A 3D Reconstruction Algorithm for Real-time Simultaneous Multi-Source EIT Imaging for Lung Function Monitoring

Monitoring regional pulmonary ventilation and pulsatile perfusion changes in a 3D region of interest (ROI) of the lung is a promising application for electrical impedance tomography (EIT). This paper describes a 3D analytical reconstruction algorithm that was embedded in a prototype EIT system to enable a real-time image reconstruction at nearly 20 frames per second for monitoring impedance changes in the chest in real-time. The derivation and results of the 3D analytical forward solution and inverse solution and details of the real-time reconstruction algorithm are given. The algorithm and EIT system are validated with simulated data, in-vitro phantoms, and finally shown to be capable of imaging ventilation and pulsatile perfusion in human subjects. The human subject data was obtained using a high-precision, high-speed and simultaneous multiple current source (SMS-EIT) developed by GE Research. Data was collected using four rows of 8 electrodes for a healthy adult male subject and 2 rows of 16 electrodes for six healthy human female subjects, with one row placed above the breasts and a second row placed at the infra-mammary fold. Each of the female subjects performed a breathing maneuver with a volumetric incentive spirometer, and the volume of air inhaled was calculated from the EIT images. Pulsatile perfusion images were computed from this data, and regional lung filling was also analyzed.

[1]  G. M.,et al.  Partial Differential Equations I , 2023, Applied Mathematical Sciences.

[2]  David Isaacson,et al.  NOSER: An algorithm for solving the inverse conductivity problem , 1990, Int. J. Imaging Syst. Technol..

[3]  Steffen Leonhardt,et al.  Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the TRanslational EIT developmeNt stuDy group , 2016, Thorax.

[4]  Gregory Boverman,et al.  Real-time 3D electrical impedance imaging for ventilation and perfusion of the lung in lateral decubitus position , 2014, 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[5]  J.C. Newell,et al.  An electric current tomograph , 1988, IEEE Transactions on Biomedical Engineering.

[6]  K S Rabbani,et al.  Studies on the effect of the third dimension on a two-dimensional electrical impedance tomography system. , 1991, Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft fur Medizinische Physik and the European Federation of Organisations for Medical Physics.

[7]  Gerhard Hellige,et al.  Detection of local lung air content by electrical impedance tomography compared with electron beam CT. , 2002, Journal of applied physiology.

[8]  Gregory Boverman,et al.  Real-time 3D electrical impedance imaging for ventilation monitoring of the lung: Pilot study , 2014, 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  Zhanqi Zhao,et al.  A review of electrical impedance tomography in lung applications: Theory and algorithms for absolute images , 2019, Annu. Rev. Control..

[10]  David Isaacson,et al.  The three-dimensional inverse problem in electric current computed tomography , 1990 .

[11]  Tzu-Jen Kao,et al.  Estimating a regional ventilation-perfusion index , 2015, Physiological measurement.

[12]  D. Isaacson,et al.  Electrode models for electric current computed tomography , 1989, IEEE Transactions on Biomedical Engineering.

[13]  B H Brown,et al.  Electrical impedance tomography (EIT): a review , 2003, Journal of medical engineering & technology.

[14]  William R B Lionheart,et al.  Uses and abuses of EIDORS: an extensible software base for EIT , 2006, Physiological measurement.

[15]  L. Evans,et al.  Partial Differential Equations , 1941 .

[16]  David S. Holder Introduction to biomedical electrical impedance tomography Electrical Impedance Tomography Methods, History and Applications ed DS Holder , 2005 .

[17]  Brian H. Brown,et al.  Limitations to SV determination from APT images , 1989, Images of the Twenty-First Century. Proceedings of the Annual International Engineering in Medicine and Biology Society,.

[18]  A Thiagalingam,et al.  A review on electrical impedance tomography for pulmonary perfusion imaging , 2012, Physiological measurement.

[19]  B. Brown,et al.  Applied potential tomography. , 1989, Journal of the British Interplanetary Society.

[20]  P Bertemes-Filho,et al.  A comparison of modified Howland circuits as current generators with current mirror type circuits. , 2000, Physiological measurement.

[21]  M K Pidcock,et al.  Analytic and semi-analytic solutions in electrical impedance tomography: II. Three-dimensional problems. , 1995, Physiological measurement.

[22]  C. Boulay,et al.  An experimental study in electrical impedance tomography using backprojection reconstruction , 1991, IEEE Transactions on Biomedical Engineering.

[23]  J C Newell,et al.  Real-time three-dimensional electrical impedance imaging. , 2000, Physiological measurement.

[24]  J. Marcus,et al.  Determinants of pulmonary perfusion measured by electrical impedance tomography , 2004, European Journal of Applied Physiology.

[25]  David Isaacson,et al.  Electrical Impedance Tomography , 1999, SIAM Rev..

[26]  I Frerichs,et al.  Electrical impedance tomography (EIT) in applications related to lung and ventilation: a review of experimental and clinical activities. , 2000, Physiological measurement.

[27]  Peter Herrmann,et al.  Regional Lung Perfusion as Determined by Electrical Impedance Tomography in Comparison With Electron Beam CT Imaging , 2002, IEEE Transactions on Medical Imaging.

[28]  Harki Tanaka,et al.  Imbalances in regional lung ventilation: a validation study on electrical impedance tomography. , 2004, American journal of respiratory and critical care medicine.

[29]  David S. Holder,et al.  Introduction to biomedical electrical impedance tomography , 2004 .

[30]  K. Leblebicioglu,et al.  Analytic and semi-analytic solutions in electrical impedance tomography: I. Two-dimensional problems. , 1995, Physiological measurement.

[31]  Michael Capps,et al.  Evaluation of surrogate measures of pulmonary function derived from electrical impedance tomography data in children with cystic fibrosis , 2018, Physiological measurement.