Assessing simulated arm lymphoedema by a prototype of bioimpedance spectroscopy device. Possible implication of its use in the follow up of patients who underwent extensive breast cancer surgery

Abstract

The aim of this research was to enable women after breast cancer surgery, in which arms lymphoedema often occurs, to self-monitor this disease using in-home an easy-to-use-device which assesses the arm’s resistance ratio, considered an indirect, non-invasive index of increased extracellular water volume in those limbs. An homemade equipment based on the bioimpedance spectroscopy technique, was tested on 20 healthy volunteers which, by means of two ECG disposable electrodes, connected to the device both their dominant and auxiliary upper arms and changes in electrical resistance were assessed while an alternate current of low intensity and sweeping frequency from 15 to 75 kHz had be injected. In the same volunteers, an arm lymphoedema with about 100 ml excess of extracellular water was simulated by subtracting 0.8% from measured resistance values in each arm. The arms’ resistance ratio against the increasing frequency gave rise to a parabolic branch visible on a mobile phone screen and, when the arm lymphoedema was simulated, the corresponding curve appeared positioned below that of the one without oedema. The patient’s self-awareness, due to the device’s self-management, could allow these subjects to actively approach the disease while sharing their results remotely with clinical specialists by an internet connection.