Key result
Near-infrared spectroscopy shows deeper cerebral tissue exhibits stronger blood flow autoregulation than superficial layers.
Why the study?
The physiological sources and depth dependence of coherent hemodynamic oscillations in human head tissue measured by NIRS were not fully understood.
A hemodynamic model applied to near-infrared spectroscopy (NIRS) measurements can differentiate between shallow (extracerebral) and deep (cerebral) tissue hemodynamics based on phase differences in hemoglobin oscillations.
May enable depth-resolved cerebral monitoring with NIRS; leaves open prospective validation before clinical use.
We report a near-infrared spectroscopy (NIRS) study of coherent hemodynamic oscillations measured on the human forehead at multiple source-detector distances (1 to 4 cm). The physiological source of the coherent hemodynamics is arterial blood pressure oscillations at a frequency of 0.1 Hz, induced by cyclic inflation (to a pressure of 200 mmHg) and deflation of two thigh cuffs wrapped around the subject's thighs. To interpret our results, we use a recently developed hemodynamic model and a phasor representation of the oscillations of oxyhemoglobin, deoxyhemoglobin, and total hemoglobin concentrations in the tissue (phasors O, D, and T, respectively). The increase in the phase angle between D and O at larger source-detector separations is assigned to greater flow versus volume contributions and to a stronger blood flow autoregulation in deeper tissue (brain cortex) with respect to superficial tissue (scalp and skull). The relatively constant phase lag of T versus arterial blood pressure oscillations at all source-detector distances was assigned to competing effects from stronger autoregulation and smaller arterial-to-venous contributions in deeper tissue with respect to superficial tissue. We demonstrate the application of a hemodynamic model to interpret coherent hemodynamics measured with NIRS and to assess the different nature of shallow (extracerebral) versus deep (cerebral) tissue hemodynamics.
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Khaksari et al. (2018) studied this question. Cyclic inflation and deflation of thigh cuffs was evaluated on Coherent hemodynamic oscillations (phasors O, D, and T). Near-infrared spectroscopy with a hemodynamic model demonstrated that deeper cerebral tissue exhibits stronger blood flow autoregulation and greater flow versus volume contributions than superficial tissue.
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