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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072
© 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 844
Development of diagnostic tools for pathologies of respiratory
system using Pulmonary Function Test (PFT)
Patel Nidhi V., Prof. Piyush Patel
Biomedical Department,
Government Engineering Collage Sector 28,Gandhinagar, Gujarat, India
---------------------------------------------------------------------***---------------------------------------------------------------------
Abstract – Pulmonary function test (PFT) is a test
generally used to detect the abnormalities associated with the
respiration cycle. Spirometry is a technique considered as a
gold standard for the acquisition of the various parameters of
the human respiration which includes FVC, FEV1, FEV1/FVC,
and PEF, VT. Based on the acquired parameters, the human
respiratory diseases like Asthma, pulmonary fibrosis, cystic
fibrosis, respiratory bronchitis and other deficiencies can be
identified. This document presents a diagnostic tool using
virtual instrument which creates a user friendly graphical
control and monitoring of a system. The flow-volume and
volume-time graphs are been displayed on the Virtual
Instrument. Comparison of the obtained graph can be done
with the graph of a normal person and the diseaselikeAsthma
can be detected. It gives accurate and real time data analysis .
Key Words: PFT, spirometry, flow vs. volume
&volume vs. time graph
1 .INTRODUCTION
Obstructive or restrictive lung disease are the two main
classifications of the respiratorylungdiseases.Among which
Asthma is one of the major pathological disorders.Asthmais
a lung disease which is common long term inflammatory. In
year 2013, 242 million people globally had asthma up from
183 million in year 1990.[1] It is characterized by reversible
airflow obstruction. Wheezing,coughing,shortnessof breath
and chest tightness are the common symptoms of this
disease. These symptoms may be observed a few times in a
day or few times per week. Depending on the seriousness it
may become worse during night or after exercise. According
to the frequency of symptoms, Asthma can be clinically
classified depending on the values of forced expiratory
volume in one second (FEV1)andforcedvital capacity(FVC).
Pathologies of respiratory system like Asthma can be
identified using PFT (pulmonary function test).[2]The
primary purpose of pulmonary function testing istoidentify
the severity of pulmonary impairment. For performing the
PFT, spirometry is the technique usinganinstrument named
spirometer. It is the single best test for asthma because
Spirometry is considered the best technique for diagnosing
the obstructive lungdisease. Spirometerincludespulmonary
mechanics test which includes measurements of FVC, FEV1,
FEV1/FVC ratio, FEF values and forced exhalation flow.
Measuring pulmonary mechanics identifies airway
obstruction by assessing the ability of the lungs to move
large volumes of air quickly through the airways .The use of
a fixed lower limit of normal for the FEV1/FVC ratio as
proposed by the Global Initiative for Obstructive Lung
Disease (GOLD) lacks a scientific basis and results in
misclassifying patients at either end of the age spectrum.[3]
Young patients are classified as "normal" when airflow
obstruction is present, and older patients are classified as
showing obstruction when no airflowobstructionispresent.
The use of the GOLD threshold for identifying airway
obstruction should be discouraged in clinical practicewhere
or when computerized predicted values are available. The
result collected by the spirometrerdeviceis usedtogenerate
a pneumotachograph which can help to assess conditions of
the patient’s lungs. The data collected through the PFT will
be analyzed on the LabVIEW based user friendly VI. This
method is noninvasive and the data acquisition can be done
at real time. The previous invented methods for asthma
detection based on PFT are unable to provide the real time
data analysis with the proper accuracy. The test results are
reflection of human respiratory status. The diagnosis can be
done on the rate of individual’s inhalation and exhalation.
Diseases like Asthma, Chronic Obstructive Pulmonary
Disease (COPD), restrictive diseases are responsible for
making changes in graphical representation of flow-volume.
[4]So depending on deviation we can establish a
methodology of detecting a disease.
