Implementation of a Wearable Ultrasound Device for the Overnight Monitoring of Tongue Base Deformation during Obstructive Sleep Apnea Events
Abstract Obstructive sleep apnea (OSA) is a breathing disorder characterized by the repeated collapse of the pharyngeal airway during sleep. Previous studies have reported that tongue base deformation may be a major contributing factor. However, overnight monitoring of tongue motion in patients with...
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Veröffentlicht in: | Ultrasound in medicine & biology 2017-08, Vol.43 (8), p.1639-1650 |
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description | Abstract Obstructive sleep apnea (OSA) is a breathing disorder characterized by the repeated collapse of the pharyngeal airway during sleep. Previous studies have reported that tongue base deformation may be a major contributing factor. However, overnight monitoring of tongue motion in patients with OSA has previously been impracticable. We developed a wearable ultrasound device for prolonged recording during natural sleep of the changes in tongue base thickness (TBT) in patients with OSA. The maximum TBT was fed into a polysomnography system so that physiologic signals and TBT data were simultaneously monitored. Subject trials revealed that TBT increased significantly during snoring, hypopnea and apnea events during natural sleep in patients with OSA. Moreover, the data revealed that the location of the maximum TBT during normal breathing was significantly different compared with the location during obstructive respiratory events, which implies a posterior or inferior displacement of the tongue base during sleep apnea. |
doi_str_mv | 10.1016/j.ultrasmedbio.2017.04.004 |
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Previous studies have reported that tongue base deformation may be a major contributing factor. However, overnight monitoring of tongue motion in patients with OSA has previously been impracticable. We developed a wearable ultrasound device for prolonged recording during natural sleep of the changes in tongue base thickness (TBT) in patients with OSA. The maximum TBT was fed into a polysomnography system so that physiologic signals and TBT data were simultaneously monitored. Subject trials revealed that TBT increased significantly during snoring, hypopnea and apnea events during natural sleep in patients with OSA. 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Previous studies have reported that tongue base deformation may be a major contributing factor. However, overnight monitoring of tongue motion in patients with OSA has previously been impracticable. We developed a wearable ultrasound device for prolonged recording during natural sleep of the changes in tongue base thickness (TBT) in patients with OSA. The maximum TBT was fed into a polysomnography system so that physiologic signals and TBT data were simultaneously monitored. Subject trials revealed that TBT increased significantly during snoring, hypopnea and apnea events during natural sleep in patients with OSA. Moreover, the data revealed that the location of the maximum TBT during normal breathing was significantly different compared with the location during obstructive respiratory events, which implies a posterior or inferior displacement of the tongue base during sleep apnea.</description><subject>Body Weights and Measures - instrumentation</subject><subject>Body Weights and Measures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical ultrasound</subject><subject>Obstructive sleep apnea</subject><subject>Polysomnography</subject><subject>Radiology</subject><subject>Severity of Illness Index</subject><subject>Sleep Apnea, Obstructive - diagnostic imaging</subject><subject>Sleep Apnea, Obstructive - physiopathology</subject><subject>Tongue - diagnostic imaging</subject><subject>Tongue base thickness</subject><subject>Ultrasonography - instrumentation</subject><subject>Ultrasonography - methods</subject><subject>Wearable device</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUstu1DAUjRCIDoVfQBYrNgl-JHHCAqm0BSoVzaKtYGfZzs3UQ2KnthOp_8BH43QKQqxY2ZLP4_qcm2VvCC4IJvW7fTEP0cswQqeMKygmvMBlgXH5JNuQhrc5bcn3p9kGM0zyqqbtUfYihD3GmNeMP8-OaFNRSiq8yX5ejNMAI9goo3EWuR5J9A2kl2oAdPPg42bboTNYjAbUO4_iLaDtAt6a3W1EX5010Xljdyv52tndDOijDJAoCT0edLv5AbFVIfpZR7MAuhoAJnQyWZDofEkThJfZs14OAV49nsfZzafz69Mv-eX288XpyWWuS1bFXLGy5lqWTU2atpIVVwq4VIRx3nRlxzss64oyWmrV0LqtgCvag24baBXt6oodZ28PupN3dzOEKEYTNAyDtODmIEiLccPKFFKCvj9AtXcheOjF5M0o_b0gWKxtiL34uw2xtiFwKVIbifz60WdW6fkP9Xf8CXB2AED67WLAi6ANWA2d8aCj6Jz5P58P_8jowVij5fAD7iHs3extylMQEajA4mrdi3UtCE-XkjP2C7Z1ucM</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Weng, Chi-Kai</creator><creator>Chen, Jeng-Wen</creator><creator>Lee, Po-Yang</creator><creator>Huang, Chih-Chung</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Implementation of a Wearable Ultrasound Device for the Overnight Monitoring of Tongue Base Deformation during Obstructive Sleep Apnea Events</title><author>Weng, Chi-Kai ; Chen, Jeng-Wen ; Lee, Po-Yang ; Huang, Chih-Chung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-b3467ca4861895a57bbe7ab13778d4d7d0a652324cb82695e7b2fec98e9b2d653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Body Weights and Measures - instrumentation</topic><topic>Body Weights and Measures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical ultrasound</topic><topic>Obstructive sleep apnea</topic><topic>Polysomnography</topic><topic>Radiology</topic><topic>Severity of Illness Index</topic><topic>Sleep Apnea, Obstructive - diagnostic imaging</topic><topic>Sleep Apnea, Obstructive - physiopathology</topic><topic>Tongue - diagnostic imaging</topic><topic>Tongue base thickness</topic><topic>Ultrasonography - instrumentation</topic><topic>Ultrasonography - methods</topic><topic>Wearable device</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weng, Chi-Kai</creatorcontrib><creatorcontrib>Chen, Jeng-Wen</creatorcontrib><creatorcontrib>Lee, Po-Yang</creatorcontrib><creatorcontrib>Huang, Chih-Chung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weng, Chi-Kai</au><au>Chen, Jeng-Wen</au><au>Lee, Po-Yang</au><au>Huang, Chih-Chung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of a Wearable Ultrasound Device for the Overnight Monitoring of Tongue Base Deformation during Obstructive Sleep Apnea Events</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>43</volume><issue>8</issue><spage>1639</spage><epage>1650</epage><pages>1639-1650</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><abstract>Abstract Obstructive sleep apnea (OSA) is a breathing disorder characterized by the repeated collapse of the pharyngeal airway during sleep. Previous studies have reported that tongue base deformation may be a major contributing factor. However, overnight monitoring of tongue motion in patients with OSA has previously been impracticable. We developed a wearable ultrasound device for prolonged recording during natural sleep of the changes in tongue base thickness (TBT) in patients with OSA. The maximum TBT was fed into a polysomnography system so that physiologic signals and TBT data were simultaneously monitored. Subject trials revealed that TBT increased significantly during snoring, hypopnea and apnea events during natural sleep in patients with OSA. 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subjects | Body Weights and Measures - instrumentation Body Weights and Measures - methods Female Humans Male Medical ultrasound Obstructive sleep apnea Polysomnography Radiology Severity of Illness Index Sleep Apnea, Obstructive - diagnostic imaging Sleep Apnea, Obstructive - physiopathology Tongue - diagnostic imaging Tongue base thickness Ultrasonography - instrumentation Ultrasonography - methods Wearable device |
title | Implementation of a Wearable Ultrasound Device for the Overnight Monitoring of Tongue Base Deformation during Obstructive Sleep Apnea Events |
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