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Cerebral perfusion in acute stroke monitored by time-domain near-infrared reflectometry

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Języki publikacji
EN
Abstrakty
EN
Though potentially relevant for monitoring of acute stroke, even specialized stroke units do not provide continuous methods to determine cerebral perfusion at the bedside. We present patient measurements on cerebral perfusion in ischemic stroke applying optical bolus tracking. To this end, our portable time-domain near-infrared reflectometer has been optimized and technically approved for clinical studies by a notified body. We used data analysis based on statistical moments of measured time-of-flight distributions of photons. Selective sensitivity to deep absorption changes and a suitable representation of cerebral signals is associated with the suppression of movement artifacts in severely affected patients. The proposed technique offers a unique possibility for a frequently repeatable monitoring of cerebral blood flow during acute and subacute cerebral ischemia directly at the bedside.
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Bibliografia
  • [1] Murray C. J. L., Lopez A. D.: Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 1997, 349, 1269-1276.
  • [2] Murray C. J. L., Lopez A. D.: Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet 1997, 349, 1498-1504.
  • [3] Molina C. A., Alexandrov A. V.: Transcranial ultrasound in acute stroke: from diagnosis to therapy. Cerebrovasc. Dis. 2007, 24 Suppl 1, 1-6.
  • [4] Latchaw R. E.: Cerebral perfusion imaging in acute stroke. J. Vasc. Interv. Radiol. 2004, 15, S29-S46.
  • [5] Selb J., Stott J. J., Franceschini M. A., Sorenson A. G., Boas D. A.: Improved sensitivity to cerebral hemodynamics during brain activation with a time-gated optical system: analytical model and experimental validation. J. Biomed. Opt. 2005, 10, 11013.
  • [6] Contini D., Torricelli A., Pifferi A., Spinelli L., Paglia F., Cubeddu R.: Multi-channel time-resolved system for functional near infrared spectroscopy. Opt. Express 2006, 14, 5418-5432.
  • [7] Kacprzak M., Liebert A., Sawosz P., Zolek N., Maniewski R.: Time-resolved optical imager for assessment of cerebral oxygenation. J. Biomed. Opt. 2007, 12, 034019.
  • [8] Wabnitz H., Moeller M., Liebert A., Walter A., Erdmann R., Raitza O., Drenckhahn C., Dreier J.P., Obrig H., Steinbrink J., Macdonald R.: A time-domain NIR brain imager applied in functional stimulation experiments, in: Photon Migration and Diffuse-Light Imaging II, Proc. OSA-SPIE Biomed. Opt. 2005, 5859, 70-78.
  • [9] Terborg C., Gröschel K., Petrovitch A., Ringer T., Schnaudigel S., Witte O. W., Kastrup A.: Noninvasive assessment of cerebral perfusion and oxygenation in acute ischemic stroke by near-infrared spectroscopy. Eur. Neurol. 2009, 62, 338-343.
  • [10] Terborg C., Bramer S., Harscher S., Simon M., Witte O. W.: Bedside assessment of cerebral perfusion reductions in patients with acute ischaemic stroke by near-infrared spectroscopy and indocyaninegreen. J. Neurol. Neurosurg. Psychiatry 2004, 75, 38-42.
  • [11] Liebert A., Wabnitz H., Moeller M., Macdonald R., Rinneberg H., Steinbrink J., Villringer A., Obrig H.: Bed-side assessment of cerebral perfusion in stroke patients based on optical monitoring of a dye bolus by time-resolved diffuse reflectance. Neuroimage 2005, 24, 425-435.
  • [12] Raabe A., Beck J., Gerlach R., Zimmermann M., Seifert V.: Near-infrared indocyanine green video angiography: a new method for intraoperative assessment of vascular flow. Neurosurgery 2003, 52, 132-139, discussion 139.
  • [13] Liebert A., Wabnitz H., Steinbrink J., Obrig H., Moller M., Macdonald R., Villringer A., Rinneberg H.: Time-resolved multidistance near-infrared spectroscopy of the adult head: intracerebral and extracerebral absorption changes from moments of distribution of times of flight of photons. Appl. Opt. 2004, 43, 3037-3047.
  • [14] Licha K., Riefke B., Ntziachristos V., Becker A., Chance B., Semmler W.: Hydrophilic cyanine dyes as contrast agents for near-infrared tumor imaging: synthesis, photophysical properties and spectroscopic in vivo characterization. Photochem. Photobiol. 2000, 72, 392-398.
  • [15] Madsen M. T.: A simplified formulation of the gamma variate function. Physics in Medicine and Biology 1992, 31, 1597-1600.
  • [16] Yamada K., Wu O., Gonzalez R. G., Bakker D., Ostergaard L., Copen W. A., Weisskoff R. M., Rosen B. R., Yagi K., Nishimura T., Sorensen A. G.: Magnetic resonance perfusion-weighted imaging of acute cerebral infarction: effect of the calculation methods and underlying vasculopathy. Stroke 2002, 33, 87-94.
  • [17] Steinkellner O., Gruber C., Wabnitz H., Jelzow A., Steinbrink J., Fiebach J. B., Macdonald R., Obrig H.: Optical Bedside Monitoring of Cerebral Perfusion: Technological and Methodological Advances Applied in a Study on Acute Ischemic Stroke. J. Biomed. Opt. 2010, 15(6), 061708.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPZ6-0002-0013
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