ArticleFrontiers in medicine2025
Ventilation heterogeneity across A-B-E phenotypes in COPD: insights from spirometry and electrical impedance tomography.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: This study aimed to evaluate the regional ventilation distributions in A-B-E phenotypes among patients with chronic obstructive pulmonary disease (COPD). The feasibility to better distinguish the phenotypes combining global spirometry and regional ventilation parameters derived from electrical impedance tomography (EIT) was explored. Methods: A cohort undergoing pulmonary function testing was prospectively enrolled. Regional spatial and temporal ventilation parameters were calculated with EIT. Principal component analysis was used to visualize phenotypic clustering, while multinomial logistic regression evaluated discriminatory performance. Feature importance was interpreted using SHapley Additive exPlanations (SHAP). Results: This study enrolled 88 COPD patients (Group A Conclusion: COPD phenotypes showed differences in global and regional flow limitations. The combination of global and regional information helped with distinguishing phenotypes.
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