DOI QR코드

DOI QR Code

Usefulness of Vibration Response Imaging (VRI) for Pneumonia Patients

폐렴환자에서 진동 공명 영상 검사(VRI)의 유용성

  • Park, Eu-Gene (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Park, Jung-Hee (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Hong, Mi-Jin (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Kim, Won-Dong (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Lee, Kye-Young (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Kim, Sun-Jong (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Kim, Hee-Joung (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Ha, Kyoung-Won (Department of Internal Medicine, Konkuk University Chungju Hospital) ;
  • Chon, Gyu-Rak (Department of Internal Medicine, Konkuk University Chungju Hospital) ;
  • Kim, Hyun-Ai (Department of Internal Medicine, Konkuk University School of Medicine) ;
  • Yoo, Kwang-Ha (Department of Internal Medicine, Konkuk University School of Medicine)
  • 박유진 (건국대학교 의학전문대학원 내과학교실) ;
  • 박중희 (건국대학교 의학전문대학원 내과학교실) ;
  • 홍미진 (건국대학교 의학전문대학원 내과학교실) ;
  • 김원동 (건국대학교 의학전문대학원 내과학교실) ;
  • 이계영 (건국대학교 의학전문대학원 내과학교실) ;
  • 김순종 (건국대학교 의학전문대학원 내과학교실) ;
  • 김희정 (건국대학교 의학전문대학원 내과학교실) ;
  • 하경원 (건국대학교 충주병원 내과학교실) ;
  • 전규락 (건국대학교 충주병원 내과학교실) ;
  • 김현애 (건국대학교 의학전문대학원 내과학교실) ;
  • 유광하 (건국대학교 의학전문대학원 내과학교실)
  • Received : 2011.02.13
  • Accepted : 2011.06.21
  • Published : 2011.07.30

Abstract

Background: Pneumonia is commonly seen in outpatient clinics. it is widely known as the most common cause of death from infectious disease. Pneumonia has been diagnosed by its typical symptoms, chest X-ray and blood tests. However, both chest X-rays and blood tests have limitations in diagnosis. Thus primary care clinicians usually have been constrained due to a lack of adequate diagnostic tools. Vibration response imaging (VRI) is a newly emerging diagnostic modality, and its procedure is non-invasive, radiation-free, and easy to handle. This study was designed to evaluate the diagnostic usefulness of the VRI test among pneumonia patients and to consider its correlation with other conventional tests such as Chest X-ray, laboratory tests and clinical symptoms. Methods: VRI was performed in 46 patients diagnosed with pneumonia in Konkuk University Medical Center. VRI was assessed in a private and quiet room twice: before and after the treatment. Sensors for VRI were placed on a patient's back at regular intervals; they detected pulmonary vibration energy produced when respiration occurred and presented as specific images. Any modifications either in chest X-ray, C-reactive protein (CRP), white blood cell count (WBC) or body temperature were compared with changes in VRI image during a given time course. Results: VRI, chest X-ray and CRP scores were significantly improved after treatment. Correlation between VRI and other tests was not clearly indicated among all patients. But relatively severe pneumonia patients showed correlations between VRI and chest X-ray, as well as between VRI and CRP. Conclusion: This study demonstrates that VRI can be safely applied to patients with pneumonia.

