Loading…

Frequency-domain vs continuous-wave near-infrared spectroscopy devices: a comparison of clinically viable monitors in controlled hypoxia

The Near-infrared spectroscopy (NIRS) has not been adopted as a mainstream monitoring modality in acute neurosurgical care due to concerns about its reliability and consistency. However, improvements in NIRS parameter recovery techniques are now available that may improve the quantitative accuracy o...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical monitoring and computing 2017-10, Vol.31 (5), p.967-974
Main Authors: Davies, David James, Clancy, Michael, Lighter, Daniel, Balanos, George M., Lucas, Samuel John Edwin, Dehghani, Hamid, Su, Zhangjie, Forcione, Mario, Belli, Antonio
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023
cites cdi_FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023
container_end_page 974
container_issue 5
container_start_page 967
container_title Journal of clinical monitoring and computing
container_volume 31
creator Davies, David James
Clancy, Michael
Lighter, Daniel
Balanos, George M.
Lucas, Samuel John Edwin
Dehghani, Hamid
Su, Zhangjie
Forcione, Mario
Belli, Antonio
description The Near-infrared spectroscopy (NIRS) has not been adopted as a mainstream monitoring modality in acute neurosurgical care due to concerns about its reliability and consistency. However, improvements in NIRS parameter recovery techniques are now available that may improve the quantitative accuracy of NIRS for this clinical context. Therefore, the aim of this study was to compare the abilities of a continuous-wave (CW) NIRS device with a similarly clinically viable NIRS device utilising a frequency-domain (FD) parameter recovery technique in detecting changes in cerebral tissue saturation during stepwise increases of experimentally induced hypoxia. Nine healthy individuals (6M/3F) underwent a dynamic end-tidal forced manipulation of their expiratory gases to induce a stepwise induced hypoxia. The minimum end-tidal oxygen partial pressure (EtO 2 ) achieved was 40 mm Hg. Simultaneous neurological and extra-cranial tissue NIRS reading were obtained during this protocol by both tested devices. Both devices detected significant changes in cerebral tissue saturation during the induction of hypoxia (CW 9.8 ± 2.3 %; FD 7.0 ± 3.4 %; Wilcoxon signed rank test P  
doi_str_mv 10.1007/s10877-016-9942-5
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5599440</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1938627366</sourcerecordid><originalsourceid>FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023</originalsourceid><addsrcrecordid>eNp1Uc1u1jAQjBCIlsIDcEGWuHAx-Cf-CQckVFFAqsQFzpbjOK0rxw52Esgb8Njsp69UBYmTV97Zmd2ZpnlOyWtKiHpTKdFKYUIl7rqWYfGgOaVCccwkbR9CzbXClBN10jyp9YYQ0mlOHzcnTCmlGdGnza-L4r-vPrkdD3myIaGtIpfTEtKa14p_2M2j5G3BIY3FFj-gOnu3lFxdnnc0-C04X98iC1PTbEuoOaE8IhdDCs7GuKMt2D56NOUUllwqApGDQskxAt31PuefwT5tHo02Vv_s9j1rvl18-Hr-CV9--fj5_P0ldoLLBXs6ypYOutV9xwcrVdtyBX8d6zm3Q0_92HHVcj1CUwo7-k6MVMpOkJ62hPGz5t2Rd177yQ_OwyI2mrmEyZbdZBvM350Urs1V3owQ4HFLgODVLUHJ4FxdzBSq8zHa5MExQzUXUjDONEBf_gO9yWtJcJ6hHdeSKS4loOgR5cDUWvx4twwl5pCzOeZsIGdzyNkImHlx_4q7iT_BAoAdARVa6cqXe9L_Zf0Nq3e3Hg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1938627366</pqid></control><display><type>article</type><title>Frequency-domain vs continuous-wave near-infrared spectroscopy devices: a comparison of clinically viable monitors in controlled hypoxia</title><source>Springer Link</source><creator>Davies, David James ; Clancy, Michael ; Lighter, Daniel ; Balanos, George M. ; Lucas, Samuel John Edwin ; Dehghani, Hamid ; Su, Zhangjie ; Forcione, Mario ; Belli, Antonio</creator><creatorcontrib>Davies, David James ; Clancy, Michael ; Lighter, Daniel ; Balanos, George M. ; Lucas, Samuel John Edwin ; Dehghani, Hamid ; Su, Zhangjie ; Forcione, Mario ; Belli, Antonio</creatorcontrib><description>The Near-infrared spectroscopy (NIRS) has not been adopted as a mainstream monitoring modality in acute neurosurgical care due to concerns about its reliability and consistency. However, improvements in NIRS parameter recovery techniques are now