电阻抗层析成像(EIT)经历了30年的发展。使用该技术的功能性胸部检查被认为是临床相关的,特别是监测机械通气患者的局部肺通气和慢性肺疾病患者的局部肺功能检测。随着EIT成为一种成熟的医疗技术,它需要共识审查,命名法,数据分析和解释方案。这种共识是需要比较的,了解和复制来自不同研究小组的研究结果,为了进行大型临床试验,最终,常规临床使用。需要建议如何应用EIT发现来生成诊断并影响临床决策和治疗计划。这份协商一致文件是由一个国际工作组编写的,合作开展EIT的临床推广,称为翻译性EIT发展研究小组。它通过提供(1)对胸部EIT检查和数据分析中涉及的核心过程进行新分类来解决所述需求,(2)专注于具有结构化审查和展望的临床应用(分别适用于成人和新生儿/儿科患者),(3)一个结构化的框架来分类和理解分析方法及其临床作用之间的关系,(4)共识,统一的术语与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页与主要文件的主要部分系统地链接的在线补充)。我们希望这些信息对使用EIT的临床医生和研究人员有用,以及该技术的行业生产商。
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.