Biomedical Engineering Reference
In-Depth Information
Table 9.1
Eight possible scenarios associated with APSD shifts
Summary of APSD
changes
Scenario
Δ
MMAD
a
Δ
AUC
b
Δ
LPM
Δ
SPM
Δ
R
c
Δ
ISM
d
1
2
MMAD change with
no change in AUC
↑
↓
≈
≈
↑
↓
↓
↑
↑
↓
≈
≈
3
4
AUC change with no
change in MMAD
≈
↑
↑
↑
≈
↑
≈
↓
↓
↓
≈
↓
5
6
7
8
MMAD and AUC
change
↑
↑
↓
(
≈
↓
)
↑
↑
↓
↓
↓
(
≈
↓
)
↓
↓
↓
↑
(
≈
↓
)
↓
↓
↑
↑
↓
(
≈
↓
)
↓
↑
↓
a
Δ
MMAD = shift in MMAD
b
Δ
AUC = shift in area under differential mass-weight APSD profi le
c
R
= Ratio =
LPM
SPM
d
ISM =
LPM + SPM
in
AUC
. Likewise, decreased
ISM
and
R
correspond to a smaller
MMAD
and a
decrease in
AUC
.
For scenarios 7 and 8, the
SPM
metric will show an increase or decrease, respec-
tively, with
ISM
and
R
moving in opposite directions with respect to each other. In
each case, the
ISM
change will be in the same direction as the
SPM
movement. An
ISM
decrease with an increase in
R
corresponds to an
AUC
decrease associated with
a larger
MMAD
. Conversely, an
ISM
increase associated with a decrease in
R
cor-
responds to an increase in the
AUC
with a smaller
MMAD
.
In summary, an increase in
MMAD
without a change in the
AUC
should be read-
ily evident when the value of
R
increases while at the same time, the
ISM
does not
exhibit change. For four of the scenarios, both the
MMAD
and the
AUC
of the APSD
change at the same time, while for the remaining four scenarios, two result in a
change only in the median value and two result in an area only movement.
The next question to ponder is how these scenarios play out if the magnitude of
total mass ex-inhaler that enters the CI system (
TM
) is allowed to vary.
TM
includes
the non-sizing as well as the sized component of the aerosol emitted by the inhaler.
It is conceivable that a change in the former alone might go undetected by EDA
because movements in either or both
R
and
ISM
may not occur as the result of
changes in the non-sized component.
The outcomes from this type of behavior are examined for various sub-scenarios.
Hypothetical APSDs described in terms of TM, ratio of NISM to ISM, LPM, SPM,
Ratio of LPM to SPM and ISM were compared to the baseline APSD characteristics
representing conditions commonly encountered with OIP aerosols:
Total Mass (TM) = 100 mass units
Non-impactor-sized (NISM) mass component = 65 mass units,
Impactor sized mass (ISM) component = 35 mass units,
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