2. METHODOLOGY
The basic aim of this research is to develop a diagnostic
tool which can efficiently characterize the lung function
measuring the lung capacities using an instrument named
spirometer. Spirometer measures the volumetric airflow of
lung during inhalation and exhalation which allows to
diagnose the seriousness of the disease like asthma. [5]The
spirometer can lead to number of information including the
parameters like, forcedexpiratoryvolume(FEV),forcedvital
capacity (FVC), and tidal volume (TV). FEV is the volume of
air exhaled after a short period of constant effort. FVC is the
volume of air exhaled by a forced maximal exhalation after a
full inhalation. [6]TV is the volumeofairinhaledandexhaled
at rest.
2.1 Data Acquisition
1).TEST PROCEDURE: -
I. Patient is asked to take the deepest breath
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072
© 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 845
II. Then exhale into the sensor with a force as hard as
possible for at least 6 seconds.
III. The patient has to inhale and exhale only through his
mouth so soft nose clips may be used to clip his nose
airway for prevention of air escape through the nose.
IV. Filter mouthpieces may be used to prevent the spread of
microorganisms.
V. The test is completed by recording the data with a
protocol which is,
• Normal inhalation forced exhalation within a span of 3
seconds
2) SYSTEM SETUP: -
Hardware requirements:-
 NI ELVIS II Series Benchtop Workstation
 Vernier Spirometer (Order code SPR-BTA)
 NI ELVIS II Series Prototyping Board
 Vernier Analog Proto Board Connector
 High-speed USB 2.0 cable
Software requirements:-
 NI LabVIEW
 NI Biomedical Startup Kit 3.0
 NI ELVIS tool kit
2.2 Signal Processing
Air flow rate in spirometer is measured by a differential
pressure transducer which directly results in amount of air
flow rate(L/s). Integrating the flow rate asa function oftime
results in Volume (L). The system’s basic components is
differential pressure sensor called spirometer measures
pressure difference created between the front and back
surface of the mesh screen placed at the center of the flow
head. Outputs of spirometer is in voltage proportional to
amount of air inhaled or exhaled which is in the range of 20
mV-50mV.The greater the airflow passing through the
screen, the greater the differential pressure. This results
directly into the measurement of air flow rate (L/s)
generating flow vs. time graph. Volumein(L)iscalculatedby
integrating the flow rate as a function of time in (s). The
volume vs time graph is obtained by plotting the
corresponding values on the XY plotter. This processed
signal is being displayed on the front panel of the LabVIEW
display panel. This display panel consist of various basic
information of the patient like the age,sex,height, name, etc..
is composed of a flow transducer device (Venturi tube), dif-
ferential pressuresensor,conditioningcircuitsandLabVIEW
VI.
The pressure sensor measures the difference in pressure
between sections of the Venturi device and the conditioning
circuits consist of a differential amplifier with a gain of 100
and a low-pass filter with a 3dB rolloff at 26 Hz. These
circuits serve to increase the signal magnitude to the volt
scale and filter out high-frequency noise (especially 60 Hz
noise). The frequency spectrum of interest for spirometry is
typically 0-20 Hz. We calibrated our sensor and signal
conditioning circuits as a single system in order to obtain an
equation for conversion of voltage output to measured
pressure difference. We accomplished this by applying a
range of known pressures to the sensor, using a pump and
manometer from a blood pressure cuff, and recording the
circuit output. The conditioned signal is acquired and
analyzed by our LabVIEW VI. The data acquisition portion of
the VI reads the voltage data and converts the values to
pressure difference using our calibration equation and then
converts the pressure difference to volumetric flow rate (Q)
using the theoretical relationship above.[7] Once a
measurement is complete, the analysis portion of the VI
integrates flow for the entire data set to obtain volume vs.
time and flow vs. volume. It also calculates the parameters
PEF, FVC, FEV1 and FEV1/ FVC. The VI front panel displays
these parameters as well as graphs of the volume data.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072
© 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 846
2.3 Acquired results
Figure 1: Flowrate vs. Time graph
Figure 2: Volume vs. time graph
Figure 3: Flow rate vs. volume graph
Table 1: Patient’s data set
3. CONCLUSIONS
In this study, a method of the PFT to find the various
respiratory parameters and generates the graphical results
is been developed. It is a real time examination method to
detect the lung capacity of an individual with a non-invasive
technique. This method is developed using a spirometerasa
sensor which detects the pressure difference on the two
sides of the diaphragm and generates a flow vs. time graph.