available that may improve the quantitative accuracy of NIRS for this clinical context. Therefore, the aim of this study was to compare the abilities of a continuous-wave (CW) NIRS device with a similarly clinically viable NIRS device utilising a frequency-domain (FD) parameter recovery technique in detecting changes in cerebral tissue saturation during stepwise increases of experimentally induced hypoxia. Nine healthy individuals (6M/3F) underwent a dynamic end-tidal forced manipulation of their expiratory gases to induce a stepwise induced hypoxia. The minimum end-tidal oxygen partial pressure (EtO 2 ) achieved was 40 mm Hg. Simultaneous neurological and extra-cranial tissue NIRS reading were obtained during this protocol by both tested devices. Both devices detected significant changes in cerebral tissue saturation during the induction of hypoxia (CW 9.8 ± 2.3 %; FD 7.0 ± 3.4 %; Wilcoxon signed rank test P  &lt; 0.01 for both devices). No significant difference was observed between the saturation changes observed by either device ( P  = 0.625). An observably greater degree of noise was noticed in parameters recovered by the FD device, and both demonstrated equally variable baseline readings (Coefficient of variance 8.4 and 9.7 % for the CW and FD devices, respectively) between individuals tested. No advantageous difference was observed in parameters recovered from the FD device compared with those detected by CW.</description><identifier>ISSN: 1387-1307</identifier><identifier>EISSN: 1573-2614</identifier><identifier>DOI: 10.1007/s10877-016-9942-5</identifier><identifier>PMID: 27778208</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Anesthesiology ; Change detection ; Critical Care Medicine ; Devices ; Health Sciences ; Hypoxia ; Infrared spectra ; Infrared spectroscopy ; Intensive ; Medicine ; Medicine &amp; Public Health ; Near infrared radiation ; Original Research ; Partial pressure ; Recovery ; Saturation ; Spectrum analysis ; Statistics for Life Sciences</subject><ispartof>Journal of clinical monitoring and computing, 2017-10, Vol.31 (5), p.967-974</ispartof><rights>The Author(s) 2016</rights><rights>Journal of Clinical Monitoring and Computing is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023</citedby><cites>FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27778208$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, David James</creatorcontrib><creatorcontrib>Clancy, Michael</creatorcontrib><creatorcontrib>Lighter, Daniel</creatorcontrib><creatorcontrib>Balanos, George M.</creatorcontrib><creatorcontrib>Lucas, Samuel John Edwin</creatorcontrib><creatorcontrib>Dehghani, Hamid</creatorcontrib><creatorcontrib>Su, Zhangjie</creatorcontrib><creatorcontrib>Forcione, Mario</creatorcontrib><creatorcontrib>Belli, Antonio</creatorcontrib><title>Frequency-domain vs continuous-wave near-infrared spectroscopy devices: a comparison of clinically viable monitors in controlled hypoxia</title><title>Journal of clinical monitoring and computing</title><addtitle>J Clin Monit Comput</addtitle><addtitle>J Clin Monit Comput</addtitle><description>The Near-infrared spectroscopy (NIRS) has not been adopted as a mainstream monitoring modality in acute neurosurgical care due to concerns about its reliability and consistency. However, improvements in NIRS parameter recovery techniques are now available that may improve the quantitative accuracy of NIRS for this clinical context. Therefore, the aim of this study was to compare the abilities of a continuous-wave (CW) NIRS device with a similarly clinically viable NIRS device utilising a frequency-domain (FD) parameter recovery technique in detecting changes in cerebral tissue saturation during stepwise increases of experimentally induced hypoxia. Nine healthy individuals (6M/3F) underwent a dynamic end-tidal forced manipulation of their expiratory gases to induce a stepwise induced hypoxia. The minimum end-tidal oxygen partial pressure (EtO 2 ) achieved was 40 mm Hg. Simultaneous neurological and extra-cranial tissue NIRS reading were obtained during this protocol by both tested devices. Both devices detected