Breath analysis

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Breath analysis
Purposeinformation on clinical state of individual

Exhaled breath analysis is a method in medicine for gaining information on the clinical state of an individual by monitoring the components present in the exhaled breath.

It is a non-invasive method and breath samples can be extracted as often as desired. [1]

Identification and quantification of potential disease biomarkers can be seen as the driving force for the analysis of exhaled breath. [2] Moreover, future applications for medical diagnosis and therapy control with dynamic assessments of normal physiological function or pharmacodynamics are intended.

Breath analysis is performed using various approaches for sampling and analysis.

Breath gas analysis consists of the analysis of volatile organic compounds, for example in blood alcohol testing, and various analytical methods can be applied.

Breath aerosol analysis consists in the sampling and analysis of particles emitted in the respiratory tract and present in exhaled breath. [3] This is a relatively new field that holds great promise for direct diagnostics of pathogens, such as Influenza, and for in-vivo monitoring of the respiratory lining fluid (Respiratory epithelium) components, such as proteins and phospholipids. [4] Various methods are used for sampling exhaled breath aerosols, such as filters, impactors, impingement filter, or electrostatic precipitators. [5] [6] This latter field is related to that of Bioaerosol sampling and analysis.

Related Research Articles

<span class="mw-page-title-main">Aerosol</span> Suspension of fine solid particles or liquid droplets in air or another gas

An aerosol is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog or mist, dust, forest exudates, and geyser steam. Examples of anthropogenic aerosols include particulate air pollutants, mist from the discharge at hydroelectric dams, irrigation mist, perfume from atomizers, smoke, dust, steam from a kettle, sprayed pesticides, and medical treatments for respiratory illnesses. When a person inhales the contents of a vape pen or e-cigarette, they are inhaling an anthropogenic aerosol.

<span class="mw-page-title-main">Gravimetric analysis</span> Quantitative determination of a chemical species based on its mass

Gravimetric analysis describes a set of methods used in analytical chemistry for the quantitative determination of an analyte based on its mass. The principle of this type of analysis is that once an ion's mass has been determined as a unique compound, that known measurement can then be used to determine the same analyte's mass in a mixture, as long as the relative quantities of the other constituents are known.

<span class="mw-page-title-main">Surgical mask</span> Mouth and nose cover against bacterial aerosols

A surgical mask, also known by other names such as a medical face mask or procedure mask, is a personal protective equipment used by healthcare professionals that serves as a mechanical barrier that interferes with direct airflow in and out of respiratory orifices. This helps reduce airborne transmission of pathogens and other aerosolized contaminants between the wearer and nearby people via respiratory droplets ejected when sneezing, coughing, forceful expiration or unintentionally spitting when talking, etc. Surgical masks may be labeled as surgical, isolation, dental or medical procedure masks.

Volatile organic compounds (VOCs) are organic compounds that have a high vapor pressure at room temperature. High vapor pressure correlates with a low boiling point, which relates to the number of the sample's molecules in the surrounding air, a trait known as volatility.

<span class="mw-page-title-main">Respirator</span> Device worn to protect the user from inhaling contaminants

A respirator is a device designed to protect the wearer from inhaling hazardous atmospheres including fumes, vapours, gases and particulate matter such as dusts and airborne pathogens such as viruses. There are two main categories of respirators: the air-purifying respirator, in which respirable air is obtained by filtering a contaminated atmosphere, and the air-supplied respirator, in which an alternate supply of breathable air is delivered. Within each category, different techniques are employed to reduce or eliminate noxious airborne contaminants.

<span class="mw-page-title-main">Electrostatic precipitator</span> Filtration device

An electrostatic precipitator (ESP) is a filterless device that removes fine particles, such as dust and smoke, from a flowing gas using the force of an induced electrostatic charge minimally impeding the flow of gases through the unit.

<span class="mw-page-title-main">Bioaerosol</span> Airborne particles containing living organisms

Bioaerosols are a subcategory of particles released from terrestrial and marine ecosystems into the atmosphere. They consist of both living and non-living components, such as fungi, pollen, bacteria and viruses. Common sources of bioaerosols include soil, water, and sewage.