After performing various operations on a signal finally a
flow-rate vs. volume graph is generated. FVC and FEV1 are
detected from the obtained flow and volume
graphs.FEV1/FVC ratio is then calculated from the obtained
parameters. From the obtained data the person’s lungs
capacity can be evaluated.
REFERENCES
[1] M. Liu and M. Huang, “Asthma Pattern Identification
via Continuous Diaphragm Motion Monitoring,” vol.
1, no. 2, pp. 76–84, 2015.
[2] C. Uwaoma and G. Mansingh, “Towards Real-time
Monitoring and Detection of Asthma Symptoms on
Resource-constraint Mobile Device,” 2015.
[3] M. Sim, M. Kim, I. Jeong, C. Yoon, and H. Yoon, “A
convenient pulmonary volume and flow detection
system,” Proc. Annu. Int. Conf. IEEE Eng. Med. Biol.
Soc. EMBS, pp. 1009–1012, 2011.
[4] P. Kaushal, “Pellet Sensor Based Asthma Detection
System Using Exhaled Breath Analysis,” no. Icic, pp.
139–142, 2015.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056
Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072
© 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 847
[5] V. Soleimani, M. Mirmehdi, D. Damen, S. Hannuna,
and M. Camplani, “Remote Pulmonary Function
Testing using a Depth Sensor,” vol. c, pp. 5–8, 2015.
[6] R. Alejos-Palomares, J. M. Ramírez Cortes, and N.
Domínguez-Martinez, “Digital spirometer with
LabView interface,” Proc. - 18th Int. Conf. Electron.
Commun. Comput. CONIELECOMP 2008, no. April
2008, pp. 105–110, 2008.
[7] R. Rabban, J. Salacka, and R. Zhang, “Spirometer :
Characterization of Lung Function,” 2010.
[9] Edition, T., Medical, C., & Devices, C. M. (2006).
Spirometry Laboratory 2006, 0–9.

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Development of Diagnostic Tools for Pathologies of Respiratory System using Pulmonary Function Test(PFT)

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072 © 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 844 Development of diagnostic tools for pathologies of respiratory system using Pulmonary Function Test (PFT) Patel Nidhi V., Prof. Piyush Patel Biomedical Department, Government Engineering Collage Sector 28,Gandhinagar, Gujarat, India ---------------------------------------------------------------------***--------------------------------------------------------------------- Abstract – Pulmonary function test (PFT) is a test generally used to detect the abnormalities associated with the respiration cycle. Spirometry is a technique considered as a gold standard for the acquisition of the various parameters of the human respiration which includes FVC, FEV1, FEV1/FVC, and PEF, VT. Based on the acquired parameters, the human respiratory diseases like Asthma, pulmonary fibrosis, cystic fibrosis, respiratory bronchitis and other deficiencies can be identified. This document presents a diagnostic tool using virtual instrument which creates a user friendly graphical control and monitoring of a system. The flow-volume and volume-time graphs are been displayed on the Virtual Instrument. Comparison of the obtained graph can be done with the graph of a normal person and the diseaselikeAsthma can be detected. It gives accurate and real time data analysis . Key Words: PFT, spirometry, flow vs. volume &volume vs. time graph 1 .INTRODUCTION Obstructive or restrictive lung disease are the two main classifications of the respiratorylungdiseases.Among which Asthma is one of the major pathological disorders.Asthmais a lung disease which is common long term inflammatory. In year 2013, 242 million people globally had asthma up from 183 million in year 1990.[1] It is characterized by reversible airflow obstruction. Wheezing,coughing,shortnessof breath and chest tightness are the common symptoms of this disease. These symptoms may be observed a few times in a day or few times per week. Depending on the seriousness it may become worse during night or after exercise. According to the frequency of symptoms, Asthma can be clinically classified depending on the values of forced expiratory volume in one second (FEV1)andforcedvital capacity(FVC). Pathologies of respiratory system like Asthma can be identified using PFT (pulmonary function test).