Body plethysmography 2026-11-05
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]
Standardisation of the measurement of lung volumes, 2023 update by Nirav R. Bhakta and others. Measurement of FRC using body plethysmography, Introduction and theory
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]
A rapid plethysmographic method for measuring thoracic gas volume by Arthur B. DuBois and others. Pages 322–324, Method and Figure 1
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 kPa, compression L and increase kPa, the exact expression gives 3.006 L. Neglecting the product of small changes gives the first-order result L. Here 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]
Thoracic gas volume 2026-11-05
Thoracic gas volume, , is the compressible intrathoracic gas volume assessed by body plethysmography at the instant of airway occlusion. It is not the volume of the entire thorax, which also contains tissues and fluid, and it does not identify a respiratory phase by itself.[ref]
Standardisation of the measurement of lung volumes, 2023 update by Nirav R. Bhakta and others. Measurement of FRC using body plethysmography, Introduction and theory
The phase matters when assigning a named capacity. In a constructed record, suppose the plethysmographic gas estimate is 3.2 L at an occlusion 0.4 L above the preceding quiet end-expiratory volume. If the measured increment and gas conditions are consistent, the corresponding functional residual capacity is L. Calling the unadjusted 3.2 L an FRC measurement would change the reference state without changing the observation.
The original experiment linked gas volume to pressure and inferred volume changes through Boyle's law.[ref]
A rapid plethysmographic method for measuring thoracic gas volume by Arthur B. DuBois and others. Pages 322–324, Method and derivation
In the small-change model,Thus a pressure-amplitude error can mimic extra gas volume. For an original illustration, let the actual gas volume be 2.8 L but the mouth signal represent only of the relevant alveolar pressure change. With all other terms unchanged, the inferred volume is L.A second model can instead contain 2.8 L readily communicating with a tracer plus 0.4 L of compressible gas not reached during the tracer test. It can yield the same apparent 3.2 versus 2.8 L comparison. The numerical difference alone does not prove which model applies.
This is why comparison with helium dilution measurement of lung volume or nitrogen washout needs both compartment definitions and measurement assumptions. The technical standard describes the different accessible gas pools and potential pressure-equilibration errors.[ref]
Standardisation of the measurement of lung volumes, 2023 update by Nirav R. Bhakta and others. Measurement of FRC, method comparison; Table 1
Thoracic gas volume is a specific physical measurement, not a direct label for trapped gas or a substitute for every lung-volume definition.