significant changes in cerebral tissue saturation during the induction of hypoxia (CW 9.8 ± 2.3 %; FD 7.0 ± 3.4 %; Wilcoxon signed rank test P  &lt; 0.01 for both devices). No significant difference was observed between the saturation changes observed by either device ( P  = 0.625). An observably greater degree of noise was noticed in parameters recovered by the FD device, and both demonstrated equally variable baseline readings (Coefficient of variance 8.4 and 9.7 % for the CW and FD devices, respectively) between individuals tested. No advantageous difference was observed in parameters recovered from the FD device compared with those detected by CW.</description><subject>Anesthesiology</subject><subject>Change detection</subject><subject>Critical Care Medicine</subject><subject>Devices</subject><subject>Health Sciences</subject><subject>Hypoxia</subject><subject>Infrared spectra</subject><subject>Infrared spectroscopy</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Near infrared radiation</subject><subject>Original Research</subject><subject>Partial pressure</subject><subject>Recovery</subject><subject>Saturation</subject><subject>Spectrum analysis</subject><subject>Statistics for Life Sciences</subject><issn>1387-1307</issn><issn>1573-2614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1Uc1u1jAQjBCIlsIDcEGWuHAx-Cf-CQckVFFAqsQFzpbjOK0rxw52Esgb8Njsp69UBYmTV97Zmd2ZpnlOyWtKiHpTKdFKYUIl7rqWYfGgOaVCccwkbR9CzbXClBN10jyp9YYQ0mlOHzcnTCmlGdGnza-L4r-vPrkdD3myIaGtIpfTEtKa14p_2M2j5G3BIY3FFj-gOnu3lFxdnnc0-C04X98iC1PTbEuoOaE8IhdDCs7GuKMt2D56NOUUllwqApGDQskxAt31PuefwT5tHo02Vv_s9j1rvl18-Hr-CV9--fj5_P0ldoLLBXs6ypYOutV9xwcrVdtyBX8d6zm3Q0_92HHVcj1CUwo7-k6MVMpOkJ62hPGz5t2Rd177yQ_OwyI2mrmEyZbdZBvM350Urs1V3owQ4HFLgODVLUHJ4FxdzBSq8zHa5MExQzUXUjDONEBf_gO9yWtJcJ6hHdeSKS4loOgR5cDUWvx4twwl5pCzOeZsIGdzyNkImHlx_4q7iT_BAoAdARVa6cqXe9L_Zf0Nq3e3Hg</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Davies, David James</creator><creator>Clancy, Michael</creator><creator>Lighter, Daniel</creator><creator>Balanos, George M.</creator><creator>Lucas, Samuel John Edwin</creator><creator>Dehghani, Hamid</creator><creator>Su, Zhangjie</creator><creator>Forcione, Mario</creator><creator>Belli, Antonio</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7SC</scope><scope>7SP</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171001</creationdate><title>Frequency-domain vs continuous-wave near-infrared spectroscopy devices: a comparison of clinically viable monitors in controlled hypoxia</title><author>Davies, David James ; Clancy, Michael ; Lighter, Daniel ; Balanos, George M. ; Lucas, Samuel John Edwin ; Dehghani, Hamid ; Su, Zhangjie ; Forcione, Mario ; Belli, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Anesthesiology</topic><topic>Change detection</topic><topic>Critical Care Medicine</topic><topic>Devices</topic><topic>Health Sciences</topic><topic>Hypoxia</topic><topic>Infrared spectra</topic><topic>Infrared spectroscopy</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Near infrared radiation</topic><topic>Original Research</topic><topic>Partial pressure</topic><topic>Recovery</topic><topic>Saturation</topic><topic>Spectrum analysis</topic><topic>Statistics for Life Sciences</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davies, David James</creatorcontrib><creatorcontrib>Clancy, Michael</creatorcontrib><creatorcontrib>Lighter, Daniel</creatorcontrib><creatorcontrib>Balanos, George M.</creatorcontrib><creatorcontrib>Lucas, Samuel John Edwin</creatorcontrib><creatorcontrib>Dehghani, Hamid</creatorcontrib><creatorcontrib>Su, Zhangjie</creatorcontrib><creatorcontrib>Forcione, Mario</creatorcontrib><creatorcontrib>Belli, Antonio</creatorcontrib><collection>Springer_OA刊</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics &amp; Communications Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>ProQuest_Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer science database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts – Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest advanced technologies &amp; aerospace journals</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical monitoring and computing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davies, David James</au><au>Clancy, Michael</au><au>Lighter, Daniel</au><au>Balanos, George M.