[2]The primary purpose of pulmonary function testing istoidentify the severity of pulmonary impairment. For performing the PFT, spirometry is the technique usinganinstrument named spirometer. It is the single best test for asthma because Spirometry is considered the best technique for diagnosing the obstructive lungdisease. Spirometerincludespulmonary mechanics test which includes measurements of FVC, FEV1, FEV1/FVC ratio, FEF values and forced exhalation flow. Measuring pulmonary mechanics identifies airway obstruction by assessing the ability of the lungs to move large volumes of air quickly through the airways .The use of a fixed lower limit of normal for the FEV1/FVC ratio as proposed by the Global Initiative for Obstructive Lung Disease (GOLD) lacks a scientific basis and results in misclassifying patients at either end of the age spectrum.[3] Young patients are classified as "normal" when airflow obstruction is present, and older patients are classified as showing obstruction when no airflowobstructionispresent. The use of the GOLD threshold for identifying airway obstruction should be discouraged in clinical practicewhere or when computerized predicted values are available. The result collected by the spirometrerdeviceis usedtogenerate a pneumotachograph which can help to assess conditions of the patient’s lungs. The data collected through the PFT will be analyzed on the LabVIEW based user friendly VI. This method is noninvasive and the data acquisition can be done at real time. The previous invented methods for asthma detection based on PFT are unable to provide the real time data analysis with the proper accuracy. The test results are reflection of human respiratory status. The diagnosis can be done on the rate of individual’s inhalation and exhalation. Diseases like Asthma, Chronic Obstructive Pulmonary Disease (COPD), restrictive diseases are responsible for making changes in graphical representation of flow-volume. [4]So depending on deviation we can establish a methodology of detecting a disease. 2. METHODOLOGY The basic aim of this research is to develop a diagnostic tool which can efficiently characterize the lung function measuring the lung capacities using an instrument named spirometer. Spirometer measures the volumetric airflow of lung during inhalation and exhalation which allows to diagnose the seriousness of the disease like asthma. [5]The spirometer can lead to number of information including the parameters like, forcedexpiratoryvolume(FEV),forcedvital capacity (FVC), and tidal volume (TV). FEV is the volume of air exhaled after a short period of constant effort. FVC is the volume of air exhaled by a forced maximal exhalation after a full inhalation. [6]TV is the volumeofairinhaledandexhaled at rest. 2.1 Data Acquisition 1).TEST PROCEDURE: - I. Patient is asked to take the deepest breath
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072 © 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 845 II. Then exhale into the sensor with a force as hard as possible for at least 6 seconds. III. The patient has to inhale and exhale only through his mouth so soft nose clips may be used to clip his nose airway for prevention of air escape through the nose. IV. Filter mouthpieces may be used to prevent the spread of microorganisms. V. The test is completed by recording the data with a protocol which is, • Normal inhalation forced exhalation within a span of 3 seconds 2) SYSTEM SETUP: - Hardware requirements:-  NI ELVIS II Series Benchtop Workstation  Vernier Spirometer (Order code SPR-BTA)  NI ELVIS II Series Prototyping Board  Vernier Analog Proto Board Connector  High-speed USB 2.0 cable Software requirements:-  NI LabVIEW  NI Biomedical Startup Kit 3.0  NI ELVIS tool kit 2.2 Signal Processing Air flow rate in spirometer is measured by a differential pressure transducer which directly results in amount of air flow rate(L/s). Integrating the flow rate asa function oftime results in Volume (L). The system’s basic components is differential pressure sensor called spirometer measures pressure difference created between the front and back surface of the mesh screen placed at the center of the flow head. Outputs of spirometer is in voltage proportional to amount of air inhaled or exhaled which is in the range of 20 mV-50mV.The greater the airflow passing through the screen, the greater the differential pressure. This results directly into the measurement of air