fNIRS as a biomarker for X-linked neurodevelopmental disorders: leveraging visual processing to assess brain
Elena Scaffei1, Chiara Bosetti1,2, Roberta Battini1,2
1Department of Developmental Neuroscience, IRCCS Stella Maris Foundation, Pisa, Italy.
Functional Near Infrared Spectroscopy (fNIRS) shows promise as a non-invasive biomarker for neurodevelopmental disorders (NDDs). Visual evoked hemodynamic responses (vHDR) measured by fNIRS can track brain maturation and disease progression in various conditions.
Area of Science:
- Neuroscience
- Biomarker Development
- Medical Imaging
Background:
- Neurodevelopmental disorders (NDDs) present significant challenges due to the absence of reliable biomarkers for monitoring.
- Visual evoked potentials (VEPs) are functional biomarkers for X-linked NDDs, but non-invasive complementary tools are needed.
- Functional Near Infrared Spectroscopy (fNIRS) offers a non-invasive method to assess brain metabolism and function.
Purpose of the Study:
- To explore the potential of fNIRS in measuring visually evoked hemodynamic responses (vHDR) across age groups.
- To evaluate fNIRS as a biomarker for neurodevelopmental disorders and therapeutic efficacy.
- To highlight the need for further research validating fNIRS in human cohorts with X-linked NDDs.
Main Methods:
- Utilizing fNIRS to measure visually evoked hemodynamic responses (vHDR).
- Assessing cortical activation and brain maturation in various age groups and populations.
- Analyzing vHDR patterns in conditions such as optic neuritis, myopia, glaucoma, migraines, and high-risk infants.
Main Results:
- fNIRS reliably captures task-specific cortical activation and brain maturation.
- Unique vHDR patterns are identified in various visual and neurological conditions, indicating biomarker potential.
- fNIRS effectively detects early neural deficits in high-risk infants, including pre-term newborns.
Conclusions:
- fNIRS shows significant potential as a non-invasive functional biomarker for assessing neurodevelopmental disorders.
- Visual fNIRS can track disease severity and therapeutic responses, particularly in X-linked NDDs.
- Standardized protocols and further research in human cohorts are essential to establish fNIRS as a clinical tool.
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