</au><au>Lucas, Samuel John Edwin</au><au>Dehghani, Hamid</au><au>Su, Zhangjie</au><au>Forcione, Mario</au><au>Belli, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency-domain vs continuous-wave near-infrared spectroscopy devices: a comparison of clinically viable monitors in controlled hypoxia</atitle><jtitle>Journal of clinical monitoring and computing</jtitle><stitle>J Clin Monit Comput</stitle><addtitle>J Clin Monit Comput</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>31</volume><issue>5</issue><spage>967</spage><epage>974</epage><pages>967-974</pages><issn>1387-1307</issn><eissn>1573-2614</eissn><abstract>The Near-infrared spectroscopy (NIRS) has not been adopted as a mainstream monitoring modality in acute neurosurgical care due to concerns about its reliability and consistency. However, improvements in NIRS parameter recovery techniques are now available that may improve the quantitative accuracy of NIRS for this clinical context. Therefore, the aim of this study was to compare the abilities of a continuous-wave (CW) NIRS device with a similarly clinically viable NIRS device utilising a frequency-domain (FD) parameter recovery technique in detecting changes in cerebral tissue saturation during stepwise increases of experimentally induced hypoxia. Nine healthy individuals (6M/3F) underwent a dynamic end-tidal forced manipulation of their expiratory gases to induce a stepwise induced hypoxia. The minimum end-tidal oxygen partial pressure (EtO 2 ) achieved was 40 mm Hg. Simultaneous neurological and extra-cranial tissue NIRS reading were obtained during this protocol by both tested devices. Both devices detected significant changes in cerebral tissue saturation during the induction of hypoxia (CW 9.8 ± 2.3 %; FD 7.0 ± 3.4 %; Wilcoxon signed rank test P  &lt; 0.01 for both devices). No significant difference was observed between the saturation changes observed by either device ( P  = 0.625). An observably greater degree of noise was noticed in parameters recovered by the FD device, and both demonstrated equally variable baseline readings (Coefficient of variance 8.4 and 9.7 % for the CW and FD devices, respectively) between individuals tested. No advantageous difference was observed in parameters recovered from the FD device compared with those detected by CW.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>27778208</pmid><doi>10.1007/s10877-016-9942-5</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1387-1307
ispartof Journal of clinical monitoring and computing, 2017-10, Vol.31 (5), p.967-974
issn 1387-1307
1573-2614
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5599440
source Springer Link
subjects Anesthesiology
Change detection
Critical Care Medicine
Devices
Health Sciences
Hypoxia
Infrared spectra
Infrared spectroscopy
Intensive
Medicine
Medicine & Public Health
Near infrared radiation
Original Research
Partial pressure
Recovery
Saturation
Spectrum analysis
Statistics for Life Sciences
title Frequency-domain vs continuous-wave near-infrared spectroscopy devices: a comparison of clinically viable monitors in controlled hypoxia
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T09%3A44%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Frequency-domain%20vs%20continuous-wave%20near-infrared%20spectroscopy%20devices:%20a%20comparison%20of%20clinically%20viable%20monitors%20in%20controlled%20hypoxia&rft.jtitle=Journal%20of%20clinical%20monitoring%20and%20computing&rft.au=Davies,%20David%20James&rft.date=2017-10-01&rft.volume=31&rft.issue=5&rft.spage=967&rft.epage=974&rft.pages=967-974&rft.issn=1387-1307&rft.eissn=1573-2614&rft_id=info:doi/10.1007/s10877-016-9942-5&rft_dat=%3Cproquest_pubme%3E1938627366%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c536t-e1f641d848b93da6744371f692b33adb1ef937438fda665afe95f166950b14023%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1938627366&rft_id=info:pmid/27778208&rfr_iscdi=true