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1 Department of Pulmonary Physiology, Sir Charles Gairdner Hospital, and 2 Department of Physiology, University of Western Australia, Nedlands, Western Australia 6009, Australia
To develop an accurate method to
measure the volume displaced by diaphragm motion (
Vdi) breath by
breath, we compared
Vdi measured by a previously evaluated biplanar
radiographic method (Singh B, Eastwood PR, and Finucane KE.
J Appl Physiol 91: 1913-1923, 2001) at several
lung volumes during vital capacity inspirations in 10 healthy and nine
hyperinflated subjects with 1)
Vdi measured from the same
chest X-rays by two previously described uniplanar methods
(Petroll WM, Knight H, and Rochester DF. J Appl
Physiol 69: 2175-2182, 1990; Verschakelen JA, Deschepper K,
and Demendts M. J Appl Physiol 72: 1536-1540,
1992) and a proposed method that considered actual cross-sectional
shape of the rib cage and spinal volume (
VdiS); and
2)
VdiS measured by lateral fluoroscopy in the same 10 healthy subjects. Relative to biplanar
Vdi,
VdiS values from lateral chest X-rays and fluoroscopy
were not different, whereas
Vdi values of Petroll et al. and
Verschakelen et al. were increased by (means ± SD) 1.98 ± 1.59 and 1.16 ± 0.82 liters, respectively (both P < 0.001). During quiet breathing,
VdiS by lateral
fluoroscopy was 66 ± 16% of tidal volume and similar to that
between functional residual capacity and one-half inspiratory capacity
by the biplanar radiographic method. We conclude that accurate
breath-by-breath measurements of
Vdi can be made by using lateral fluoroscopy.
respiratory muscles; respiratory mechanics; fluoroscopy
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