Anterior temporal artery tap to identify systemic interference using short-separation NIRS measurements: A NIRS/EEG-tDCS study.

Transcranial direct current stimulation (tDCS) has been shown to modulate neural activity. Neural activity has been shown to be closely related, spatially and temporally, to cerebral blood flow (CBF) that supplies glucose via neurovascular coupling. Therefore, noninvasive and continuous monitoring of neural activity is possible with a measure of cerebral hemoglobin oxygenation using near-infrared spectroscopy (NIRS). In principal accordance, NIRS can capture the hemodynamic response to tDCS but the challenge remains in removing the systemic interference occurring in the superficial layers of the head that are also affected by tDCS. An approach may be to use short optode separations to measure systemic hemodynamic fluctuations occurring in the superficial layers which can then be used as regressors to remove the systemic contamination. Here, we demonstrate that temporal artery tap may be used to better identify systemic interference using this short-separation NIRS. Moreover, NIRS-EEG joint-imaging during anodal tDCS was used to measure changes in mean cerebral haemoglobin oxygen saturation (rSO2) along with changes in the log-transformed mean-power of EEG within 0.5 Hz-11.25 Hz. We found that percent change in the mean rSO2 better correlated with the corresponding percent change in log-transformed mean-power of EEG within 0.5 Hz-11.25 Hz frequency band after removing the systemic contamination using the temporal artery tap method. Based on our findings, we propose that anterior temporal artery tap technique presented in this paper may be able to classify carotid stenosis, external carotid artery stenosis, and internal carotid artery stenosis patients using the laterality in the hemodynamic response evoked by anodal tDCS both at the brain as well as at the superficial layers. These findings may have important implications for both prognosis and rehabilitation of patients with intracranial stenosis.