A European Respiratory Society technical standard: exhaled biomarkers in lung disease

Ildiko Horvath*, Peter J. Barnes, Stelios Loukides, Peter J. Sterk, Marieann Hogman, Anna-Carin Olin, Anton Amann, Balazs Antus, Eugenio Baraldi, Andras Bikov, Agnes W. Boots, Lieuwe D. Bos, Paul Brinkman, Caterina Bucca, Giovanna E. Carpagnano, Massimo Corradi, Simona Cristescu, Johan C. de Jongste, Anh-Tuan Dinh-Xuan, Edward DompelingNiki Fens, Stephen Fowler, Jens M. Hohlfeld, Olaf Holz, Quirijn Jobsis, Kim Van De Kant, Hugo H. Knobel, Konstantinos Kostikas, Lauri Lehtimaki, Jon Lundberg, Paolo Montuschi, Alain Van Muylem, Giorgio Pennazza, Petra Reinhold, Fabio L. M. Ricciardolo, Philippe Rosias, Marco Santonico, Marc P. van der Schee, Frederik-Jan van Schooten, Antonio Spanevello, Thomy Tonia, Teunis J. Vink

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Breath tests cover the fraction of nitric oxide in expired gas (FeNO), volatile organic compounds (VOCs), variables in exhaled breath condensate (EBC) and other measurements. For EBC and for FeNO, official recommendations for standardised procedures are more than 10 years old and there is none for exhaled VOCs and particles. The aim of this document is to provide technical standards and recommendations for sample collection and analytic approaches and to highlight future research priorities in the field. For EBC and FeNO, new developments and advances in technology have been evaluated in the current document. This report is not intended to provide clinical guidance on disease diagnosis and management.

Clinicians and researchers with expertise in exhaled biomarkers were invited to participate. Published studies regarding methodology of breath tests were selected, discussed and evaluated in a consensus-based manner by the Task Force members.

Recommendations for standardisation of sampling, analysing and reporting of data and suggestions for research to cover gaps in the evidence have been created and summarised.

Application of breath biomarker measurement in a standardised manner will provide comparable results, thereby facilitating the potential use of these biomarkers in clinical practice.

Original languageEnglish
Article number1600965
Number of pages26
JournalEuropean Respiratory Journal
Volume49
Issue number4
DOIs
Publication statusPublished - Apr 2017

Keywords

  • VOLATILE ORGANIC-COMPOUNDS
  • BREATH CONDENSATE PH
  • NASAL NITRIC-OXIDE
  • OBSTRUCTIVE PULMONARY-DISEASE
  • PRIMARY CILIARY DYSKINESIA
  • EXTENDED NO ANALYSIS
  • MAGNETIC-RESONANCE-SPECTROSCOPY
  • MASS-SPECTROMETRIC ANALYSIS
  • SLEEP-APNEA SYNDROME
  • ELECTRONIC NOSE

Cite this