Paper
12 February 2018 Hyperspectral near infrared spectroscopy assessment of the brain during hypoperfusion
Author Affiliations +
Abstract
Two-thirds of out-of-hospital cardiac arrest patients, who survive to hospital admission, die in the hospital from neurological injuries related to cerebral hypoperfusion. Hyperspectral near infrared spectroscopy (hNIRS) is a noninvasive technique that measures the major chromophores in the brain, such as oxygenated hemoglobin, deoxygenated hemoglobin and cytochrome C oxidase ([CCO]), an intracellular marker of oxygen consumption. We have demonstrated that hNIRS is feasible and can detect changes in cerebral oxygenation and metabolism in patients undergoing transcatheter aortic valve insertion (TAVI) – a procedure that temporarily induces sudden hypotension and hypoperfusion that mimics cardiac arrest. Using multi-distance hNIRS, we found that while measured regional oxygen saturation (rSO2) changes resulted mainly from the extra-cerebral tissues, [CCO] changes during cardiac arrests occurred mainly in the brains of patients. We also applied the hNIRS algorithm based on the “2-layer model” to the data to measure cerebral oxygen saturation and [CCO] in patients during the procedure.
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Thu N. Nguyen, Wen Wu, Ermias Woldemichael, Vladislav Toronov, and Steve Lin "Hyperspectral near infrared spectroscopy assessment of the brain during hypoperfusion", Proc. SPIE 10484, Advanced Biomedical and Clinical Diagnostic and Surgical Guidance Systems XVI, 1048419 (12 February 2018); https://doi.org/10.1117/12.2288794
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KEYWORDS
Near infrared spectroscopy

Brain

Tissues

Oxygen

Data modeling

Chromophores

Skull

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