An Automated System for the Measurement of the Response of Cerebral Blood Volume and Cerebral Blood Flow to Changes in Arterial Carbon Dioxide Tension Using Near Infrared Spectroscopy

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Oxygen Transport to Tissue XVI

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 361))

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Abstract

Since it was first described by Jobsis in 1977, near infrared spectroscopy (NIRS) has become widely used as a non invasive technique for monitoring the blood and tissue oxygenation of intact organs and to date has been primarily applied to measurements of cerebral oxygenation and haemodynamics (Brazy et al., 1985, 1986, Ferrari et al., 1986, Hampson et al., 1990). Methods have been developed to make discrete absolute measurements of cerebral blood volume (CBV) (Wyatt et al., 1990) and cerebral blood flow (CBF) (Edwards et al., 1988) by inducing a small change in cerebral oxyhaemoglobin concentration and have largely been applied to neonates (Edwards et al., 1990, Skov et al., 1991). More recently these methods of quantifying cerebral haemodynamics have been applied to adults (Elwell et al., 1992).

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References

  • Brazy, J.E., Lewis, D.V., Mitnick, M.H., Jöbsis, F.F., 1985. Noninvasive monitoring of cerebral oxygenation in preterm infants: preliminary observations. Pediatrics, 75:217–225

    PubMed  CAS  Google Scholar 

  • Brazy, J.E., Lewis, D.V., 1986, Changes in cerebral blood volume and cytochrome aa3 during hypertensive peaks in preterm infants. Pediatrics, 108:983–987.

    Article  CAS  Google Scholar 

  • Cope, M., Delpy, D.T., 1988. A system for long term measurement of cerebral blood and tissue oxygenation in newborn infants by near infrared transillumination. Med. Biol. Eng. & Comp., 26, 3:289–294.

    Article  CAS  Google Scholar 

  • Cope, M. 1991. The development of a near infrared spectroscopy system and its application for non invasive monitoring of cerebral blood and tissue oxygenation in the newborn infant. PhD Thesis, University of London.

    Google Scholar 

  • Delpy, D.T., Cope, M., van der Zee, P., Arridge, S.R., Wray, S., Wyatt, J.S., 1988. Estimation of optical pathlength through tissue from direct time of flight measurement. Phys. Med. & Biol., 33, 12:1433–1442.

    Article  CAS  Google Scholar 

  • Edwards, A.D., Wyatt, J.S., Richardson, C.E., Delpy, D.T., Cope, M., Reynolds, E.O.R., 1988. Cotside measurement of cerebral blood flow in ill newborn infants by near infrared spectroscopy. Lancet, ii:770–771.

    Google Scholar 

  • Edwards, A.D., Wyatt, J.S., Richardson, C.E., Potter, A., Cope, M., Delpy, D.T., Reynolds, E.O.R., 1990. Effects of indomethacin on cerebral haemodynamics and oxygen delivery investigated by near infrared spectroscopy in very preterm infants. Lancet i:1491–1495.

    Article  Google Scholar 

  • Elwell, C.E., Cope, M., Edwards, A.D., Wyatt, J.S., Delpy, D.T., Reynolds, E.O.R., 1992. Measurement of cerebral blood flow in adult humans using near infrared spectroscopy - methodology and possible errors. Adv. Exp. Med. & Biol. 317:235–245.

    Article  CAS  Google Scholar 

  • Ferrari, M., Zanette, E., Giannini, I., Sideri, G., Fieschi, C., Carpi, A., 1986. Effects of carotid compression test on regional cerebral blood volume, haemoglobin oxygen saturation and cytochrome-c-oxidase redox level in cerebrovascular patients. Adv. Exp. Med. & Biol., 200:213–222.

    Article  CAS  Google Scholar 

  • Greenburg, J.H., Alavi, A., Reivich, M., Kuhl, D., Uzzell, B., 1978. Local cerebral blood volume response to carbon dioxide in man. Circ. Res., 43, 2, 324–331

    Article  Google Scholar 

  • Hampson, N.B., Camporesi, E.M., Stolp, B.W., Moon, R.E., Shook, J.E., Greibel, J.A., Piantadosi, C.A., 1990. Cerebral oxygen availability by NIR spectroscopy during transient hypoxia in humans. J. Appl. Physiol. 69:907–913.

    PubMed  CAS  Google Scholar 

  • Helfaer, M.A., Kirsch, J.R., Haun, S.E., Koehler, R.C., Traystman, R.I., 1991. Age-related cerebrovascular reactivity to CO2 after cerebral ischaemia in swine. AmJ. Physiol. 260:H1482–1488.

