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Non-invasive Optical Measurement of Cerebral Metabolism and Hemodynamics in Infants
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Cerebral Oxygen Monitoring in Extremely Low-Birth-Weight Infants Using Time-Domain Near-Infrared Spectroscopy in

Hiroaki Suzuki1, Toshiyuki Imanishi2, Norihiro Suzuki3

  • 1Central Research Laboratory, Hamamatsu Photonics K.K, Shizuoka, Japan. hiro-su@crl.hpk.co.jp.

Advances in Experimental Medicine and Biology
|October 14, 2024
PubMed
Summary

Time-domain near-infrared spectroscopy (TD-NIRS) monitored extremely low-birth-weight infants (ELBWIs). TD-NIRS detected optical signals and measured changes in hemoglobin and oxygen saturation, aiding brain monitoring for ELBWIs.

Keywords:
Deep brainELBWINICUTD-NIRSTransmittance mode

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Area of Science:

  • Neonatal intensive care
  • Medical technology
  • Neuroscience

Background:

  • Neonatal intensive care advances have increased survival for extremely low-birth-weight infants (ELBWIs).
  • However, long-term neurological sequelae remain a significant challenge for survivors.
  • Improved methods for monitoring ELBWIs in the neonatal intensive care unit (NICU) are crucial.

Purpose of the Study:

  • To evaluate the utility of time-domain near-infrared spectroscopy (TD-NIRS) for deep brain monitoring in ELBWIs.
  • To assess the feasibility of using TD-NIRS in a clinical NICU setting.
  • To identify potential correlations between TD-NIRS parameters and infant development.

Main Methods:

  • Utilized a TD-NIRS system in transmittance mode to measure the heads of three ELBWIs weekly.
  • Collected optical signal data, including total hemoglobin concentration, tissue oxygen saturation, and reduced scattering coefficient.
  • Analyzed data in relation to postmenstrual age and time after birth.

Main Results:

  • Optical signals transmitted through the infant heads were successfully detected in all subjects.
  • Total hemoglobin concentration and tissue oxygen saturation showed a decrease in the first month post-birth.
  • The reduced scattering coefficient did not show a significant correlation with postmenstrual age.

Conclusions:

  • TD-NIRS is a feasible technique for deep brain monitoring in ELBWIs within the NICU.
  • Observed changes in hemoglobin and oxygen saturation suggest potential for tracking cerebral circulation.
  • TD-NIRS may offer a valuable tool for clinical assessment and management of cerebral hemodynamics in premature infants.