TY  - JOUR
AU  - Ivanović, Marija D.
AU  - Petrović, Jovana S.
AU  - Savić, Andrej
AU  - Gligorić, Goran
AU  - Miletić, Marjan
AU  - Vukčević, Miodrag
AU  - Bojović, Boško
AU  - Hadžievski, Ljupčo
AU  - Allsop, Thomas P.
AU  - Webb, David J.
PY  - 2018
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/7637
AB  - Objective: The ventilators involved in non-invasive mechanical ventilation commonly provide ventilator support via a facemask. The interface of the mask with a patient promotes air leaks that cause errors in the feedback information provided by a pneumatic sensor and hence patient-ventilator asynchrony with multiple negative consequences. Our objective is to test the possibility of using chest-wall motion measured by an optical fibre-grating sensor as a more accurate non-invasive ventilator triggering mechanism. Approach: The basic premise of our approach is that the measurement accuracy can be improved by using a triggering signal that precedes pneumatic triggering in the neuro-ventilatory coupling sequence. We propose a technique that uses the measurement of chest-wall curvature by a long-period fibre-grating sensor. The sensor was applied externally to the rib-cage and interrogated in the lateral (edge) filtering scheme. The study was performed on 34 healthy volunteers. Statistical data analysis of the time lag between the fibregrating sensor and the reference pneumotachograph was preceded by the removal of the unwanted heartbeat signal by wavelet transform processing. Main results: The results show a consistent fibregrating signal advance with respect to the standard pneumatic signal by (230 +/- 100) ms in both the inspiratory and expiratory phases. We further show that heart activity removal yields a tremendous improvement in sensor accuracy by reducing it from 60 ml to 0.3 ml. Significance: The results indicate that the proposed measurement technique may lead to a more reliable triggering decision. Its imperviousness to air leaks, non-invasiveness, low-cost and ease of implementation offer good prospects for applications in both clinical and homecare ventilation.
T2  - Physiological Measurement
T1  - Real-time chest-wall-motion tracking by a single optical fibre grating: a prospective method for ventilator triggering
VL  - 39
IS  - 4
SP  - 045009
DO  - 10.1088/1361-6579/aab7ac
ER  - 

@article{
author = "Ivanović, Marija D. and Petrović, Jovana S. and Savić, Andrej and Gligorić, Goran and Miletić, Marjan and Vukčević, Miodrag and Bojović, Boško and Hadžievski, Ljupčo and Allsop, Thomas P. and Webb, David J.",
year = "2018",
abstract = "Objective: The ventilators involved in non-invasive mechanical ventilation commonly provide ventilator support via a facemask. The interface of the mask with a patient promotes air leaks that cause errors in the feedback information provided by a pneumatic sensor and hence patient-ventilator asynchrony with multiple negative consequences. Our objective is to test the possibility of using chest-wall motion measured by an optical fibre-grating sensor as a more accurate non-invasive ventilator triggering mechanism. Approach: The basic premise of our approach is that the measurement accuracy can be improved by using a triggering signal that precedes pneumatic triggering in the neuro-ventilatory coupling sequence. We propose a technique that uses the measurement of chest-wall curvature by a long-period fibre-grating sensor. The sensor was applied externally to the rib-cage and interrogated in the lateral (edge) filtering scheme. The study was performed on 34 healthy volunteers. Statistical data analysis of the time lag between the fibregrating sensor and the reference pneumotachograph was preceded by the removal of the unwanted heartbeat signal by wavelet transform processing. Main results: The results show a consistent fibregrating signal advance with respect to the standard pneumatic signal by (230 +/- 100) ms in both the inspiratory and expiratory phases. We further show that heart activity removal yields a tremendous improvement in sensor accuracy by reducing it from 60 ml to 0.3 ml. Significance: The results indicate that the proposed measurement technique may lead to a more reliable triggering decision. Its imperviousness to air leaks, non-invasiveness, low-cost and ease of implementation offer good prospects for applications in both clinical and homecare ventilation.",
journal = "Physiological Measurement",
title = "Real-time chest-wall-motion tracking by a single optical fibre grating: a prospective method for ventilator triggering",
volume = "39",
number = "4",
pages = "045009",
doi = "10.1088/1361-6579/aab7ac"
}

