Monitoring thoracic fluid content using bioelectrical impedance spectroscopy and Cole modeling

Dovancescu, Silviu; Saporito, Salvatore; Herold, Ingeborg H. F.; Korsten, Hendrikus H. M.; Aarts, Ronald M.; Mischi, Massimo

doi:10.5617/jeb.5611

Abstract

Heart failure is a chronic disease marked by frequent hospitalizations due to pulmonary fluid congestion. Monitoring the thoracic fluid status may favor the detection of fluid congestion in an early stage and enable targeted preventive measures. Bioelectrical impedance spectroscopy (BIS) has been used in combination with the Cole model for monitoring body composition including fluid status. The model parameters reflect intracellular and extracellular fluid volume as well as cell sizes, types and interactions. Transthoracic BIS may be a suitable approach to monitoring variations in thoracic fluid content.

References

F. Zannad, N. Agrinier, and F. Alla, "Heart failure burden and therapy," Eur. Eur. Pacing Arrhythm. Card. Electrophysiol. J. Work. Groups Card. Pacing Arrhythm. Card. Cell. Electrophysiol. Eur. Soc. Cardiol., vol. 11 Suppl 5, pp. v1-9, Nov. 2009. https://doi.org/10.1093/europace/eup304
Search in Google Scholar Back to article
P. B. Adamson, A. Magalski, F. Braunschweig, M. Böhm, D. Reynolds, D. Steinhaus, A. Luby, C. Linde, L. Ryden, B. Cremers, T. Takle, and T. Bennett, "Ongoing right ventricular hemodynamics in heart failure: clinical value of measurements derived from an implantable monitoring system," J. Am. Coll. Cardiol., vol. 41, no. 4, pp. 565–571, Feb. 2003. https://doi.org/10.1016/S0735-1097(02)02896-6
Search in Google Scholar Back to article
C.-M. Yu, L. Wang, E. Chau, R. H.-W. Chan, S.-L. Kong, M.-O. Tang, J. Christensen, R. W. Stadler, and C.-P. Lau, "Intrathoracic Impedance Monitoring in Patients With Heart Failure," Circulation, vol. 112, no. 6, pp. 841–848, 2005. https://doi.org/10.1161/CIRCULATIONAHA.104.492207
Open DOI Search in Google Scholar Back to article
S. I. Chaudhry, Y. Wang, J. Concato, T. M. Gill, and H. M. Krumholz, "Patterns of Weight Change Preceding Hospitalization for Heart Failure," Circulation, vol. 116, no. 14, pp. 1549–1554, Oct. 2007. https://doi.org/10.1161/CIRCULATIONAHA.107.690768
Open DOI Search in Google Scholar Back to article
M. Gheorghiade, F. Follath, P. Ponikowski, J. H. Barsuk, J. E. A. Blair, J. G. Cleland, K. Dickstein, M. H. Drazner, G. C. Fonarow, T. Jaarsma, G. Jondeau, J. L. Sendon, A. Mebazaa, M. Metra, M. Nieminen, P. S. Pang, P. Seferovic, L. W. Stevenson, D. J. van Veldhuisen, F. Zannad, S. D. Anker, A. Rhodes, J. J. V. McMurray, and G. Filippatos, "Assessing and grading congestion in acute heart failure: a scientific statement from the Acute Heart Failure Committee of the Heart Failure Association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine," Eur. J. Heart Fail., vol. 12, no. 5, pp. 423–433, 2010. https://doi.org/10.1093/eurjhf/hfq045
Search in Google Scholar Back to article
C. M. O'Connor, W. G. Stough, D. S. Gallup, V. Hasselblad, and M. Gheorghiade, "Demographics, Clinical Characteristics, and Outcomes of Patients Hospitalized for Decompensated Heart Failure: Observations From the IMPACT-HF Registry," J. Card. Fail., vol. 11, no. 3, pp. 200–205, Apr. 2005. https://doi.org/10.1016/j.cardfail.2004.08.160
Open DOI Search in Google Scholar Back to article
J. E. A. Blair, S. Khan, M. A. Konstam, K. Swedberg, F. Zannad, J. C. Burnett, L. Grinfeld, A. P. Maggioni, J. E. Udelson, C. A. Zimmer, J. Ouyang, C.-F. Chen, and M. Gheorghiade, "Weight changes after hospitalization for worsening heart failure and subsequent re-hospitalization and mortality in the EVEREST trial," Eur. Heart J., vol. 30, no. 13, pp. 1666–1673, Jul. 2009. https://doi.org/10.1093/eurheartj/ehp144
