Characterizing dynamic cerebral vascular reactivity using a hybrid system combining time-resolved near-infrared and
Daniel Milej1,2, Marwan Shahid1,2, Androu Abdalmalak1,2
1Imaging Program, Lawson Health Research Institute, London, Ontario, N6A 4V2, Canada.
Biomedical Optics Express
|September 14, 2020
Summary
This study characterizes dynamic cerebrovascular reactivity (CVR) using a hybrid optical system. The hybrid approach accurately measures brain blood flow and oxygenation, distinguishing it from scalp signals for reliable CVR assessment.
Area of Science:
- Neuroscience
- Biomedical Optics
- Physiology
Background:
- Cerebrovascular reactivity (CVR) is crucial for maintaining brain health.
- Accurate characterization of CVR requires distinguishing brain signals from superficial scalp hemodynamics.
- Optical techniques like NIRS and DCS offer non-invasive methods to assess CVR.
Purpose of the Study:
- To characterize dynamic cerebrovascular reactivity (CVR) in healthy adults.
- To evaluate a hybrid optical system combining time-resolved (TR) near-infrared spectroscopy (NIRS) and diffuse correlation spectroscopy (DCS) for CVR assessment.
- To investigate the impact of scalp hemodynamics on CVR measurements and methods to mitigate it.
Main Methods:
- Utilized a hybrid optical system integrating TR-NIRS and DCS.
- Recorded blood flow and oxygenation responses to a hypercapnic challenge.
- Acquired data at varying source-detector separations (rSD) and applied moment analysis to TR-NIRS data.
Main Results:
- Scalp contamination significantly distorted CVR time courses, especially for oxyhemoglobin, at shorter rSD.
- TR-NIRS depth sensitivity and DCS's focus on blood flow effectively reduced scalp signal interference.
- Blood flow and oxygenation exhibited similar reactivity speeds in healthy individuals.
Conclusions:
- The hybrid TR-NIRS/DCS system accurately characterizes dynamic CVR by minimizing scalp artifacts.
- This non-invasive, portable approach is suitable for studying altered CBF-oxygenation relationships in aging and cerebrovascular diseases.


