Sound transmission in the chest under surface excitation: an experimental and computational study with diagnostic applications.

Chest physical examination often includes performing chest percussion, which involves introducing sound stimulus to the chest wall and detecting an audible change. This approach relies on observations that underlying acoustic transmission, coupling, and resonance patterns can be altered by chest str...

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Published in:Medical & Biological Engineering & Computing Vol. 52; no. 8; pp. 695 - 707
Main Authors: Peng, Ying, Dai, Zoujun, Mansy, Hansen A, Sandler, Richard H, Balk, Robert A, Royston, Thomas J
Format: research Journal Article
Published: Springer Nature Aug2014
Online Access:View this record in EBSCOhost
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      dt: Aug2014
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      pub: Springer Nature
      place: New York, New York
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        atl: Sound transmission in the chest under surface excitation: an experimental and computational study with diagnostic applications.
      aug:
        au:
          Peng, Ying
          Dai, Zoujun
          Mansy, Hansen A
          Sandler, Richard H
          Balk, Robert A
          Royston, Thomas J
        affil: Department of Mechanical and Industrial Engineering, University of Illinois at Chicago, 842 W. Taylor St, 2039 ERF, Chicago, IL, 60607, USA, ypeng6@uic.edu.
      sug:
        subj:
          Computer Simulation
          Pneumothorax Diagnosis
          Sound
          Thorax Physiopathology
          Acoustics
          Adult
          Human
          Imaging, Three-Dimensional
          Male
          Models, Biological
          Pneumothorax Pathology
          Pneumothorax Physiopathology
          Swine
          Adult: 19-44 years
          Male
      ab: Chest physical examination often includes performing chest percussion, which involves introducing sound stimulus to the chest wall and detecting an audible change. This approach relies on observations that underlying acoustic transmission, coupling, and resonance patterns can be altered by chest structure changes due to pathologies. More accurate detection and quantification of these acoustic alterations may provide further useful diagnostic information. To elucidate the physical processes involved, a realistic computer model of sound transmission in the chest is helpful. In the present study, a computational model was developed and validated by comparing its predictions with results from animal and human experiments which involved applying acoustic excitation to the anterior chest, while detecting skin vibrations at the posterior chest. To investigate the effect of pathology on sound transmission, the computational model was used to simulate the effects of pneumothorax on sounds introduced at the anterior chest and detected at the posterior. Model predictions and experimental results showed similar trends. The model also predicted wave patterns inside the chest, which may be used to assess results of elastography measurements. Future animal and human tests may expand the predictive power of the model to include acoustic behavior for a wider range of pulmonary conditions.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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