Spatio-Temporal Classification of Lung Ventilation Patterns using 3D EIT Images: A General Approach for Individualized Lung Function Evaluation

The Pulmonary Function Test (PFT) is an widely utilized and rigorous classification test for lung function evaluation, serving as a comprehensive tool for lung diagnosis. Meanwhile, Electrical Impedance Tomography (EIT) is a rapidly advancing clinical technique that visualizes conductivity distribution induced by ventilation. EIT provides additional spatial and temporal information on lung ventilation beyond traditional PFT. However, relying solely on conventional isolated interpretations of PFT results and EIT images overlooks the continuous dynamic aspects of lung ventilation. This study aims to classify lung ventilation patterns by extracting spatial and temporal features from the 3D EIT image series. The study uses a Variational Autoencoder network with a MultiRes block to compress the spatial distribution in a 3D image into a one-dimensional vector. These vectors are then concatenated to create a feature map for the exhibition of temporal features. A simple convolutional neural network is used for classification. Data collected from 137 subjects were finally used for training. The model is validated by ten-fold and leave-one-out cross-validation first. The accuracy and sensitivity of normal ventilation mode are 0.95 and 1.00, and the f1-score is 0.94. Furthermore, we check the reliability and feasibility of the proposed pipeline by testing it on newly recruited nine subjects. Our results show that the pipeline correctly predicts the ventilation mode of 8 out of 9 subjects. The study demonstrates the potential of using image series for lung ventilation mode classification, providing a feasible method for patient prescreening and presenting an alternative form of PFT.