Search in Google Scholar Back to article
G. Cotter, G. M. Felker, K. F. Adams, O. Milo-Cotter, and C. M. O'Connor, "The pathophysiology of acute heart failure—Is it all about fluid accumulation?," Am. Heart J., vol. 155, no. 1, pp. 9–18, Jan. 2008. https://doi.org/10.1016/j.ahj.2006.02.038
Open DOI Search in Google Scholar Back to article
G. Cotter, M. Metra, O. Milo-Cotter, H. C. Dittrich, and M. Gheorghiade, "Fluid overload in acute heart failure — Redistribution and other mechanisms beyond fluid accumulation," Eur. J. Heart Fail., vol. 10, no. 2, pp. 165–169, 2008. https://doi.org/10.1016/j.ejheart.2008.01.007
Open DOI Search in Google Scholar Back to article
W. T. Abraham, P. B. Adamson, R. C. Bourge, M. F. Aaron, M. R. Costanzo, L. W. Stevenson, W. Strickland, S. Neelagaru, N. Raval, S. Krueger, S. Weiner, D. Shavelle, B. Jeffries, and J. S. Yadav, "Wireless pulmonary artery haemodynamic monitoring in chronic heart failure: a randomised controlled trial," The Lancet, vol. 377, no. 9766, pp. 658–666, Feb. 2011. https://doi.org/10.1016/S0140-6736(11)60101-3
Search in Google Scholar Back to article
T. K. Bera, "Bioelectrical Impedance Methods for Noninvasive Health Monitoring: A Review", J. Med. Eng., vol. 2014, p. e381251, Jun. 2014. https://doi.org/10.1155/2014/381251
Search in Google Scholar Back to article
B. H. Cornish, B. J. Thomas, and L. C. Ward, "Improved prediction of extracellular and total body water using impedance loci generated by multiple frequency bioelectrical impedance analysis," Phys. Med. Biol., vol. 38, no. 3, p. 337, 1993. https://doi.org/10.1088/0031-9155/38/3/001
Search in Google Scholar Back to article
K. S. Cole, "Permeability and impermeability of cell membranes for ions," Cold Spring Harb. Symp. Quant. Biol., vol. 8, pp. 110-122, 1940. https://doi.org/10.1101/SQB.1940.008.01.013
Open DOI Search in Google Scholar Back to article
A. Piccoli, G. Pastori, M. Guizzo, M. Rebeschini, A. Naso, and C. Cascone, "Equivalence of information from single versus multiple frequency bioimpedance vector analysis in hemodialysis," Kidney Int., vol. 67, no. 1, pp. 301–313, 2005. https://doi.org/10.1111/j.1523-1755.2005.00083.x
Open DOI Search in Google Scholar Back to article
O. I. Al-Surkhi, P. J. Riu, F. F. Vazquez, and J. Ibeas, "Monitoring Cole-Cole parameters during haemodialysis (HD)," in 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2007, pp. 2238–2241. https://doi.org/10.1109/IEMBS.2007.4352770
Open DOI Search in Google Scholar Back to article
M. Y. Jaffrin, M. Maasrani, A. Le Gourrier, and B. Boudailliez, "Extra-and intracellular volume monitoring by impedance during haemodialysis using Cole-Cole extrapolation," Med. Biol. Eng. Comput., vol. 35, no. 3, pp. 266–270, 1997. https://doi.org/10.1007/BF02530048
Search in Google Scholar Back to article
P. Deurenberg, M. Deurenberg-Yap, and F. J. M. Schouten, "Validity of total and segmental impedance measurements for prediction of body composition across ethnic population groups," Eur. J. Clin. Nutr., vol. 56, no. 3, pp. 214–220, Mar. 2002. https://doi.org/10.1038/sj.ejcn.1601303
Open DOI Search in Google Scholar Back to article
O. I. Al-Surkhi, P. J. Riu, and M. Y. Jaffrin, "Monitoring body fluid shifts during haemodialysis (HD) using electrical bioimpedance measurments," in 2011 1st Middle East Conference on Biomedical Engineering, 2011, pp. 108–113. https://doi.org/10.1109/MECBME.2011.5752077
