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An experimental investigation to model wheezing in lungs.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Agarwal, A 
Lasenby, J 

Abstract

A quarter of the world's population experience wheezing. These sounds have been used for diagnosis since the time of the Ebers Papyrus (ca 1500 BC). We know that wheezing is a result of the oscillations of the airways that make up the lung. However, the physical mechanisms for the onset of wheezing remain poorly understood, and we do not have a quantitative model to predict when wheezing occurs. We address these issues in this paper. We model the airways of the lungs by a modified Starling resistor in which airflow is driven through thin, stretched elastic tubes. By completing systematic experiments, we find a generalized 'tube law' that describes how the cross-sectional area of the tubes change in response to the transmural pressure difference across them. We find the necessary conditions for the onset of oscillations that represent wheezing and propose a flutter-like instability model for it about a heavily deformed state of the tube. Our findings allow for a predictive tool for wheezing in lungs, which could lead to better diagnosis and treatment of lung diseases.

Description

Keywords

starling resistor, stethoscope, wheezing

Journal Title

R Soc Open Sci

Conference Name

Journal ISSN

2054-5703
2054-5703

Volume Title

8

Publisher

The Royal Society

Rights

All rights reserved
Sponsorship
EPSRC (1463167)
EPSRC, IMechE Post-graduate Research Scholarship, Engineering for Clinical Practice (http://divf.eng.cam.ac.uk/ecp/Main/EcpResearch), Cambridge Philosophical Society