Ivanović, M. D., Petrović, J. S., Savić, A., Gligorić, G., Miletić, M., Vukčević, M., Bojović, B., Hadžievski, L., Allsop, T. P.,& Webb, D. J.. (2018). Real-time chest-wall-motion tracking by a single optical fibre grating: a prospective method for ventilator triggering. in Physiological Measurement, 39(4), 045009.
https://doi.org/10.1088/1361-6579/aab7ac

Ivanović MD, Petrović JS, Savić A, Gligorić G, Miletić M, Vukčević M, Bojović B, Hadžievski L, Allsop TP, Webb DJ. Real-time chest-wall-motion tracking by a single optical fibre grating: a prospective method for ventilator triggering. in Physiological Measurement. 2018;39(4):045009.
doi:10.1088/1361-6579/aab7ac .

Ivanović, Marija D., Petrović, Jovana S., Savić, Andrej, Gligorić, Goran, Miletić, Marjan, Vukčević, Miodrag, Bojović, Boško, Hadžievski, Ljupčo, Allsop, Thomas P., Webb, David J., "Real-time chest-wall-motion tracking by a single optical fibre grating: a prospective method for ventilator triggering" in Physiological Measurement, 39, no. 4 (2018):045009,
https://doi.org/10.1088/1361-6579/aab7ac . .

TY  - CONF
AU  - Ivanović, M. D.
AU  - Petrović, Jovana
AU  - Daničić, Aleksandar
AU  - Miletić, Marjan
AU  - Vukčević, Miodrag
AU  - Bojović, Boško
AU  - Hadžievski, Ljupčo
AU  - Allsop, Thomas
AU  - Webb, D. J.
PY  - 2015
UR  - https://vinar.vin.bg.ac.rs/handle/123456789/12011
AB  - In the current clinical practice of non-invasive mechanical ventilation (NIV), continuous monitoring of respiratory volumes is based on the measurement of air flow through an oronasal mask or mouthpiece. Errors in respiratory-volumes monitoring and patientventilator asynchrony due to the inevitable air leaks from the mask may lead to insufficient ventilation and/or damage of the airway system. Therefore, clinician’s observations of the chest wall expansions are required, but they are subjective, time consuming and strongly dependent on clinician’s experience [1]. We present and validate a method for the measurement of respiratory volumes by a single long period fibre-grating (LPG) sensor of bending. This method is grounded on the hypothesis that the volume of the inhaled air can be correlated with the change in a local torso curvature in a ribs area with stiff underlying tissues. Here, we explain the working principle of the LPG sensors, a monochromatic interrogation scheme, a two-step calibration-test measurement procedure and present results that establish a linear correlation between the change in the local rib-cage curvature and the change in the lung volume. Results also show good sensor accuracy in measurements of tidal and minute respiratory volumes for all clinically relevant breathing volumes [2]. Additionally, we examine the possibility of using the rib-cage movement signal measured by a single LPG sensor as a new way to provide a trigger to the ventilator. Our preliminary results on healthy volunteers provide the statistical evidence of the 200 ms lag of the pneumotechometer with respect to the fibre-optic signal. The proposed single-sensor method is non-invasive, simple, low-cost and easy to implement. Moreover this method does not suffer from the flaws of air-flow measurements, it eliminates the need for chest movement observation by clinicians and can be implemented on both male and female patients. The preliminary results are promising and indicate that the method proposed here could be used in NIV.
PB  - Belgrade : Vinča Institute of Nuclear Sciences
C3  - PHOTONICA2015 : 5th International School and Conference on Photonics and COST actions: MP1204, BM1205 and MP1205 : book of abstracts; August 24-28, 2015; Belgrade
T1  - A long-period fibre grating sensor for respiratory monitoring
SP  - 168
EP  - 168
UR  - https://hdl.handle.net/21.15107/rcub_vinar_12011
ER  - 

