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新生儿先天性心脏病脑血流动力学和氧代谢的光学测量。

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

机构信息

ICFO-Institut de Ciencies Fotoniques, Av Canal Olimpic s/n, Castelldefels 08860, Spain.

出版信息

J Biomed Opt. 2010 May-Jun;15(3):037004. doi: 10.1117/1.3425884.

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

摘要

我们为患有先天性心脏病的新生儿(n=33)使用了混合扩散相关光谱(DCS)和近红外光谱(NIRS)监测仪。NIRS-DCS 设备测量了高碳酸血症期间氧合血红蛋白、脱氧血红蛋白和总血红蛋白浓度变化;脑血流(rCBF(DCS));以及氧代谢(rCMRO(2))。与动脉自旋标记磁共振成像(rCBF(ASL-MRI),n=12)的同时测量交叉验证 rCBF(DCS)与 rCBF(ASL-MRI)的一致性,结果显示良好(R=0.7,p=0.01)。该研究证明了在危重新生儿人群中使用 NIRS-DCS,结果表明该光学技术是监测该人群的一种很有前途的临床方法。

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