Document Detail


Quantitation of cerebral blood volume in human infants by near-infrared spectroscopy.
MedLine Citation:
PMID:  2341336     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Current methods for measuring cerebral blood volume (CBV) in newborn infants are unsatisfactory. A new method is described in which the effect of a small change (5-10%) in arterial oxygen saturation (SaO2) on cerebral oxyhemoglobin [HbO2] and deoxyhemoglobin [Hb] concentration is observed by near-infrared (NIR) spectroscopy. Previous experiments in which the NIR absorption characteristics of HbO2 and Hb and the pathlength of NIR light through the brain were defined allowed changes in [HbO2] and [Hb] to be quantified from the Beer-Lambert law. It is shown here that CBV can then be derived from the expression CBV = (delta[HbO2] - delta[Hb])/(2. delta SaO2.H.R.), where H is the large vessel total hemoglobin concentration and R to the cerebral-to-large vessel hematocrit ratio. Observations on 12 newborn infants with normal brains, born at 25-40 wk of gestation and aged 10-240 h, gave a mean value for CBV of 2.22 +/- 0.40 (SD) ml/100 g, whereas mean CBV was significantly higher 3.00 +/- 1.04 ml/100 g in 10 infants with brain injury born at 24 to 42 wk of gestation and aged 4-168 h (P less than 0.05).
Authors:
J S Wyatt; M Cope; D T Delpy; C E Richardson; A D Edwards; S Wray; E O Reynolds
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  68     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-06-25     Completed Date:  1990-06-25     Revised Date:  2009-09-29    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1086-91     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University College London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Blood Volume*
Brain Injuries / blood,  physiopathology
Cerebrovascular Circulation*
Evaluation Studies as Topic
Hemoglobins / metabolism
Humans
Infant, Newborn
Oxyhemoglobins / metabolism
Reference Values
Spectrophotometry, Infrared / instrumentation,  methods*
Grant Support
ID/Acronym/Agency:
//Wellcome Trust
Chemical
Reg. No./Substance:
0/Hemoglobins; 0/Oxyhemoglobins; 9008-02-0/deoxyhemoglobin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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