Phase-contrast X-ray tomography resolves the terminal bronchioles in free-breathing mice

Phase-contrast X-ray lung imaging has broken new ground in preclinical respiratory research by improving contrast at air/tissue interfaces. To minimize blur from respiratory motion, intubation and mechanical ventilation is commonly employed for end-inspiration gated imaging at synchrotrons and in the laboratory. Inevitably, the prospect of ventilation induced lung injury (VILI) renders mechanical ventilation a confounding factor in respiratory studies of animal models. Here we demonstrate proof-of-principle 3D imaging of the tracheobronchial tree in free-breathing mice without mechanical ventilation at radiation levels compatible with longitudinal studies. We use a prospective gating approach for end-expiration propagation-based phase-contrast X-ray imaging where the natural breathing of the mouse dictates the acquisition flow. We achieve intrapulmonary spatial resolution in the 30-μm-range, sufficient for resolving terminal bronchioles in the 60-μm-range distinguished from the surrounding lung parenchyma. These results should enable non-invasive longitudinal studies of native state murine airways for translational lung disease research in the laboratory.

Breathing Techniques in the Paris Singing Treatise (Méthode de Chant, Paris, 1803)

"This article tries to identify the breathing techniques proposed in the Paris Singing treatise, published in 1803. The method gives us the description of the respiratory movement practiced by singers before the institutionalization of knowledge according to scientific research. The aim of the French school was to produce a natural tone and to deliver beauty in the act of singing without physical limitations or excesses imposed on the body or voice. We found that the French school aims to respect the length of the sentences and this to the detriment of the quality of the sound emitted. Regarding the physiology of breathing, the method uses analogies with images that allow singers to imagine what is “hidden” in their body, and explain the functioning of different parts, according to the “tasks” assigned to them. The teachers of this method suggest to the practitioner not to think about breathing and uses the term natural breathing, as there is no difference between the breath needed to sing and the breath needed to speak. Their abstraction is that the performer does not think about breathing while speaking, so there is no need for a breathing-oriented thinking process even during singing. Keywords: French singing school, natural breathing. "

Respiratory Activity during Exercise: A Feasibility Study on Transition Point Estimation Using Impedance Pneumography

The current diagnostic procedures for assessing physiological response to exercise comprise blood lactates measurements, ergospirometry, and electrocardiography. The first is not continuous, the second requires specialized equipment distorting natural breathing, and the last is indirect. Therefore, we decided to perform the feasibility study with impedance pneumography as an alternative technique. We attempted to determine points in respiratory-related signals, acquired during stress test conditions, that suggest a transition similar to the gas exchange threshold. In addition, we analyzed whether or not respiratory activity reaches steady states during graded exercise. Forty-four students (35 females), practicing sports on different levels, performed a graded exercise test until exhaustion on cycloergometer. Eventually, the results from 34 of them were used. The data were acquired with Pneumonitor 2. The signals demonstrated that the steady state phenomenon is not as evident as for heart rate. The results indicated respiratory rate approaches show the transition point at the earliest (more than 6 min before the end of the exercise test on average), and the tidal volume ones at the latest (less than 5 min). A combination gave intermediate findings. The results showed the impedance pneumography appears reasonable for the transition point estimation, but this should be further studied with the reference.

Image Registration of 18F-FDG PET/CT Using the MotionFree Algorithm and CT Protocols through Phantom Study and Clinical Evaluation

We evaluated the benefits of the MotionFree algorithm through phantom and patient studies. The various sizes of phantom and vacuum vials were linked to RPM moving with or without MotionFree application. A total of 600 patients were divided into six groups by breathing protocols and CT scanning time. Breathing protocols were applied as follows: (a) patients who underwent scanning without any breathing instructions; (b) patients who were instructed to hold their breath after expiration during CT scan; and (c) patients who were instructed to breathe naturally. The length of PET/CT misregistration was measured and we defined the misregistration when it exceeded 10 mm. In the phantom tests, the images produced by the MotionFree algorithm were observed to have excellent agreement with static images. There were significant differences in PET/CT misregistration according to CT scanning time and each breathing protocol. When applying the type (c) protocol, decreasing the CT scanning time significantly reduced the frequency and length of misregistrations (p < 0.05). The MotionFree application is able to correct respiratory motion artifacts and to accurately quantify lesions. The shorter time of CT scan can reduce the frequency, and the natural breathing protocol also decreases the lengths of misregistrations.