Open DOI Search in Google Scholar Back to article
A. Piccoli, "Estimation of fluid volumes in hemodialysis patients: comparing bioimpedance with isotopic and dilution methods," Kidney Int., vol. 85, no. 4, pp. 738–741, Apr. 2014. https://doi.org/10.1038/ki.2013.434
Open DOI Search in Google Scholar Back to article
Lukaski H C and Scheltinga R M, "Improved sensitivity of the tetrapolar bioelectrical impedance method to assess fluid status and body composition: Use of proximal electrode placement," Age Nutr, vol. 5, pp. 123–9.
Search in Google Scholar Back to article
L. Z. Coppini, D. L. Waitzberg, and A. C. L. Campos, "Limitations and validation of bioelectrical impedance analysis in morbidly obese patients," Curr. Opin. Clin. Nutr. Metab. Care, vol. 8, no. 3, pp. 329–332, May 2005. https://doi.org/10.1097/01.mco.0000165013.54696.64
Open DOI Search in Google Scholar Back to article
M. Dehghan and A. T. Merchant, "Is bioelectrical impedance accurate for use in large epidemiological studies?," Nutr. J., vol. 7, p. 26, 2008. https://doi.org/10.1186/1475-2891-7-26
Search in Google Scholar Back to article
L. Beckmann, D. van Riesen, and S. Leonhardt, "Optimal electrode placement and frequency range selection for the detection of lung water using bioimpedance spectroscopy," Conf. Proc. Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. IEEE Eng. Med. Biol. Soc. Conf., vol. 2007, pp. 2685–2688, 2007. https://doi.org/10.1109/IEMBS.2007.4352882
Open DOI Search in Google Scholar Back to article
M. D. Zink, S. Weyer, ren, K. Pauly, A. Napp, M. Dreher, S. Leonhardt, N. Marx, P. Schauerte, and K. Mischke, "Feasibility of Bioelectrical Impedance Spectroscopy Measurement before and after Thoracentesis," BioMed Res. Int., vol. 2015, p. e810797, Mar. 2015. https://doi.org/10.1155/2015/810797
Search in Google Scholar Back to article
M. Ulbrich, J. Muhlsteff, M. Zink, S. Leonhardt, and M. Walter, "Feasibility of impedance cardiography to assess hemodynamic changes and fluid loss related to pleural drainage," in Computing in Cardiology Conference (CinC), 2013, 2013, pp. 663–666.
Search in Google Scholar Back to article
S. Weyer, M. D. Zink, T. Wartzek, L. Leicht, K. Mischke, T. Vollmer, and S. Leonhardt, "Bioelectrical impedance spectroscopy as a fluid management system in heart failure," Physiol. Meas., vol. 35, no. 6, pp. 917–930, Jun. 2014. https://doi.org/10.1088/0967-3334/35/6/917
Search in Google Scholar Back to article
D. Freimark, M. Arad, R. Sokolover, S. Zlochiver, and S. Abboud, "Monitoring lung fluid content in CHF patients under intravenous diuretics treatment using bio-impedance measurements," Physiol. Meas., vol. 28, no. 7, pp. S269–S277, Jul. 2007. https://doi.org/10.1088/0967-3334/28/7/S20
Search in Google Scholar Back to article
I. Cuba-Gyllensten, P. Gastelurrutia, J. Riistama, R. Aarts, J. Nuez, J. Lupon, and A. Bayes-Genis, "A novel wearable vest for tracking pulmonary congestion in acutely decompensated heart failure," Int. J. Cardiol., vol. 177, no. 1, pp. 199–201, Nov. 2014. https://doi.org/10.1016/j.ijcard.2014.09.041
Open DOI Search in Google Scholar Back to article
D. T. H. Wong, K.-J. Lee, S.-J. Yoo, G. Tomlinson, and L. Grosse-Wortmann, "Changes in systemic and pulmonary blood flow distribution in normal adult volunteers in response to posture and exercise: a phase contrast magnetic resonance imaging study," J. Physiol. Sci. JPS, vol. 64, no. 2, pp. 105–112, Mar. 2014. https://doi.org/10.1007/s12576-013-0298-z
