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Body plethysmography uses pressure and volume changes in an enclosing chamber to measure respiratory mechanics and compressible thoracic gas volume. For lung-volume measurement, a brief closed-airway effort relates gas compression inside the lungs to the chamber signal. The gas volume belongs to the instant of occlusion; it is not automatically residual lung volume.^[ref]

In the original 1956 experiment, Arthur B. DuBois and colleagues used an airtight chamber of approximately 600 L, a mouthpiece shutter, capacitance pressure transducers and a cathode-ray oscillograph. One signal represented mouth pressure and the other chamber pressure, converted to volume change through instrument calibration.^[ref] An open communication between mouth and alveolar gas during the closed-airway effort is essential to interpreting the mouth signal.

For an ideal isothermal gas amount, Boyle's law givesWith stipulated effective absolute gas pressure $P=100$ kPa, compression $\Delta V=-0.006$ L and increase $\Delta P=0.2$ kPa, the exact expression gives 3.006 L. Neglecting the product of small changes gives the first-order result $V\simeq -P\Delta V/\Delta P=3.0$ L. Here $\Delta V$ is the inferred lung-gas change, not an unconverted box-pressure reading.

If the measurement starts at quiet end-expiration, the interpreted lung-volume reference is functional residual capacity; linked inspiratory capacity and vital capacity maneuvers then provide other capacities. The thermal behavior of gas, instrument response and mouth-to-alveolar pressure equilibration remain physical assumptions to assess. A precise algebraic fit cannot repair a pressure signal that represents a different compartment.

Unlike tracer dilution, compression can probe gas that is not freely reached by the tracer during the test. This explains why body plethysmography and nitrogen washout can give different results without being duplicate names for the same observable.^[ref]

Inspiratory capacity, IC, is the maximum volume that can be inhaled from the end of a quiet expiration to maximal inspiration. Its lower reference is functional residual capacity, and its upper reference is total lung capacity:The last expression combines tidal volume with inspiratory reserve volume.^[ref]

For stipulated total lung capacity 6.0 L and functional residual capacity 2.5 L, IC is 3.5 L. If tidal volume is 0.5 L, the corresponding inspiratory reserve volume is 3.0 L. The two descriptions use the same maximum inspiratory endpoint but different starting points.

The starting point is essential when interpreting a change. In an original comparison, keep total lung capacity at 6.0 L while moving the quiet end-expiratory level from 2.5 to 3.2 L. IC falls from 3.5 to 2.8 L, although the maximum inspiratory volume has not changed. Thus a lower inspiratory capacity need not imply a lower total lung capacity; an independently specified baseline is required to distinguish the possibilities.

Inhalation through a volume-measuring apparatus can determine an inspiratory increment without directly measuring the gas already present in the lungs. A stable starting level and complete endpoint connect that increment to the defined capacity. The technical standard therefore links capacity maneuvers with an identified FRC-level measurement.^[ref] The values in the example illustrate endpoint bookkeeping rather than reference limits for a particular person.

Inspiratory reserve volume, IRV, is the additional gas that can be inhaled after the end of an ordinary tidal inspiration, up to maximal inspiration. It is the portion of inspiratory capacity beyond tidal volume:The starting point is end-inspiration, rather than the quiet end-expiratory level used for inspiratory capacity.^[ref]

For a stipulated total lung capacity of 6.0 L, functional residual capacity 2.5 L and tidal volume 0.5 L, end-tidal inspiration reaches 3.0 L and leaves IRV 3.0 L. The full 3.5 L inspiratory capacity includes both the ordinary 0.5 L breath and this additional excursion.

A deeper ordinary breath changes the subdivision even if the absolute endpoints remain fixed. Holding functional residual capacity at 2.5 L and total lung capacity at 6.0 L while increasing tidal volume to 1.0 L reduces IRV to 2.5 L. Thus a change in inspiratory reserve volume need not imply that maximum inspiratory volume changed.

The name describes an available volume increment, not a separate anatomical compartment sealed off from tidal gas. In the ideal volume ledger, boundaries between subdivisions are reference states on the same gas-volume coordinate. A useful measurement consequently states the ordinary breathing level and the maximum endpoint, rather than interpreting IRV independently of the preceding breath.

Nirav R. Bhakta is first author of the 2023 European Respiratory Society/American Thoracic Society technical statement standardizing measurement of lung volumes. The report defines lung-volume subdivisions and distinguishes body plethysmography from gas-dilution measurements.^[ref] This is a contribution to making physiological measurements comparable across acquisition systems and laboratories.

The relationships among functional residual capacity, inspiratory capacity, expiratory reserve volume, total lung capacity and residual lung volume are also a useful test of data reduction. For an original accounting example, writeSubtracting gives vital capacity $\mathrm{VC}=\mathrm{IC}+\mathrm{ERV}$. At stipulated FRC 3 L, IC 2 L and ERV 1 L, the derived values are TLC 5 L, RV 2 L and VC 3 L. These are illustrative inventories, not clinical reference values.

The same recorded FRC enters TLC and RV with the same coefficient. If independent FRC, IC and ERV estimates each have standard uncertainty 0.10 L, the derived TLC and RV each have variance $0.02{\mathrm{L}}^2$, but their covariance is $0.01{\mathrm{L}}^2$. HenceThe standard uncertainty is about 0.141 L, matching direct propagation through IC + ERV. Incorrectly treating the two derived capacities as independent gives 0.20 L instead.

Bhakta's technical work helps make the definitions and acquisition conditions behind such comparisons explicit. The algebra does not establish that a gas-dilution estimate and a plethysmographic estimate sample exactly the same accessible gas in every circumstance. A consistent volume identity and an appropriate measurement mechanism are separate requirements.

Total lung capacity, TLC, is the volume of gas in the lungs after maximal inspiration. It combines residual lung volume with vital capacity, or equivalently functional residual capacity with inspiratory capacity:The equivalent subdivision is $\mathrm{TLC}=\mathrm{RV}+\mathrm{ERV}+V_T+\mathrm{IRV}$, using expiratory reserve volume, tidal volume and inspiratory reserve volume.^[ref]

A constructed example assigns 1.2 L to residual lung volume, 1.0 L to expiratory reserve volume, 0.5 L to tidal volume and 3.3 L to inspiratory reserve volume. Their sum gives TLC 6.0 L. The vital capacity is 4.8 L, functional residual capacity is 2.2 L, and inspiratory capacity is 3.8 L. Each identity gives the same total because the compartments share consistent endpoints.

A spirometry trace alone measures changes at the mouth; it does not establish the volume remaining after complete expiration. Adding an arbitrary constant to the entire gas-volume trace leaves every observed inhaled and exhaled increment unchanged. An independent estimate of residual lung volume or functional residual capacity is therefore needed to fix that offset. The measurement standard obtains capacities by combining an FRC measurement with linked volume maneuvers.^[ref]

This distinction also explains why vital capacity and total lung capacity are not interchangeable descriptors. Two hypothetical systems can both have a 4 L vital capacity, while having residual lung volume 1 and 2 L respectively. Their total capacities are then 5 and 6 L. The arithmetic separates the amount that can be exchanged during the maneuver from the amount present at full inspiration.