Chest wall motion analysis in healthy volunteers and adults with cystic fibrosis using a novel Kinect-based motion tracking system

• Published in: Medical & biological engineering & computing Vol. 54; no. 11; pp. 1631 - 1640
• Main Authors: Harte, James M., Golby, Christopher K., Acosta, Johanna, Nash, Edward F., Kiraci, Ercihan, Williams, Mark A., Arvanitis, Theodoros N., Naidu, Babu
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.11.2016; Springer Nature B.V
• Subjects: Accuracy; Adult; Analysis; Assessments; Bioengineering; Biomedical and Life Sciences; Biomedical Engineering and Bioengineering; Biomedicine; Cameras; Chest; Computer Applications; Cystic fibrosis; Cystic Fibrosis - physiopathology; Demography; Diagnostic tests; Diaphragm (Anatomy); Dynamical systems; Female; Healthy Volunteers; Human Physiology; Humans; Imaging; Imaging, Three-Dimensional - methods; Lasers; Linear Models; Lung - pathology; Lung - physiopathology; Lungs; Male; Mannequins; Medical equipment; Medical services; Methods; Motion; Organ Size; Original; Original Article; Patients; Probability; Product design; Prototypes; Radiology; Respiratory diseases; Scanners; Sensors; Spirometry; Studies; Thoracic surgery; Thoracic Wall - physiopathology; Time Factors; Thoracic surgery; Chest wall; Thoracic wall; Medical device design; Respiratory system diagnostic technique
• ISSN: 0140-0118; 1741-0444
• DOI: 10.1007/s11517-015-1433-1

Respiratory disease is the leading cause of death in the UK. Methods for assessing pulmonary function and chest wall movement are essential for accurate diagnosis, as well as monitoring response to treatment, operative procedures and rehabilitation. Despite this, there is a lack of low-cost devices for rapid assessment. Spirometry is used to measure air flow expired, but cannot infer or directly measure full chest wall motion. This paper presents the development of a low-cost chest wall motion assessment system. The prototype was developed using four Microsoft Kinect sensors to create a 3D time-varying representation of a patient’s torso. An evaluation of the system in two phases is also presented. Initially, static volume of a resuscitation mannequin with that of a Nikon laser scanner is performed. This showed the system has slight underprediction of 0.441 %. Next, a dynamic analysis through the comparison of results from the prototype and a spirometer in nine cystic fibrosis patients and thirteen healthy subjects was performed. This showed an agreement with correlation coefficients above 0.8656 in all participants. The system shows promise as a method for assessing respiratory disease in a cost-effective and timely manner. Further work must now be performed to develop the prototype and provide further evaluations.