<span class="mw-page-title-main">Autonomous detection system</span> Automated biohazard detection system

Autonomous Detection Systems (ADS), also called biohazard detection systems or autonomous pathogen detection systems, are designed to monitor air in an environment and to detect the presence of airborne chemicals, toxins, pathogens, or other biological agents capable of causing human illness or death. These systems monitor the air continuously and send real-time alerts to appropriate authorities in the event of an act of bioterrorism or biological warfare.

<span class="mw-page-title-main">Airborne transmission</span> Disease transmission by airborne particles

Airborne transmission or aerosol transmission is transmission of an infectious disease through small particles suspended in the air. Infectious diseases capable of airborne transmission include many of considerable importance both in human and veterinary medicine. The relevant infectious agent may be viruses, bacteria, or fungi, and they may be spread through breathing, talking, coughing, sneezing, raising of dust, spraying of liquids, flushing toilets, or any activities which generate aerosol particles or droplets. This is the transmission of diseases via transmission of an infectious agent, and does not include diseases caused by air pollution.

Indoor bioaerosol is bioaerosol in an indoor environment. Bioaerosols are natural or artificial particles of biological origin suspended in the air. These particles are also referred to as organic dust. Bioaerosols may consist of bacteria, fungi, viruses, microbial toxins, pollen, plant fibers, etc. Size of bioaerosol particles varies from below 1 µm to 100 µm in aerodynamic diameter; viable bioaerosol particles can be suspended in air as single cells or aggregates of microorganism as small as 1–10 µm in size. Since bioaerosols are potentially related to various human health effects and the indoor environment provides a unique exposure situation, concerns about indoor bioaerosols have increased over the last decade.

Exhaled breath condensate (EBC) is the exhalate from breath, that has been condensed, typically via cooling using a collection device. EBC reflects changes in the respiratory fluid that lines the airways and is an inexpensive, non-invasive tool that has potential for scientific research. Despite its promises, it has not been proven for screening or diagnosing diseases of the lung and other conditions, yet. It has long been appreciated that the exhaled breath is saturated by water vapour, but using it for studies of the lung was probably first described in the Russian scientific literature.

Anton Amann was an Austrian chemist and Professor of chemistry at the Innsbruck Medical University. He worked in the area of physical chemistry, ECG analysis, and exhaled breath analysis.

Breath diagnostics involves the analysis of a sample of human breath to monitor, diagnose, and detect diseases and conditions. Besides its primary constituents – nitrogen, oxygen, carbon dioxide and water vapour – exhaled human breath contains over one thousand other compounds at trace levels. Many of these species are formed as the by-products of metabolic processes and can be indicative of a number of different diseases and conditions. Examples of such biomarkers are outlined below:

Breath gas analysis is a method for gaining information on the clinical state of an individual by monitoring volatile organic compounds (VOCs) present in the exhaled breath. Exhaled breath is naturally produced by the human body through expiration and therefore can be collected in non-invasively and in an unlimited way. VOCs in exhaled breath can represent biomarkers for certain pathologies. Breath gas concentration can then be related to blood concentrations via mathematical modeling as for example in blood alcohol testing. There are various techniques that can be employed to collect and analyze exhaled breath. Research on exhaled breath started many years ago, there is currently limited clinical application of it for disease diagnosis. However, this might change in the near future as currently large implementation studies are starting globally.

<span class="mw-page-title-main">Aerosol mass spectrometry</span> Application of mass spectrometry to aerosol particles

Aerosol mass spectrometry is the application of mass spectrometry to the analysis of the composition of aerosol particles. Aerosol particles are defined as solid and liquid particles suspended in a gas (air), with size range of 3 nm to 100 μm in diameter and are produced from natural and anthropogenic sources, through a variety of different processes that include wind-blown suspension and combustion of fossil fuels and biomass. Analysis of these particles is important owing to their major impacts on global climate change, visibility, regional air pollution and human health. Aerosols are very complex in structure, can contain thousands of different chemical compounds within a single particle, and need to be analysed for both size and chemical composition, in real-time or off-line applications.

<span class="mw-page-title-main">Respiratory droplet</span> Type of particle formed by breathing

A respiratory droplet is a small aqueous droplet produced by exhalation, consisting of saliva or mucus and other matter derived from respiratory tract surfaces. Respiratory droplets are produced naturally as a result of breathing, speaking, sneezing, coughing, or vomiting, so they are always present in our breath, but speaking and coughing increase their number.

