Regional hemodynamic responses to visual stimulation in awake infants
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Published on: October 24, 2019
J H Meek1, M Firbank, C E Elwell
1Department of Paediatrics, University College London Hospital Medical School, United Kingdom.
Insights
Near infrared spectroscopy (NIRS) noninvasively measured infant brain activity. Visual stimulation increased blood flow and oxygen use in the visual cortex, showing NIRS
Area of Science:
- Neuroscience
- Pediatrics
- Biomedical Engineering
Background:
- Understanding infant brain function is crucial for developmental neuroscience.
- Previous methods for measuring brain activity in infants were limited.
- Near infrared spectroscopy (NIRS) offers a noninvasive approach to assess cerebral hemodynamics.
Purpose of the Study:
- To measure regional hemodynamic changes in response to visual stimuli in awake infants using NIRS.
- To investigate the specificity of hemodynamic responses to visual activation in the infant visual cortex.
- To compare cerebral oxygen utilization during activation in infants versus adults.
Main Methods:
- Employed near infrared spectroscopy (NIRS) with optodes placed over the occipital region of awake infants.
- Measured changes in oxyhemoglobin (Hbo2) and deoxyhemoglobin (Hb) concentrations during visual checkerboard stimulation (5 Hz pattern reversal).
- Utilized a control group with optodes placed over the frontoparietal region to assess regional specificity.
Main Results:
- A significant increase in total hemoglobin concentration (Hbo2 + Hb) of 2.51 µmol/L was observed in the test group during visual stimulation.
- Nine out of ten infants showed increased oxyhemoglobin and deoxyhemoglobin related to the visual stimulus.
- No significant changes in hemodynamic parameters were observed in the control group, indicating visual cortex specificity.
Conclusions:
- NIRS is a practical and noninvasive method for measuring visual functional activation in awake infants.
- Infant visual cortex activation involves increased cerebral blood flow specific to the stimulated region.
- Infants exhibit increased cerebral oxygen utilization during activation that exceeds the hemodynamic response, differing from adults.
Abstract:
This study presents the first measurements using near infrared spectroscopy of changes in regional hemodynamics as a response to a visual stimulus in awake infants. Ten infants aged 3 d to 14 wk viewed a checkerboard with a 5-Hz pattern reversal. The emitter and detector (optodes) of a near infrared spectrophotometer were placed over the occipital region of the head. Changes in concentration of oxy- and deoxyhemoglobin (Hbo2 and Hb) were measured and compared during 10-s epochs of stimulus on and off. A control group of 10 infants aged 18 d to 13 wk were examined with the same setup, but with the optodes over the frontoparietal region. In the test group the total hemoglobin concentration (Hbo2 + Hb) increased while the stimulus was on by a mean (+/-SD) of 2.51 (+/-1.48) micromol x L(-1). Nine out of 10 infants showed an Hbo2 increase, and 9 out of 10 an Hb increase related to the stimulus. There was no significant change in any of these parameters in the control group. The results imply that there is increased cerebral blood flow due to stimulation that is specific to the visual cortex and that infants, unlike adults, show increased cerebral oxygen utilization during activation that outstrips this hemodynamic effect. The study demonstrates that near infrared spectroscopy can be used as a practical and noninvasive method of measuring visual functional activation and its hemodynamic correlates in the awake infant.
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