Optical measurement of cerebral hemodynamics and oxygen metabolism in neonates with congenital heart defects

J Biomed Opt. 2010 May-Jun;15(3):037004. doi: 10.1117/1.3425884.

Abstract

We employ a hybrid diffuse correlation spectroscopy (DCS) and near-infrared spectroscopy (NIRS) monitor for neonates with congenital heart disease (n=33). The NIRS-DCS device measured changes during hypercapnia of oxyhemoglobin, deoxyhemoglobin, and total hemoglobin concentrations; cerebral blood flow (rCBF(DCS)); and oxygen metabolism (rCMRO(2)). Concurrent measurements with arterial spin-labeled magnetic resonance imaging (rCBF(ASL-MRI), n=12) cross-validate rCBF(DCS) against rCBF(ASL-MRI), showing good agreement (R=0.7, p=0.01). The study demonstrates use of NIRS-DCS on a critically ill neonatal population, and the results indicate that the optical technology is a promising clinical method for monitoring this population.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carbon Dioxide / metabolism
  • Cerebral Cortex / blood supply*
  • Heart Defects, Congenital / blood*
  • Heart Defects, Congenital / physiopathology*
  • Hemodynamics / physiology
  • Hemoglobins / metabolism
  • Humans
  • Hypercapnia / physiopathology*
  • Infant, Newborn
  • Magnetic Resonance Imaging
  • Optics and Photonics / methods*
  • Oxyhemoglobins / metabolism
  • Regional Blood Flow / physiology
  • Spectroscopy, Near-Infrared / methods*
  • Spectrum Analysis / methods

Substances

  • Hemoglobins
  • Oxyhemoglobins
  • Carbon Dioxide
  • deoxyhemoglobin