Search in Google Scholar Back to article
M. Mischi, H. C. M. van den Bosch, J. A. den Boer, J. Verwoerd, R. J. E. Grouls, C. H. Peels, and H. H. M. Korsten, "Intra-thoracic blood volume measurement by contrast magnetic resonance imaging," Magn. Reson. Med., vol. 61, no. 2, pp. 344–353, Feb. 2009. https://doi.org/10.1002/mrm.21824
Open DOI Search in Google Scholar Back to article
S. Saporito, I. H. F. Herold, P. Houthuizen, H. C. M. van Den Bosch, J. A. Den Boer, H. H. M. Korsten, H. C. van Assen, and M. Mischi, "Model-Based Characterization of the Transpulmonary Circulation by Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Heart Failure and Healthy Volunteers," Invest. Radiol., vol. 51, no. 11, pp. 720–727, Nov. 2016. https://doi.org/10.1097/RLI.0000000000000304
Open DOI Search in Google Scholar Back to article
X. Monnet, M. Rienzo, D. Osman, N. Anguel, C. Richard, M. R. Pinsky, and J.-L. Teboul, "Passive leg raising predicts fluid responsiveness in the critically ill," Crit. Care Med., vol. 34, no. 5, pp. 1402–1407, May 2006. https://doi.org/10.1097/01.CCM.0000215453.11735.06
Open DOI Search in Google Scholar Back to article
V. F. Cassola, V. J. de M. Lima, R. Kramer, and H. J. Khoury, "FASH and MASH: female and male adult human phantoms based on polygon mesh surfaces: I. Development of the anatomy," Phys. Med. Biol., vol. 55, no. 1, p. 133, Jan. 2010. https://doi.org/10.1088/0031-9155/55/1/009
Search in Google Scholar Back to article
S. Dovancescu, A. Torabi, T. Mabote, J. Caffarel, E. Kelkboom, R. Aarts, E. Korsten, and J. Cleland, "Sensitivity of a Wearable Bioimpedance Monitor to Changes in the Thoracic Fluid Content of Heart Failure Patients," Comput. Cardiol., 2013.
Search in Google Scholar Back to article
A. C. Henderson, G. K. Prisk, D. L. Levin, S. R. Hopkins, and R. B. Buxton, "Characterizing pulmonary blood flow distribution measured using arterial spin labeling," NMR Biomed., vol. 22, no. 10, pp. 1025–1035, Dec. 2009. https://doi.org/10.1002/nbm.1407
Open DOI Search in Google Scholar Back to article
H. Kanai, M. Haeno, and K. Sakamoto, "Electrical measurement of fluid distribution in legs and arms," in Medical Progress through technology, Springer, 1987, pp. 159–170.
Search in Google Scholar Back to article
S. Grimnes, Bioimpedance and bioelectricity basics. 3^rd ed. Boston, MA: Elsevier, 2015.
Search in Google Scholar Back to article
M. Mischi, T. A. Kalker, and E. H. Korsten, "Contrast echocardiography for pulmonary blood volume quantification," IEEE Trans. Ultrason. Ferroelectr. Freq. Control, vol. 51, no. 9, pp. 1137–1147, Sep. 2004. https://doi.org/10.1109/TUFFC.2004.1334846
Open DOI Search in Google Scholar Back to article
H. Kanai, K. Sakamoto, and M. Haeno, "Electrical measurement of fluid distribution in human legs: estimation of extra- and intra-cellular fluid volume," J. Microw. Power, vol. 18, no. 3, pp. 233–243, Sep. 1983. https://doi.org/10.1080/16070658.1983.11689328
Open DOI Search in Google Scholar Back to article
S. Saporito, S. Dovancescu, I. H. F. Herold, H. C. M. van Den Bosch, H. C. van Assen, R. M. Aarts, H. H. M. Korsten, and M. Mischi, "Comparison of cardiac magnetic resonance imaging and bio-impedance spectroscopy for the assessment of fluid displacement induced by external leg compression," Physiological measurement vol 38 no.1, pp. 15-32, 2017. https://doi.org/10.1088/1361-6579/38/1/15
Search in Google Scholar Back to article

Monitoring thoracic fluid content using bioelectrical impedance spectroscopy and Cole modeling

Abstract

Paradigm

My account