Development and applications of diffuse correlation spectroscopy for non-invasive measurement of blood flow in clinics

2016 ◽  
Author(s):  
Turgut Durduran
Keyword(s):  
Blood Flow ◽  
Correlation Spectroscopy ◽  
Diffuse Correlation Spectroscopy ◽  
Non Invasive ◽  
Invasive Measurement

scholarly journals Non-Invasive Monitoring of Temporal and Spatial Blood Flow during Bone Graft Healing Using Diffuse Correlation Spectroscopy

PLoS ONE ◽  
2015 ◽  
Vol 10 (12) ◽  
pp. e0143891 ◽  
Author(s):  
Songfeng Han ◽  
Michael D. Hoffman ◽  
Ashley R. Proctor ◽  
Joseph B. Vella ◽  
Emmanuel A. Mannoh ◽  
...  
Keyword(s):  
Blood Flow ◽  
Bone Graft ◽  
Correlation Spectroscopy ◽  
Invasive Monitoring ◽  
Diffuse Correlation Spectroscopy ◽  
Non Invasive ◽  
Graft Healing ◽  
Temporal And Spatial

scholarly journals Perfusion and Metabolic Neuromonitoring during Ventricular Taps in Infants with Post-Hemorrhagic Ventricular Dilatation

2020 ◽  
Vol 10 (7) ◽  
pp. 452 ◽  
Author(s):  
Ajay Rajaram ◽  
Lawrence C. M. Yip ◽  
Daniel Milej ◽  
Marianne Suwalski ◽  
Matthew Kewin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Blood Flow ◽  
Cerebral Perfusion ◽  
Neonatal Intensive Care ◽  
Cerebral Spinal Fluid ◽  
Near Infrared ◽  
Correlation Spectroscopy ◽  
Ventricular Dilatation ◽  
Diffuse Correlation Spectroscopy ◽  
Non Invasive

Post-hemorrhagic ventricular dilatation (PHVD) is characterized by a build-up of cerebral spinal fluid (CSF) in the ventricles, which increases intracranial pressure and compresses brain tissue. Clinical interventions (i.e., ventricular taps, VT) work to mitigate these complications through CSF drainage; however, the timing of these procedures remains imprecise. This study presents Neonatal NeuroMonitor (NNeMo), a portable optical device that combines broadband near-infrared spectroscopy (B-NIRS) and diffuse correlation spectroscopy (DCS) to provide simultaneous assessments of cerebral blood flow (CBF), tissue saturation (StO2), and the oxidation state of cytochrome c oxidase (oxCCO). In this study, NNeMo was used to monitor cerebral hemodynamics and metabolism in PHVD patients selected for a VT. Across multiple VTs in four patients, no significant changes were found in any of the three parameters: CBF increased by 14.6 ± 37.6% (p = 0.09), StO2 by 1.9 ± 4.9% (p = 0.2), and oxCCO by 0.4 ± 0.6 µM (p = 0.09). However, removing outliers resulted in significant, but small, increases in CBF (6.0 ± 7.7%) and oxCCO (0.1 ± 0.1 µM). The results of this study demonstrate NNeMo’s ability to provide safe, non-invasive measurements of cerebral perfusion and metabolism for neuromonitoring applications in the neonatal intensive care unit.

scholarly journals Non-invasive optical neuromonitoring of the temperature-dependence of cerebral oxygen metabolism during deep hypothermic cardiopulmonary bypass in neonatal swine

2018 ◽  
Vol 40 (1) ◽  
pp. 187-203 ◽  
Author(s):  
Tiffany S Ko ◽  
Constantine D Mavroudis ◽  
Wesley B Baker ◽  
Vincent C Morano ◽  
Kobina Mensah-Brown ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Temperature Response ◽  
Oxygen Metabolism ◽  
Correlation Spectroscopy ◽  
Neurological Injury ◽  
Diffuse Correlation Spectroscopy ◽  
Non Invasive ◽  
Neuroprotective Strategy ◽  
Subject Variability