@conference{
author = "Ivanović, M. D. and Petrović, Jovana and Daničić, Aleksandar and Miletić, Marjan and Vukčević, Miodrag and Bojović, Boško and Hadžievski, Ljupčo and Allsop, Thomas and Webb, D. J.",
year = "2015",
abstract = "In the current clinical practice of non-invasive mechanical ventilation (NIV), continuous monitoring of respiratory volumes is based on the measurement of air flow through an oronasal mask or mouthpiece. Errors in respiratory-volumes monitoring and patientventilator asynchrony due to the inevitable air leaks from the mask may lead to insufficient ventilation and/or damage of the airway system. Therefore, clinician’s observations of the chest wall expansions are required, but they are subjective, time consuming and strongly dependent on clinician’s experience [1]. We present and validate a method for the measurement of respiratory volumes by a single long period fibre-grating (LPG) sensor of bending. This method is grounded on the hypothesis that the volume of the inhaled air can be correlated with the change in a local torso curvature in a ribs area with stiff underlying tissues. Here, we explain the working principle of the LPG sensors, a monochromatic interrogation scheme, a two-step calibration-test measurement procedure and present results that establish a linear correlation between the change in the local rib-cage curvature and the change in the lung volume. Results also show good sensor accuracy in measurements of tidal and minute respiratory volumes for all clinically relevant breathing volumes [2]. Additionally, we examine the possibility of using the rib-cage movement signal measured by a single LPG sensor as a new way to provide a trigger to the ventilator. Our preliminary results on healthy volunteers provide the statistical evidence of the 200 ms lag of the pneumotechometer with respect to the fibre-optic signal. The proposed single-sensor method is non-invasive, simple, low-cost and easy to implement. Moreover this method does not suffer from the flaws of air-flow measurements, it eliminates the need for chest movement observation by clinicians and can be implemented on both male and female patients. The preliminary results are promising and indicate that the method proposed here could be used in NIV.",
publisher = "Belgrade : Vinča Institute of Nuclear Sciences",
journal = "PHOTONICA2015 : 5th International School and Conference on Photonics and COST actions: MP1204, BM1205 and MP1205 : book of abstracts; August 24-28, 2015; Belgrade",
title = "A long-period fibre grating sensor for respiratory monitoring",
pages = "168-168",
url = "https://hdl.handle.net/21.15107/rcub_vinar_12011"
}

Ivanović, M. D., Petrović, J., Daničić, A., Miletić, M., Vukčević, M., Bojović, B., Hadžievski, L., Allsop, T.,& Webb, D. J.. (2015). A long-period fibre grating sensor for respiratory monitoring. in PHOTONICA2015 : 5th International School and Conference on Photonics and COST actions: MP1204, BM1205 and MP1205 : book of abstracts; August 24-28, 2015; Belgrade
Belgrade : Vinča Institute of Nuclear Sciences., 168-168.
https://hdl.handle.net/21.15107/rcub_vinar_12011

Ivanović MD, Petrović J, Daničić A, Miletić M, Vukčević M, Bojović B, Hadžievski L, Allsop T, Webb DJ. A long-period fibre grating sensor for respiratory monitoring. in PHOTONICA2015 : 5th International School and Conference on Photonics and COST actions: MP1204, BM1205 and MP1205 : book of abstracts; August 24-28, 2015; Belgrade. 2015;:168-168.
https://hdl.handle.net/21.15107/rcub_vinar_12011 .

Ivanović, M. D., Petrović, Jovana, Daničić, Aleksandar, Miletić, Marjan, Vukčević, Miodrag, Bojović, Boško, Hadžievski, Ljupčo, Allsop, Thomas, Webb, D. J., "A long-period fibre grating sensor for respiratory monitoring" in PHOTONICA2015 : 5th International School and Conference on Photonics and COST actions: MP1204, BM1205 and MP1205 : book of abstracts; August 24-28, 2015; Belgrade (2015):168-168,
https://hdl.handle.net/21.15107/rcub_vinar_12011 .