The Charged Aerosol Detector (CAD) is a detector used in conjunction with high-performance liquid chromatography (HPLC) and ultra high-performance liquid chromatography (UHPLC) to measure the amount of chemicals in a sample by creating charged aerosol particles which are detected using an electrometer. It is commonly used for the analysis of compounds that cannot be detected using traditional UV/Vis approaches due to their lack of a chromophore. The CAD can measure all non-volatile and many semi-volatile analytes including, but not limited to, antibiotics, excipients, ions, lipids, natural products, biofuels, sugars and surfactants. The CAD, like other aerosol detectors, falls under the category of destructive general-purpose detectors.

A tapered element oscillating microbalance (TEOM) is an instrument used for real-time detection of aerosol particles by measuring their mass concentration. It makes use of a small vibrating glass tube whose oscillation frequency changes when aerosol particles are deposited on it increasing its inertia. TEOM-based devices have been approved by the U.S. Environmental Protection Agency for environmental air quality monitoring, and by the U.S. Mine Safety and Health Administration for monitoring coal dust exposure for miners to prevent several respiratory diseases.

<span class="mw-page-title-main">Secondary electrospray ionization</span>

Secondary electro-spray ionization (SESI) is an ambient ionization technique for the analysis of trace concentrations of vapors, where a nano-electrospray produces charging agents that collide with the analyte molecules directly in gas-phase. In the subsequent reaction, the charge is transferred and vapors get ionized, most molecules get protonated and deprotonated. SESI works in combination with mass spectrometry or ion-mobility spectrometry.

<span class="mw-page-title-main">Coronavirus breathalyzer</span> Diagnostic medical device

A coronavirus breathalyzer is a diagnostic medical device enabling the user to test with 90% or greater accuracy the presence of severe acute respiratory syndrome coronavirus 2 in an exhaled breath. As of the first half of 2020, the idea of a practical coronavirus breathalyzer was concomitantly developed by unrelated research groups in Australia, Canada, Finland, Germany, Indonesia, Israel, Netherlands, Poland, Singapore, United Kingdom and USA.

References

  1. King, Julian; Unterkofler, Karl; Teschl, Gerald; Teschl, Susanne; Koc, Helin; Hinterhuber, Hartmann; Amann, Anton (November 2011) [14 January 2011]. "A mathematical model for breath gas analysis of volatile organic compounds with special emphasis on acetone". Journal of Mathematical Biology. 63 (5): 960. arXiv: 1003.4475 . doi:10.1007/s00285-010-0398-9. PMID   21234569.
  2. Ghazaly, Christelle; Biletska, Krystyna; Thévenot, Etienne A; Devillier, Philippe; Naline, Emmanuel; Grassin-Delyle, Stanislas; Scorsone, Emmanuel (November 2021). Development and characterization of electronic noses for the rapid detection of COVID-19 in exhaled breath (PDF). 10th Franco-Spanish Workshop CMC2-IBERNAM. Arcachon, France. cea-03713273.
  3. Almstrand A-C, Bake B, Ljungstrom E, Larsson P, Bredberg A, Mirgorodskaya E, et al. Effect of airway opening on production of exhaled particles. J Appl Physiol. 2010;108(3):584–8.
  4. Almstrand A-C, Ljungström E, Lausmaa J, Bake B, Sjövall P, Olin A-C. Airway Monitoring by Collection and Mass Spectrometric Analysis of Exhaled Particles. Anal Chem. 2009 Jan 15;81(2):662–8.
  5. Pardon, Gaspard; Ladhani, Laila; Sandström, Niklas; Ettori, Maxime; Lobov, Gleb; van der Wijngaart, Wouter (2015). "Aerosol sampling using an electrostatic precipitator integrated with a microfluidic interface". Sensors and Actuators B: Chemical. 212: 344–352. doi:10.1016/j.snb.2015.02.008. ISSN   0925-4005.
  6. Ladhani, Laila; Pardon, Gaspard; Moons, Pieter; Goossens, Herman; van der Wijngaart, Wouter (2020). "Electrostatic Sampling of Patient Breath for Pathogen Detection: A Pilot Study". Frontiers in Mechanical Engineering. 6. doi: 10.3389/fmech.2020.00040 . ISSN   2297-3079.