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J Biomed Opt ; 17(3): 037007, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22502579

RESUMO

Diffuse correlation spectroscopy (DCS) is a novel optical technique that appears to be an excellent tool for assessing cerebral blood flow in a continuous and non-invasive manner at the bedside. We present new clinical validation of the DCS methodology by demonstrating strong agreement between DCS indices of relative cerebral blood flow and indices based on phase-encoded velocity mapping magnetic resonance imaging (VENC MRI) of relative blood flow in the jugular veins and superior vena cava. Data were acquired from 46 children with single ventricle cardiac lesions during a hypercapnia intervention. Significant increases in cerebral blood flow, measured both by DCS and by VENC MRI, as well as significant increases in oxyhemoglobin concentration, and total hemoglobin concentration, were observed during hypercapnia. Comparison of blood flow changes measured by VENC MRI in the jugular veins and by DCS revealed a strong linear relationship, R=0.88, p<0.001, slope=0.91±0.07. Similar correlations were observed between DCS and VENC MRI in the superior vena cava, R=0.77, slope=0.99±0.12, p<0.001. The relationship between VENC MRI in the aorta and DCS, a negative control, was weakly correlated, R=0.46, slope=1.77±0.45, p<0.001.


Assuntos
Circulação Cerebrovascular/fisiologia , Imageamento por Ressonância Magnética/métodos , Análise Espectral/métodos , Aorta/fisiologia , Gasometria , Dióxido de Carbono/sangue , Pré-Escolar , Difusão , Feminino , Cardiopatias Congênitas/cirurgia , Humanos , Hipercapnia/fisiopatologia , Lactente , Veias Jugulares/fisiologia , Modelos Lineares , Masculino , Oxiemoglobinas/química , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Veia Cava Superior/fisiologia
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