Keywords

References

  1. Niederman MS, Bass JB Jr, Campbell GD, Fein AM, Grossman RF, Mandell LA, et al. Guidelines for the initial management of adults with community-acquired pneumonia: diagnosis, assessment of severity, and initial antimicrobial therapy. American Thoracic Society. Medical Section of the American Lung Association. Am Rev Respir Dis 1993;148:1418-26. https://doi.org/10.1164/ajrccm/148.5.1418
  2. Jokinen C, Heiskanen L, Juvonen H, Kallinen S, Karkola K, Korppi M, et al. Incidence of community-acquired pneumonia in the population of four municipalities in eastern Finland. Am J Epidemiol 1993;137:977-88. https://doi.org/10.1093/oxfordjournals.aje.a116770
  3. Almirall J, Bolibar I, Vidal J, Sauca G, Coll P, Niklasson B, et al. Epidemiology of community-acquired pneumonia in adults: a population-based study. Eur Respir J 2000;15:757-63. https://doi.org/10.1034/j.1399-3003.2000.15d21.x
  4. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 2007;44(Suppl 2):S27-72.
  5. Metlay JP, Fine MJ. Testing strategies in the initial management of patients with community-acquired pneumonia. Ann Intern Med 2003;138:109-18. https://doi.org/10.7326/0003-4819-138-2-200301210-00012
  6. Flanders SA, Stein J, Shochat G, Sellers K, Holland M, Maselli J, et al. Performance of a bedside C-reactive protein test in the diagnosis of community-acquired pneumonia in adults with acute cough. Am J Med 2004;116:529-35. https://doi.org/10.1016/j.amjmed.2003.11.023
  7. Pasterkamp H, Kraman SS, Wodicka GR. Respiratory sounds. Advances beyond the stethoscope. Am J Respir Crit Care Med 1997;156:974-87. https://doi.org/10.1164/ajrccm.156.3.9701115
  8. Loudon RG. The lung exam. Clin Chest Med 1987;8:265-72.
  9. Murphy RL, Vyshedskiy A, Power-Charnitsky VA, Bana DS, Marinelli PM, Wong-Tse A, et al. Automated lung sound analysis in patients with pneumonia. Respir Care 2004;49:1490-7.
  10. Kompis M, Pasterkamp H, Wodicka GR. Acoustic imaging of the human chest. Chest 2001;120:1309-21. https://doi.org/10.1378/chest.120.4.1309
  11. Mor R, Kushnir I, Meyer JJ, Ekstein J, Ben-Dov I. Breath sound distribution images of patients with pneumonia and pleural effusion. Respir Care 2007;52:1753-60.
  12. Maher TM, Gat M, Allen D, Devaraj A, Wells AU, Geddes DM. Reproducibility of dynamically represented acoustic lung images from healthy individuals. Thorax 2008;63:542-8. https://doi.org/10.1136/thx.2007.086405
  13. Dellinger RP, Parrillo JE, Kushnir A, Rossi M, Kushnir I. Dynamic visualization of lung sounds with a vibration response device: a case series. Respiration 2008;75:60-72. https://doi.org/10.1159/000103558
  14. Lim WS, van der Eerden MM, Laing R, Boersma WG, Karalus N, Town GI, et al. Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study. Thorax 2003;58:377-82. https://doi.org/10.1136/thorax.58.5.377
  15. Almirall J, Bolibar I, Toran P, Pera G, Boquet X, Balanzo X, et al. Contribution of C-reactive protein to the diagnosis and assessment of severity of community-acquired pneumonia. Chest 2004;125:1335-42. https://doi.org/10.1378/chest.125.4.1335
  16. Castro-Guardiola A, Armengou-Arxe A, Viejo-Rodriguez A, Penarroja-Matutano G, Garcia-Bragado F. Differential diagnosis between community-acquired pneumonia and non-pneumonia diseases of the chest in the emergency ward. Eur J Intern Med 2000;11:334-9. https://doi.org/10.1016/S0953-6205(00)00118-7
  17. Hansson LO, Hedlund JU, Ortqvist AB. Sequential changes of inflammatory and nutritional markers in patients with community-acquired pneumonia. Scand J Clin Lab Invest 1997;57:111-8. https://doi.org/10.1080/00365519709056378
  18. Povoa P, Coelho L, Almeida E, Fernandes A, Mealha R, Moreira P, et al. C-reactive protein as a marker of ventilator-associated pneumonia resolution: a pilot study. Eur Respir J 2005;25:804-12. https://doi.org/10.1183/09031936.05.00071704
  19. Danesh J, Muir J, Wong YK, Ward M, Gallimore JR, Pepys MB. Risk factors for coronary heart disease and acute-phase proteins. A population-based study. Eur Heart J 1999;20:954-9. https://doi.org/10.1053/euhj.1998.1309
  20. Hutchinson WL, Koenig W, Frohlich M, Sund M, Lowe GD, Pepys MB. Immunoradiometric assay of circulating C-reactive protein: age-related values in the adult general population. Clin Chem 2000;46:934-8.
  21. Li J, Cai BQ. Characteristics of vibration response imaging in chronic obstructive pulmonary disease. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2009;31:335-8.
  22. Elphick HE, Lancaster GA, Solis A, Majumdar A, Gupta R, Smyth RL. Validity and reliability of acoustic analysis of respiratory sounds in infants. Arch Dis Child 2004;89:1059-63. https://doi.org/10.1136/adc.2003.046458
  23. Charleston-Villalobos S, Cortes-Rubiano S, Gonzalez-Camarena R, Chi-Lem G, Aljama-Corrales T. Respiratory acoustic thoracic imaging (RATHI): assessing deterministic interpolation techniques. Med Biol Eng Comput 2004;42:618-26. https://doi.org/10.1007/BF02347543
  24. Aagaard E, Maselli J, Gonzales R. Physician practice patterns: chest x-ray ordering for the evaluation of acute cough illness in adults. Med Decis Making 2006;26:599-605. https://doi.org/10.1177/0272989X06295357
  25. Lynch T, Platt R, Gouin S, Larson C, Patenaude Y. Can we predict which children with clinically suspected pneumonia will have the presence of focal infiltrates on chest radiographs? Pediatrics 2004;113:e186-9. https://doi.org/10.1542/peds.113.3.e186

Cited by

  1. Evaluation of Classification and Accuracy in Chest X-ray Images using Deep Learning with Convolution Neural Network vol.14, pp.1, 2020, https://doi.org/10.7742/jksr.2019.14.1.39