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Multiple breath washout (MBW) using Sulphur hexafluoride (SF6) has the potential to reveal ventilation heterogeneity in obstructive lung disease which is frequent in patients with small airway disease. However, it is missed by commonly used tests with reference data being scarce and mostly restricted to younger collectives. We aimed to evaluate the influence of anthropometric parameters on SF6-MBW reference values in pulmonary healthy adults.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multiple breath washout (MBW) testing | Diagnostic Test | Lung clearance index (LCI), acinar (Sacin) and conductive (Scond) ventilation heterogeneity were derived from triplicate SF6-MBW measurements. Global ventilation heterogeneity was calculated for the 2.5% (LCI2.5) and 5% (LCI5) stopping points. |
| Measure | Description | Time Frame |
|---|---|---|
| Lung clearance index (LCI) derived from multiple breath washout testing (MBW) | global ventilation heterogeneity | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Acinar phase-III-slope (Sacin) derived from multiple breath washout testing (MBW) | local ventilation heterogeneity | 30 minutes |
| Conductive phase-III-slope (Scond) derived from multiple breath washout testing (MBW) |
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Inclusion Criteria:
non-smoker
no history of pulmonary disease
absence of dyspnoea, cough, thoracic pain
no self-reported smoking history
normal lung function testing
smoker
- as above, but with self-reported smoking history >10 pack years
Exclusion Criteria:
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healthy volunteers including never, active and former smokers
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| Name | Affiliation | Role |
|---|---|---|
| Frederik Trinkmann, MD | University Medical Center Mannheim | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33593931 | Derived | Trinkmann F, Maros M, Roth K, Hermanns A, Schafer J, Gawlitza J, Saur J, Akin I, Borggrefe M, Herth FJF, Ganslandt T. Multiple breath washout (MBW) testing using sulfur hexafluoride: reference values and influence of anthropometric parameters. Thorax. 2021 Apr;76(4):380-386. doi: 10.1136/thoraxjnl-2020-214717. Epub 2021 Feb 16. |
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Sharing of individual participant data is prohibited by data protection regulations. Summarized data including the models will be made available thru an online repository (GitHub).
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local ventilation heterogeneity
| 30 minutes |