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Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure

Goal: Cerebrovascular impedance is modulated by a vasoactive autoregulative mechanism in response to changes in cerebral perfusion pressure. Characterization of impedance and the limits of autoregulation are important biomarkers of cerebral health. We developed a method to quantify impedance based o...

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Published in:IEEE open journal of engineering in medicine and biology 2023-01, Vol.4, p.96-101
Main Authors: Yang, Jason, Acharya, Deepshikha, Scammon, William B., Schmitt, Samantha, Crane, Emily C., Smith, Matthew A., Kainerstorfer, Jana M.
Format: Article
Language:English
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Summary:Goal: Cerebrovascular impedance is modulated by a vasoactive autoregulative mechanism in response to changes in cerebral perfusion pressure. Characterization of impedance and the limits of autoregulation are important biomarkers of cerebral health. We developed a method to quantify impedance based on the spectral content of cerebral blood flow and volume at the cardiac frequency, measured with diffuse optical methods. Methods: In three non-human primates, we modulated cerebral perfusion pressure beyond the limits of autoregulation. Cerebral blood flow and volume were measured with diffuse correlation spectroscopy and near-infrared spectroscopy, respectively. Results: We show that impedance can be used to identify the lower and upper limits of autoregulation. Conclusions: This impedance method may be an alternative method to measure autoregulation and a way of assessing cerebral health non-invasively at the clinical bedside.
ISSN:2644-1276
2644-1276
DOI:10.1109/OJEMB.2023.3236267