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

Research output: Contribution to journalArticlepeer-review

169 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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