Respiratory failure & ventilation

Frequency-domain band-pass filtering enhanced pulsation method for pulmonary embolism diagnosis and risk stratification: a two-center retrospective study

Crit CarePublished Retrospective diagnostic study

Authors' conclusion

MI, DI, and SI differentiated PE patients from healthy controls, while MI and DI were associated with risk stratification.

Study context

Population
Pulmonary embolism (PE) patients and healthy controls assessed with frequency-domain band-pass filtering enhanced electrical impedance tomography (EIT) pulsation method
Participants
106 patients · 2 centres
Comparison
PE patients vs healthy controls
  • PEn = 53
  • Healthy controlsn = 53reference
Outcome
EIT-derived parameters, PE vs healthy controls
Methodological detailstwo-centre
  • Two-centre

Performance

As reported in the abstract

  • PE vs Healthy controls: P < 0.001
  • PE vs Healthy controls: P < 0.001
  • PE vs Healthy controls: P = 0.005

Further findings

Risk stratification (intermediate-high-risk vs lower-risk PE)

Intermediate-high-risk PE: lower Matching Index (MI) and higher DI than lower-risk; strongest vs low-risk (both adjusted P < 0.001)

Diagnostic discrimination, combined MI + DI+Shunt Index (SI) model

AUC (95% CI: 0.741-0.899); highest among EIT parameters, marginal improvement over MI alone, outperformed DI and SI
0.820
EIVQ showed no significant discriminative value

Original publication

Frequency-domain band-pass filtering enhanced pulsation method for pulmonary embolism diagnosis and risk stratification: a two-center retrospective study. Crit Care. Published 10 July 2026. doi:10.1186/s13054-026-06173-9

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