Kurth C D, Liu H, Thayer W S, Chance B
Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, PA 19104, USA.
Phys Med Biol. 1995 Dec;40(12):2079-92. doi: 10.1088/0031-9155/40/12/006.
This report describes the construction, fluid dynamics and optical properties of an in vitro model of the neonatal brain for testing near-infrared spectroscopy (NIRS) instruments. The brain model is a solid plastic structure containing a vascular network perfused with blood equilibrated with O2, N2 and CO2 in a closed circuit. The oxygenation state and haemoglobin concentration of the perfusate can be regulated and measured with a co-oximeter, providing a means to compare NIRS measurements of oxy-, deoxy- and total haemoglobin concentrations and haemoglobin O2 directly with a validated standard method. Fluid dynamic experiments revealed that the model's vasculature remains stable over time with minimal haemolysis. The model's optical properties were characterized by time-resolved and continuous wave NIRS between 670 and 850 nm as perfusate saturation was varied in the range 0-100%. Optical properties of the neonatal piglet brain were also determined by similar methods. No significant differences were found between the model and piglet brain in absorption coefficients, reduced scattering coefficients and optical pathlengths, indicating that the model optically simulates the piglet brain over a wide range of oxygenation states. These results demonstrate the potential utility of this dynamic phantom brain for testing NIRS instruments for accuracy and reliability.
本报告描述了一种用于测试近红外光谱(NIRS)仪器的新生儿脑体外模型的构建、流体动力学和光学特性。该脑模型是一个固体塑料结构,包含一个血管网络,在一个封闭回路中灌注着与氧气、氮气和二氧化碳平衡的血液。灌注液的氧合状态和血红蛋白浓度可以用共血氧计进行调节和测量,这提供了一种手段,可将氧合血红蛋白、脱氧血红蛋白和总血红蛋白浓度以及血红蛋白氧含量的NIRS测量结果直接与经过验证的标准方法进行比较。流体动力学实验表明,该模型的脉管系统随时间保持稳定,溶血极少。在灌注液饱和度在0 - 100%范围内变化时,通过时间分辨和连续波近红外光谱在670至850纳米之间对该模型光学特性进行了表征。还通过类似方法测定了新生仔猪脑的光学特性。在吸收系数、约化散射系数和光程长度方面,该模型与仔猪脑之间未发现显著差异,这表明该模型在广泛的氧合状态范围内对仔猪脑进行了光学模拟。这些结果证明了这种动态模拟脑模型在测试NIRS仪器准确性和可靠性方面的潜在用途。