13C data can be imported in generic formats in Excel
files, and in several vendor-specific formats, e.g. from BreathID and
Wagner/IRIS. A collection of sample files with and without errors is
available in the directory
C:/PROGRA~1/R/R-42~1.3/library/breathtestcore/extdata
;
function btcore_file()
retrieves the names and long path of
the available data sets.
[1] "350_20023_0_GERWithNan.txt" "350_20043_0_GER.txt"
[3] "350_20043_0_GERBadHeader.txt" "350_20043_0_GERDuplicateTime.txt"
[5] "350_20043_0_GERNoData.txt" "350_20043_0_GERNoT50.txt"
[1] "C:/Users/Dieter/AppData/Local/Temp/RtmpclfW1f/Rinst287044b04f55/breathtestcore/extdata/Standard.TXT"
read_breathid()
or
read_breathid_xml()
.read_any_breathtest()
which tries to guess the format.files = c(
btcore_file("IrisCSV.TXT"), # Wagner/IRIS format
btcore_file("350_20043_0_GER.txt") # BreathID
)
bt = read_any_breathtest(files)
# Returns a list of elements of class breathtest_data
str(bt, 1)
List of 2
$ :List of 23
..- attr(*, "class")= chr "breathtest_data"
$ :List of 23
..- attr(*, "class")= chr "breathtest_data"
- attr(*, "class")= chr "breathtest_data_list"
tibble [101 × 4] (S3: tbl_df/tbl/data.frame)
$ patient_id: chr [1:101] "123456" "123456" "123456" "123456" ...
$ group : chr [1:101] "A" "A" "A" "A" ...
$ minute : num [1:101] 0.01 10 20 45 60 75 90 105 120 140 ...
$ pdr : num [1:101] 0 1.11 2.86 4.87 5.19 ...
Passing through cleanup_data()
returns a data
frame/tibble and adds a grouping variable.
To plot data without fitting, use null_fit()
.
List of 1
$ data: tibble [101 × 4] (S3: tbl_df/tbl/data.frame)
..$ patient_id: chr [1:101] "123456" "123456" "123456" "123456" ...
..$ group : chr [1:101] "A" "A" "A" "A" ...
..$ minute : num [1:101] 0.01 10 20 45 60 75 90 105 120 140 ...
..$ pdr : num [1:101] 0 1.11 2.86 4.87 5.19 ...
- attr(*, "class")= chr [1:2] "breathtestnullfit" "breathtestfit"
To add new formats, override breathtest_read_function()
and add a new function that returns a structure given by
breathtest_data()
.
Always pass data through function
cleanup_data()
to obtain a data frame that can be fed to one of the fitting functionsnls_fit()
,nlme_fit()
,null_fit()
orbreathteststan::stan_fit()
.
You can add a grouping variable, e.g. for multiple meal types, to compute between group differences of means. Cross-over, randomized or mixed designs (some patients cross-over) are supported.
You must explicitlty state the grouping variable for each single file
as shown below. Without names, it is possible to vectorize,
e.g. read_any_breathtest(c(file1, file2))
, but the ‘c()’
operator used on vectors disambiguates the names by appending
numbers.
files1 = c(
group_a = btcore_file("IrisCSV.TXT"), # Use only single file with grouping
group_a = btcore_file("Standard.TXT"),
group_b = btcore_file("350_20043_0_GER.txt")
)
# Alternative syntax using magrittr operator
suppressPackageStartupMessages(library(dplyr))
read_any_breathtest(files1) %>%
cleanup_data() %>%
null_fit() %>%
plot()
Function simulate_breathtest_data()
generates sample
data you can use to test different algorithms. Curves with outliers can
be generated by setting student_t_df
to values from 2 (very
strong outliers) to 10 (almost gaussian).
set.seed(212)
data = list(meal_a = simulate_breathtest_data(n_records = 3, noise = 2,
student_t_df = 3, missing = 0.3),
meal_b = simulate_breathtest_data(n_records = 4))
data %>%
cleanup_data() %>%
nlme_fit() %>%
plot()
patient_id m k beta t50_maes_ghoos
1 rec_01 38 0.01310 2.41 106
2 rec_02 47 0.00918 1.69 119
3 rec_03 16 0.01039 2.25 128
Three data sets are included in R format and can be loaded as shown below. All data were provided by the University Hospital of Zürich; details are given in the documentation.
data("usz_13c")
cat("usz_13c has data from", length(unique(usz_13c$patient_id)), "patients with" ,
length(unique(usz_13c$group)), "different meals")
usz_13c has data from 163 patients with 4 different meals
breathtestcore::usz_13c
A large data set used to
establish reference ranges for healthy volunteers and patientsbreathtestcore::usz_13c_a
Exotic data, a challenge for
fitting algorthmsbreathtestcore::usz_13c_d
Has gastric emptying half
time from MRI as attribute, and can used to compare recorded data with
gold standards; see the example in the documentation.The easiest way to supply generic formats is from Excel files. The
data formats described in the following are shown as examples in the
workbook
C:/PROGRA~1/R/R-42~1.3/library/breathtestcore/extdata/ExcelSamples.xlsx
.
Any other tab-separated data set can directly be inserted into the
editor of the breathtestshiny web
app using copy/paste.
read_breathtest_excel()
; this is the only
way to select a worksheet different other than first in the workbook by
passing parameter sheet
. All other methods only read the
first worksheet.read_any_breathtest()
. This always reads
the first worksheet, but you can combine results from several files,
even when they have different formatsWhen you have only data from one record, you can supply data in a
two-column format as given in sheet 2col
of workboot
ExcelSamples.xlsx
. The column headers must be
minute, pdr
. With breathtestshiny
GUI, you can upload the file, or simply paste it into the editor.
