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1 Medical Instrumentation Research Laboratory, School of Engineering, Oxford Brookes University, Headington, Oxford OX3 0BP; and 2 Nuffield Department of Anaesthetics, Radcliffe Infirmary, Oxford OX2 6HE, United Kingdom
This study measured transit time (TT) and
attenuation of sound transmitted through six pairs of excised pig
lungs. Single-frequency sounds (50-600 Hz) were applied to
the tracheal lumen, and the transmitted signals were monitored on the
tracheal and lung surface using microphones. The effect of varying
intrapulmonary pressure (Pip) between 5 and 25 cmH2O on TT
and sound attenuation was studied using both air and helium (He) to
inflate the lungs. From 50 to ~200 Hz, TT decreased from 4.5 ms at 50 Hz to 1 ms at 200 Hz (at 25 cmH2O). Between ~200 and 600 Hz, TT was relatively constant (1.1 ms at upper and 1.5 ms at lower
sites). Gas density had very little effect on TT (air-to-He ratio of
~1.2 at upper sites and ~1 at lower sites at 25 cmH2O).
Pip had marked effects (depending on gas and site) on TT between 50 and
200 Hz but no effect at higher frequencies. Attenuation was frequency
dependent between 50 and 600 Hz, varying between
10 and
35 dB with
air and
2 and
28 dB with He. Pip also had strong influence on
attenuation, with a maximum sensitivity of 1.14 (air) and 0.64 dB/cmH2O (He) at 200 Hz. At 25 cmH2O and 200 Hz, attenuation with air was about three times higher than with He.
This suggests that sound transmission through lungs may not be
dominated by parenchyma but by the airways. The linear relationship
between increasing Pip and increasing attenuation, which was found to
be between 50 and ~100 Hz, was inverted above ~100 Hz. We suggest
that this change is due to the transition of the parenchymal model from
open to closed cell. These results indicate that acoustic propagation
characteristics are a function of the density of the transmission media
and, hence, may be used to locate collapsed lung tissue noninvasively.
transit time; acoustic attenuation; density dependence
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