Automated Classification of Whole Body Plethysmography Waveforms to Quantify Breathing Patterns

Michael D Sunshine; David D Fuller

doi:10.3389/fphys.2021.690265

Automated Classification of Whole Body Plethysmography Waveforms to Quantify Breathing Patterns

Front Physiol. 2021 Aug 20:12:690265. doi: 10.3389/fphys.2021.690265. eCollection 2021.

Authors

Michael D Sunshine^{1

2

3

4}, David D Fuller^{2

3

4}

Affiliations

¹ Rehabilitation Science Ph.D. Program, University of Florida, Gainesville, FL, United States.
² Department of Physical Therapy, University of Florida, Gainesville, FL, United States.
³ Breathing Research and Therapeutics Center, University of Florida, Gainesville, FL, United States.
⁴ McKnight Brain Institute, University of Florida, Gainesville, FL, United States.

Abstract

Whole body plethysmography (WBP) monitors respiratory rate and depth but conventional analysis fails to capture the diversity of waveforms. Our first purpose was to develop a waveform cluster analysis method for quantifying dynamic changes in respiratory waveforms. WBP data, from adult Sprague-Dawley rats, were sorted into time domains and principle component analysis was used for hierarchical clustering. The clustering method effectively sorted waveforms into categories including sniffing, tidal breaths of varying duration, and augmented breaths (sighs). We next used this clustering method to quantify breathing after opioid (fentanyl) overdose and treatment with ampakine CX1942, an allosteric modulator of AMPA receptors. Fentanyl caused the expected decrease in breathing, but our cluster analysis revealed changes in the temporal appearance of inspiratory efforts. Ampakine CX1942 treatment shifted respiratory waveforms toward baseline values. We conclude that this method allows for rapid assessment of breathing patterns across extended data recordings. Expanding analyses to include larger portions of recorded WBP data may provide insight on how breathing is affected by disease or therapy.

Keywords: ampakine; cluster; opioid; waveform; whole body plethysmography.