Management of deep hypothermic (DH) cardiopulmonary bypass (CPB), a critical neuroprotective strategy, currently relies on non-invasive temperature to guide cerebral metabolic suppression during complex cardiac surgery in neonates. Considerable inter-subject variability in temperature response and residual metabolism may contribute to the persisting risk for postoperative neurological injury. To characterize and mitigate this variability, we assess the sufficiency of conventional nasopharyngeal temperature (NPT) guidance, and in the process, validate combined non-invasive frequency-domain diffuse optical spectroscopy (FD-DOS) and diffuse correlation spectroscopy (DCS) for direct measurement of cerebral metabolic rate of oxygen ( CMRO2). During CPB, n = 8 neonatal swine underwent cooling from normothermia to 18℃, sustained DH perfusion for 40 min, and then rewarming to simulate cardiac surgery. Continuous non-invasive and invasive measurements of intracranial temperature (ICT) and CMRO2 were acquired. Significant hysteresis ( p < 0.001) between cooling and rewarming periods in the NPT versus ICT and NPT versus CMRO2 relationships were found. Resolution of this hysteresis in the ICT versus CMRO2 relationship identified a crucial insufficiency of conventional NPT guidance. Non-invasive CMRO2 temperature coefficients with respect to NPT ( Q10 = 2.0) and ICT ( Q10 = 2.5) are consistent with previous reports and provide further validation of FD-DOS/DCS CMRO2 monitoring during DH CPB to optimize management.

scholarly journals Quantitative blood flow measurement in rat brain with multiphase arterial spin labelling magnetic resonance imaging

2018 ◽  
Vol 39 (8) ◽  
pp. 1557-1569 ◽  
Author(s):  
James R Larkin ◽  
Manon A Simard ◽  
Alexandre A Khrapitchev ◽  
James A Meakin ◽  
Thomas W Okell ◽  
...  
Keyword(s):  
Blood Flow ◽  
Flow Measurement ◽  
Arterial Spin Labelling ◽  
Sprague Dawley ◽  
Functional Studies ◽  
Non Invasive ◽  
Disease States ◽  
Preclinical Mri ◽  
Invasive Measurement ◽  
Spin Labelling

Cerebral blood flow is an important parameter in many diseases and functional studies that can be accurately measured in humans using arterial spin labelling (ASL) MRI. However, although rat models are frequently used for preclinical studies of both human disease and brain function, rat CBF measurements show poor consistency between studies. This lack of reproducibility is due, partly, to the smaller size and differing head geometry of rats compared to humans, as well as the differing analysis methodologies employed and higher field strengths used for preclinical MRI. To address these issues, we have implemented, optimised and validated a multiphase pseudo-continuous ASL technique, which overcomes many of the limitations of rat CBF measurement. Three rat strains (Wistar, Sprague Dawley and Berlin Druckrey IX) were used, and CBF values validated against gold-standard autoradiography measurements. Label positioning was found to be optimal at 45°, while post-label delay was optimised to 0.55 s. Whole brain CBF measures were 109 ± 22, 111 ± 18 and 100 ± 15 mL/100 g/min by multiphase pCASL, and 108 ± 12, 116 ± 14 and 122 ± 16 mL/100 g/min by autoradiography in Wistar, SD and BDIX cohorts, respectively. Tumour model analysis shows that the developed methods also apply in disease states. Thus, optimised multiphase pCASL provides robust, reproducible and non-invasive measurement of CBF in rats.

scholarly journals Evaluation of Local Skeletal Muscle Blood Flow in Manipulative Therapy by Diffuse Correlation Spectroscopy

2022 ◽  
Vol 9 ◽  
Author(s):  
Yasuhiro Matsuda ◽  
Mikie Nakabayashi ◽  
Tatsuya Suzuki ◽  
Sinan Zhang ◽  
Masashi Ichinose ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Skeletal Muscle ◽  
Blood Flow ◽  
Muscle Blood Flow ◽  
Nervous Activity ◽  
Correlation Spectroscopy ◽  
Autonomic Nervous Activity ◽  
Local Blood Flow ◽  
Diffuse Correlation Spectroscopy ◽  
Manipulative Therapy

Manipulative therapy (MT) is applied to motor organs through a therapist’s hands. Although MT has been utilized in various medical treatments based on its potential role for increasing the blood flow to the local muscle, a quantitative validation of local muscle blood flow in MT remains challenging due to the lack of appropriate bedside evaluation techniques. Therefore, we investigated changes in the local blood flow to the muscle undergoing MT by employing diffuse correlation spectroscopy, a portable and emerging optical measurement technology that non-invasively measures blood flow in deep tissues. This study investigated the changes in blood flow, heart rate, blood pressure, and autonomic nervous activity in the trapezius muscle through MT application in 30 volunteers without neck and shoulder injury. Five minutes of MT significantly increased the median local blood flow relative to that of the pre-MT period (p &lt; 0.05). The post-MT local blood flow increase was significantly higher in the MT condition than in the control condition, where participants remained still without receiving MT for the same time (p &lt; 0.05). However, MT did not affect the heart rate, blood pressure, or cardiac autonomic nervous activity. The post-MT increase in muscle blood flow was significantly higher in the participants with muscle stiffness in the neck and shoulder regions than in those without (p &lt; 0.05). These results suggest that MT could increase the local blood flow to the target skeletal muscle, with minimal effects on systemic circulatory function.

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