This is the easiest method to get a fit for a single patient.
[[1]]
# A tibble: 22 × 2
minute pdr
<dbl> <dbl>
1 0.42 0.547
2 11.9 1.64
3 23.4 3.89
4 34.9 6.13
# ℹ 18 more rows
A list is returned, and its only element is a tibble with two
columns. To create a standardized format for fitting and plotting, pass
it through cleanup_data
which adds dummy columns
patient_id
(all pat_a
), and group
(all A
)
# A tibble: 22 × 4
patient_id group minute pdr
<chr> <chr> <dbl> <dbl>
1 pat_a A 0.42 0.547
2 pat_a A 11.9 1.64
3 pat_a A 23.4 3.89
4 pat_a A 34.9 6.13
# ℹ 18 more rows
Compute the fit and plot
When you have more than one patient, you must add a column
patient_id
which may be numeric or a string.
[[1]]
# A tibble: 43 × 3
patient_id minute pdr
<chr> <dbl> <dbl>
1 7951500 0.42 0.547
2 7951500 11.9 1.64
3 7951500 23.4 3.89
4 7951500 34.9 6.13
# ℹ 39 more rows
# A tibble: 43 × 4
patient_id group minute pdr
<chr> <chr> <dbl> <dbl>
1 7951500 A 0.42 0.547
2 7951500 A 11.9 1.64
3 7951500 A 23.4 3.89
4 7951500 A 34.9 6.13
# ℹ 39 more rows
A dummy group ‘A’ is added by cleanup_data()
, so that
data are in a standardized format now.
The four-column format with column names
patient_id, group, minute, pdr
is the standard format. In
cross-over designs, you can have different groups for one patient.
bt = read_breathtest_excel(btcore_file("ExcelSamples.xlsx"), "4col_2group") %>%
cleanup_data()
kable(sample_frac(bt, 0.08) %>% arrange(patient_id, group), caption = "A sample from a four-column format. See worksheet 4col_2group.")
patient_id | group | minute | pdr |
---|---|---|---|
norm_001 | liquid_normal | 105 | 14.0 |
norm_001 | liquid_normal | 90 | 13.6 |
norm_002 | solid_normal | 140 | 4.8 |
norm_003 | liquid_normal | 140 | 8.3 |
norm_003 | solid_normal | 180 | 3.6 |
norm_004 | liquid_normal | 40 | 13.4 |
norm_004 | liquid_normal | 50 | 13.5 |
norm_004 | liquid_normal | 30 | 10.8 |
norm_005 | liquid_normal | 180 | 8.9 |
norm_005 | liquid_normal | 140 | 12.2 |
When you have DOB data (d), you can use dob
instead of
pdr
as the header of the last column. DOB data will be
automatically converted to PDR with function dob_to_pdr()
.
Since no body weight and height are given, the defaults of 75kg and 180
cm are assumed.
The half-emptying time and lags do not depend on this assumptions.
Only the parameter m
of the fit which normalized area and
amplitude, is affected, and I do not know of a case the m
has been used in clinical practice.
The first lines of IrisMulti.TXT
"Testergebnis"
"Nummer","22"
"Datum","12.06.2009"
"Testart"
"Name","Magenentleerung fest"
"Abkürzung","GE FEST"
"Substrat","Natriumoktanoat"
Use read_iris()
or read_any_breathtest()
:
Files in this format start like this (lines shortened …)
"Name","Vorname","Test","Identifikation","Testzeit[min]",...
"Einstein","Albert","GE FEST","330240","0","0","-26.32","4.501891E-02", ...
"Einstein","Albert","GE FEST","330240","10","2.02","-24.3","5.617962E-02","2.391013",..
"Einstein","Albert","GE
Use read_iris_csv()
or
read_any_breathtest()
:
### BreathID composite format
Files in this format start like this
Test and Patient parameters
Date - 12/11/12
End time - 08:54
Start time - 12:49
Patient # - 0
Patient ID - Franz
Use read_breathid()
or
read_any_breathtest()
:
The more recent XML format from BreathID can contain data from multiple record and starts like this:
<Tests Device="1402">
<Test Number="2">
<ID>TEST123</ID>
<DOB>N/A</DOB>
<StartTime>19Jul2017 11:56</StartTime>
<EndTime>19Jul2017 12:12</EndTime>
<LastResultCode>0</LastResultCode>
<StoppedByUser>true</StoppedByUser>
</Test>
<Test Number="3">
<ID>45689</ID>
<StartTime>19Jul2017 12:22</StartTime>
<EndTime>19Jul2017 12:29</EndTime>
<LastResultCode>0</LastResultCode>
Use read_breathid_xml()
or
read_any_breathtest()
:
read_breathid_xml(btcore_file("NewBreathID_multiple.xml")) %>%
cleanup_data() %>%
nls_fit() %>%
plot()
Grouping is most useful in a cross-over design to force
within-subject comparisons by functions coef_by_group()
and
coef_diff_by_group()
; in the above case, the default
grouping above might not be what you required. Replace the group
parameter manually to remove the groups, but do not delete the column
with group = NULL
, because the fitting functions requires a
dummy group name.
# Could also use read_any_breathtest()
read_breathid_xml(btcore_file("NewBreathID_multiple.xml")) %>%
cleanup_data() %>%
mutate(
group = "New"
) %>%
nls_fit() %>%
plot()