flow rate (L/s) generating flow vs. time graph. Volumein(L)iscalculatedby integrating the flow rate as a function of time in (s). The volume vs time graph is obtained by plotting the corresponding values on the XY plotter. This processed signal is being displayed on the front panel of the LabVIEW display panel. This display panel consist of various basic information of the patient like the age,sex,height, name, etc.. is composed of a flow transducer device (Venturi tube), dif- ferential pressuresensor,conditioningcircuitsandLabVIEW VI. The pressure sensor measures the difference in pressure between sections of the Venturi device and the conditioning circuits consist of a differential amplifier with a gain of 100 and a low-pass filter with a 3dB rolloff at 26 Hz. These circuits serve to increase the signal magnitude to the volt scale and filter out high-frequency noise (especially 60 Hz noise). The frequency spectrum of interest for spirometry is typically 0-20 Hz. We calibrated our sensor and signal conditioning circuits as a single system in order to obtain an equation for conversion of voltage output to measured pressure difference. We accomplished this by applying a range of known pressures to the sensor, using a pump and manometer from a blood pressure cuff, and recording the circuit output. The conditioned signal is acquired and analyzed by our LabVIEW VI. The data acquisition portion of the VI reads the voltage data and converts the values to pressure difference using our calibration equation and then converts the pressure difference to volumetric flow rate (Q) using the theoretical relationship above.[7] Once a measurement is complete, the analysis portion of the VI integrates flow for the entire data set to obtain volume vs. time and flow vs. volume. It also calculates the parameters PEF, FVC, FEV1 and FEV1/ FVC. The VI front panel displays these parameters as well as graphs of the volume data.
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072 © 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 846 2.3 Acquired results Figure 1: Flowrate vs. Time graph Figure 2: Volume vs. time graph Figure 3: Flow rate vs. volume graph Table 1: Patient’s data set 3. CONCLUSIONS In this study, a method of the PFT to find the various respiratory parameters and generates the graphical results is been developed. It is a real time examination method to detect the lung capacity of an individual with a non-invasive technique. This method is developed using a spirometerasa sensor which detects the pressure difference on the two sides of the diaphragm and generates a flow vs. time graph. After performing various operations on a signal finally a flow-rate vs. volume graph is generated. FVC and FEV1 are detected from the obtained flow and volume graphs.FEV1/FVC ratio is then calculated from the obtained parameters. From the obtained data the person’s lungs capacity can be evaluated. REFERENCES [1] M. Liu and M. Huang, “Asthma Pattern Identification via Continuous Diaphragm Motion Monitoring,” vol. 1, no. 2, pp. 76–84, 2015. [2] C. Uwaoma and G. Mansingh, “Towards Real-time Monitoring and Detection of Asthma Symptoms on Resource-constraint Mobile Device,” 2015. [3] M. Sim, M. Kim, I. Jeong, C. Yoon, and H. Yoon, “A convenient pulmonary volume and flow detection system,” Proc. Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. EMBS, pp. 1009–1012, 2011. [4] P. Kaushal, “Pellet Sensor Based Asthma Detection System Using Exhaled Breath Analysis,” no. Icic, pp. 139–142, 2015.
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395 -0056 Volume: 04 Issue: 06 | June -2017 www.irjet.net p-ISSN: 2395-0072 © 2017, IRJET | Impact Factor value: 5.181 | ISO 9001:2008 Certified Journal | Page 847 [5] V. Soleimani, M. Mirmehdi, D. Damen, S. Hannuna, and M. Camplani, “Remote Pulmonary Function Testing using a Depth Sensor,” vol. c, pp. 5–8, 2015. [6] R. Alejos-Palomares, J. M. Ramírez Cortes, and N. Domínguez-Martinez, “Digital spirometer with LabView interface,” Proc. - 18th Int. Conf. Electron. Commun. Comput. CONIELECOMP 2008, no. April 2008, pp. 105–110, 2008. [7] R. Rabban, J. Salacka, and R. Zhang, “Spirometer : Characterization of Lung Function,” 2010. [9] Edition, T., Medical, C., & Devices, C. M. (2006). Spirometry Laboratory 2006, 0–9.