Robust analysis of microcirculatory flowmotion during post-occlusive reactive hyperemia

Microvasc Res. 2024 Sep:155:104715. doi: 10.1016/j.mvr.2024.104715. Epub 2024 Jul 14.

Abstract

Background: Flowmotion analysis of the microcirculatory blood flow is a method to extract information about the vessel regulatory function. It has previously shown promise when applied to measurements during a post-occlusive reactive hyperemia. However, the reperfusion peak and the following monotonic decline introduces false low frequencies that should not be interpreted as rhythmic vasomotion effect.

Aim: To develop and validate a robust method for flowmotion analysis of post-occlusive reactive hyperemia signals.

Method: The occlusion-induced reperfusion response contains a typical rapid increase followed by a monotonic decline to baseline. A mathematical model is proposed to detrend this transient part of the signal to enable further flowmotion analysis. The model is validated in 96 measurements on healthy volunteers.

Results: Applying the proposed model corrects the flowmotion signal without adding any substantial new false flowmotion components.

Conclusion: Future studies should use the proposed method or equivalent when analyzing flowmotion during post-occlusive reactive hyperemia to ensure valid results.

Keywords: Flowmotion; Laser Doppler flowmetry; Microcirculation; Vasomotion.

Publication types

  • Validation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Flow Velocity
  • Female
  • Healthy Volunteers
  • Humans
  • Hyperemia* / physiopathology
  • Laser-Doppler Flowmetry
  • Male
  • Microcirculation*
  • Models, Cardiovascular*
  • Predictive Value of Tests
  • Regional Blood Flow*
  • Reproducibility of Results
  • Signal Processing, Computer-Assisted
  • Time Factors
  • Young Adult