需要建议如何应用EIT结果来生成诊断并影响临床决策和治疗计划。这份共识文件是由一个名为转化性EIT发展研究小组的国际工作组准备的，该工作组致力于EIT的临床推广。它通过提供(1)胸部EIT检查和数据分析所涉及的核心过程的新分类，(2)侧重于临床应用(分别针对成人和新生儿/儿科患者)，(3)分类和了解分析方法及其临床作用之间的关系的结构化框架，(4)共识，统一的术语和临床用户友好的定义和解释，(5)回顾胸部EIT的所有主要工作，以及(6)对未来发展的建议(193页的在线补充资料，系统地链接到主要文件的主要部分)，以满足所述需求。我们希望这些信息对从事EIT工作的临床医生和研究人员以及这项技术的行业生产商有用。
Electrical impedance tomography (EIT) has undergone 30 years of development. Functional chest examinations with this technology are considered clinically relevant, especially for monitoring regional lung ventilation in mechanically ventilated patients and for regional pulmonary function testing in patients with chronic lung diseases. As EIT becomes an established medical technology, it requires consensus examination, nomenclature, data analysis and interpretation schemes. Such consensus is needed to compare, understand and reproduce study findings from and among different research groups, to enable large clinical trials and, ultimately, routine clinical use. Recommendations of how EIT findings can be applied to generate diagnoses and impact clinical decision-making and therapy planning are required. This consensus paper was prepared by an international working group, collaborating on the clinical promotion of EIT called TRanslational EIT developmeNt stuDy group. It addresses the stated needs by providing (1) a new classification of core processes involved in chest EIT examinations and data analysis, (2) focus on clinical applications with structured reviews and outlooks (separately for adult and neonatal/paediatric patients), (3) a structured framework to categorise and understand the relationships among analysis approaches and their clinical roles, (4) consensus, unified terminology with clinical user-friendly definitions and explanations, (5) a review of all major work in thoracic EIT and (6) recommendations for future development (193 pages of online supplements systematically linked with the chief sections of the main document). We expect this information to be useful for clinicians and researchers working with EIT, as well as for industry producers of this technology.