    CAS  Google Scholar 

  • Herold, S., Brown, M.N., Frackowiak, R.S.J., Mansfield, A.O., Thomas, D.J., Marshall, J., 1988. Assessment of cerebral haemodynamic reserve: correlation between PET parameters and CO2 reactivity measured by the intravenous 133 Xenon injection technique. J Neurol Neurosurg Psychiatry 51:1045–1050

    Article  PubMed  CAS  Google Scholar 

  • Jöbsis, F.F. 1977. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters, Science, 198:1264–1267.

    Article  PubMed  Google Scholar 

  • Kety, S.S., Schmidt, C.F., 1948. The nitrous oxide method for the quantitative determination of cerebral blood flow in man: theory, procedure, and normal values. J. Clin. Invest. 27:476–483.

    Article  PubMed  CAS  Google Scholar 

  • Lammertsma, A.A., Brooks, D.J., Beaney, R.P., Turton, D.R., Kensett, M.J., Heather, J.D., Marshall, J., Jones, T., 1984. In vivo measurement of regional cerebral haematocrit using positron emission tomography. J. Cereb. Blood Flow Metab., 4;317–322.

    Article  PubMed  CAS  Google Scholar 

  • Pryds, O., Greisen, G., Skov, L., Fris-Hansen, B., 1990. Carbon dioxide related changes in cerebral blood volume and cerebral blood flow in mechanically ventilated preterm neonates. Comparison of near infrared spectrometry and 133Xenon clearance. Pediatric Res. 27:445–449.

    Article  CAS  Google Scholar 

  • Skov, L., Pryds, O., Griesen, G. 1991. Estimating cerebral blood flow in newborn infants: comparison of near infrared spectroscopy and 133Xenon clearance. Pediatric Res. 30:570–573.

    Article  CAS  Google Scholar 

  • Takei, Y., Edwards, A.D., Lorek, A., Peebles, D.M., Belai, A., Delpy, D.T., Reynolds, E.O.R., 1993. Effects of N-co-nitro-L-arginine methyl ester on the cerebral circulation of newborn piglets quantified in vivo by near infrared spectroscopy. Pediatric Res. 34:354–359.

    Article  CAS  Google Scholar 

  • van der Zee, P., Cope, M., Arridge, S.R., Essenpreis, M., Potter, L.A., Edwards, A.D., Wyatt, J.S., McCormick, D.C., Roth, S.C., Reynolds, E.O.R., Delpy, D.T., 1992. Experimentally measured optical pathlengths for the adult head, calf and forearm and the head of the newborn infant as a function of interoptode spacing. Adv. Exp. Med. & Biol. 316:143–153

    Article  Google Scholar 

  • Wagerle, C.L., Kumar, S. P., Delivora-Papadopoulos, M., 1986. Effect of sympathetic nerve stimulation on cerebral blood flow in newborn piglets. Pediatric Res. 20, 131–135

    Article  CAS  Google Scholar 

  • Wray, S., Cope, M., Delpy, D.T., Wyatt, J.S., Reynolds, E.O.R., 1988. Characterisation of the near infrared absorption spectra of cytochrome aa3 and haemoglobin for the non invasive monitoring of cerebral oxygenation. Biochim. Biophys. Acta,933:184–192.

    Article  PubMed  CAS  Google Scholar 

  • Wyatt, J.S., Cope, M., Delpy, D.T., Richardson, C.E., Edwards, A.D., Wray, S.C., Reynolds, E.O.R., 1990. Quantitation of cerebral blood volume in newborn infants by near infrared spectroscopy. J. Appl. Physiol. 68, 3:1086–1091.

    PubMed  CAS  Google Scholar 

  • Wyatt, J.S., Edwards, A.D., Cope, M., Delpy, D.T., McCormick, D.C., Potter, A., Reynolds, E.O.R., 1991. Response of cerebral blood volume to changes in arterial carbon dioxide tension in preterm and term newborn infants. Pediatric Res. 29:553–557.

    Article  CAS  Google Scholar 

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© 1994 Springer Science+Business Media New York

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Elwell, C.E. et al. (1994). An Automated System for the Measurement of the Response of Cerebral Blood Volume and Cerebral Blood Flow to Changes in Arterial Carbon Dioxide Tension Using Near Infrared Spectroscopy. In: Hogan, M.C., Mathieu-Costello, O., Poole, D.C., Wagner, P.D. (eds) Oxygen Transport to Tissue XVI. Advances in Experimental Medicine and Biology, vol 361. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1875-4_19

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  • DOI: https://doi.org/10.1007/978-1-4615-1875-4_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5763-6

  • Online ISBN: 978-1-4615-1875-4

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