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

Turgut Durduran, Chao Zhou, Erin M. Buckley, Meeri N. Kim, Guoqiang Yu, Regine Choe, J. William Gaynor, Thomas L. Spray, Suzanne M. Durning, Stefanie E. Mason, Lisa M. Montenegro, Susan C. Nicolson, Robert A. Zimmerman, Mary E. Putt, Jiongjiong Wang, Joel H. Greenberg, John A. Detre, Arjun G. Yodh, Daniel J. Licht

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163 Scopus citations

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 (rCBFDCS); and oxygen metabolism (rCMRO 2). Concurrent measurements with arterial spin-labeled magnetic resonance imaging (rCBF ASL-MRI, n=12) cross-validate rCBFDCS against rCBF ASL-MRI, showing good agreement (R=0.7, p=0.01). The study demonstrates use of NIRSDCS on a critically ill neonatal population, and the results indicate that the optical technology is a promising clinical method for monitoring this population.

Original languageEnglish
Article number037004
JournalJournal of biomedical optics
Volume15
Issue number3
DOIs
StatePublished - May 2010

Keywords

  • Cerebral blood flow
  • Congenital heart disease
  • Diffuse correlation spectroscopy
  • Diffuse optics
  • Near-infrared spectroscopy
  • Pediatrics

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