Sniffin’ Sticks and Olfactometer-Based Odor Thresholds for n-Butanol: Correspondence and Validity for Indoor Air Scenarios

Threshold assessments for the reference odorant n-butanol are an integral part of various research, clinical, and environmental sensory testing procedures. However, the practical significance of a high or low threshold for n-butanol beyond a particular testing environment and procedure are often unclear. Therefore, this study aimed to determine between-method correlations and to investigate the association between the n-butanol threshold and perceptual/behavioral odor effects in natural breathing scenarios in 35 healthy adults. The thresholds for n-butanol derived from the Sniffin’ Sticks test and determined by the ascending limit dynamic dilution olfactometry procedure were significantly correlated (∣r∣ = 0.47). However, only the thresholds determined by olfactometry were significantly correlated to the odor detection of n-butanol in an exposure lab. Moreover, participants with a higher sensitivity for n-butanol in the olfactometer-based assessment rated ammonia, during a 75 min exposure, to be more unpleasant and showed better performance in a simultaneous 3-back task than participants with lower sensitivity. The results of this study suggest that beyond the strict parameters of a certain psychophysical procedure, the threshold for n-butanol can be a meaningful indicator of odor detection and effects in some cases.

Capture and visualization of live Mycobacterium tuberculosis bacilli from tuberculosis bioaerosols

The tuberculosis (TB) pandemic demands urgent interventions such as those designed to interrupt Mycobacterium tuberculosis (Mtb) transmission, a challenge exacerbated by our poor understanding of the events enabling successful transfer of infectious bacilli between hosts. To address this problem, we developed the Respiratory Aerosol Sampling Chamber (RASC), a personal clean-room equipped with high-efficiency filtration and sampling technologies that allow biosafe capture and isolation of particulate matter – including Mtb bacilli – released by patients during natural breathing and (non-induced) cough. Here, we demonstrate the use of DMN-trehalose labelling to detect and quantify live Mtb bacilli among complex bioaerosol samples arrayed in a bespoke nanowell device following capture in the RASC. A pilot study identified Mtb in more than 85 % of known TB patients, improving significantly on previous work which has relied on animal infection and cough sampling to estimate transmission events. Moreover, intra-patient comparisons of bioaerosol and sputum samples indicated that Mtb aerosols likely derive from a compartment other than sputum. These results support the utility of the RASC platform for research aimed at interrupting Mtb transmission, including the non-invasive detection of Mtb-infected individuals who are predicted to contribute to bacillary spread despite the absence of clinical symptoms.

Benefits of Yoga in Respiratory Diseases

Breathing sustains life, natural breathing brings happiness and keep healthy. It clears the mind and calms all the emotions hence it can helps in release of the vitalizing flow of energy within us. Air pollution is responsible for various respiratory diseases such as nasal allergy, asthma, chronic bronchitis and lung cancer. It has been found that Yoga has improved pulmonary parameters in several scientific studies, both in healthy as well as in diseased individuals. It helps in increase in vital capacity, tidal volume, FeV1, Fev1/FVC ratio, expiratory reserve volume, breath holding time and many other pulmonary parameters. These changes suggest a potential preventive and therapeutic role of yoga in pulmonary diseases.It is a method of learning which aims to attain the unity of mind, body and spirit through three main yoga steps includes exercise, breathing and meditation. Results of previous research studies report that many people with serious respiratory ailments have found a solution in yoga. It has been proventhattheyogic practices help in prevention, control as well as rehabilitation of many respiratory diseases. A vital scientific and therapeutic aspect of yoga is Pranayama. Few exercises of pranayama are like Anulomaviloma, Kapalbhati, Bhramari which are the components of yoga and are the best remedies which can be help to tackle respiratory illness caused by air pollution and other naturally occurring respiratory diseases.

Development of Respiratory Rate Estimation Technique Using Electrocardiogram and Photoplethysmogram for Continuous Health Monitoring

Abnormal vital signs often predict a serious condition of acutely ill hospital patients in 24 hours. The notable fluctuations of respiratory rate (RR) are highly predictive of deteriorations among the vital signs measured. Traditional methods of detecting RR are performed by directly measuring the air flow in or out of the lungs or indirectly measuring the changes of the chest volume. These methods require the use of cumbersome devices, which may interfere with natural breathing, are uncomfortable, have frequently moving artifacts, and are extremely expensive. This study aims to estimate the RR from electrocardiogram (ECG) and photoplethysmogram (PPG) signals, which consist of passive and non-invasive acquisition modules. Algorithms have been validated by using PhysioNet’s Multiparameter Intelligent Monitoring in Intensive Care II (MIMIC-II)’s patient datasets. RR estimation provides the value of mean absolute error (MAE) for ECG as 1.25 bpm (MIMIC-II) and 1.05 bpm for the acquired data. MAE for PPG is 1.15 bpm (MIMIC-II) and 0.90 bpm for the acquired data. By using 1-minute windows, this method reveals that the filtering method efficiently extracted respiratory information from the ECG and PPG signals. Smaller MAE for PPG signals results from fewer artifacts due to easy sensor attachment for the PPG because PPG recording requires only one-finger pulse oximeter sensor placement. However, ECG recording requires at least three electrode placements at three positions on the subject’s body surface for a single lead (lead II), thereby increasing the artifacts. A reliable technique has been proposed for RR estimation.