期刊
IEEE ACCESS
卷 7, 期 -, 页码 163341-163357出版社
IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/ACCESS.2019.2952740
关键词
Non-contact breathing monitoring; clinical environment; motion estimation; quantitative measures; respiratory failure; sensors; thoraco-abdominal asynchrony (TAA); spontaneous breathing
资金
- Natural Science and Engineering Research Council of Canada (NSERC)
In a situation of respiratory failure (RF), patients show signs of increased work of breathing leading to the involvement of accessory respiratory muscles and a desynchronization between rib cage and abdomen known as thoraco-abdominal asynchrony (TAA). Proper assessment of these signs requires sufficiently skilled and trained medical staff. However, human assessment is subjective and is practically impossible to audit. A new non-contact method is proposed for TAA visualization and quantification, in children with RF. The surface variations are analyzed by calculating the 3-dimensional motion of the thorax and abdomen regions during the breathing process. A high-fidelity mannequin was used to simulate thoraco-abdominal asynchrony. The proposed system uses depth information recorded by an RGB-D (Red Green Blue-Depth) camera. Furthermore, surface displacement was calculated in four simulated modes from the normal to the severe TAA mode. Respiratory rates were also calculated based on the analysis of the surface movements. The proposed method was compared to a highly precise laser-ranging system with 1 mm resolution. The resulting root mean square deviation (RMSD) showed an error of 1.78 ml in normal mode, 2.83 mm in mild mode, 2.23 mm in severe mode and 2.34 mm in irregular mode. The results showed a high correlation between the two methods in estimating the retraction distance and respiratory rate (rho >0.985).
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