101. Quantification of cerebral blood flow in adults by contrast-enhanced near-infrared spectroscopy: Validation against MRI
- Author
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Olivia Amendolia, Ramani Balu, Sudipto Dolui, Francis Quattrone, Lin Wang, John A. Detre, Daniel Milej, Lian He, Arjun G. Yodh, Mamadou Diop, Androu Abdalmalak, Keith St. Lawrence, Udunna C. Anazodo, Wesley B. Baker, Venkaiah C. Kavuri, William Pavlosky, and W. Andrew Kofke
- Subjects
Adult ,Indocyanine Green ,Male ,Arterial spin labeling ,near-infrared spectroscopy ,media_common.quotation_subject ,cerebral blood flow ,Contrast Media ,brain imaging ,01 natural sciences ,Sensitivity and Specificity ,010309 optics ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Nuclear magnetic resonance ,Neuroimaging ,0103 physical sciences ,Contrast (vision) ,Humans ,Spectroscopy ,Brain trauma ,media_common ,Spectroscopy, Near-Infrared ,Chemistry ,Near-infrared spectroscopy ,Brain ,Reproducibility of Results ,Original Articles ,Middle Aged ,Magnetic Resonance Imaging ,Perfusion ,Neurology ,Cerebral blood flow ,Cerebrovascular Circulation ,brain trauma ,Female ,Spin Labels ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,030217 neurology & neurosurgery ,Blood Flow Velocity - Abstract
The purpose of this study was to assess the accuracy of absolute cerebral blood flow (CBF) measurements obtained by dynamic contrast-enhanced (DCE) near-infrared spectroscopy (NIRS) using indocyanine green as a perfusion contrast agent. For validation, CBF was measured independently using the MRI perfusion method arterial spin labeling (ASL). Data were acquired at two sites and under two flow conditions (normocapnia and hypercapnia). Depth sensitivity was enhanced using time-resolved detection, which was demonstrated in a separate set of experiments using a tourniquet to temporally impede scalp blood flow. A strong correlation between CBF measurements from ASL and DCE-NIRS was observed (slope = 0.99 ± 0.08, y-intercept = −1.7 ± 7.4 mL/100 g/min, and R2 = 0.88). Mean difference between the two techniques was 1.9 mL/100 g/min (95% confidence interval ranged from −15 to 19 mL/100g/min and the mean ASL CBF was 75.4 mL/100 g/min). Error analysis showed that structural information and baseline absorption coefficient were needed for optimal CBF reconstruction with DCE-NIRS. This study demonstrated that DCE-NIRS is sensitive to blood flow in the adult brain and can provide accurate CBF measurements with the appropriate modeling techniques.
- Published
- 2019