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Proceedings Paper

Compression of the photoprobe is effective in reducing Hb signals of the frontal skin in near infrared spectrophotometic cerebral tissue oximetry
Author(s): Eiichi Chihara; Toshikazu Shiga; Kazuhisa Tanabe; Yoshifumi Tanaka
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Paper Abstract

The cutaneous hemoglobin of the forehead can contribute to near infrared spectrophotometric cerebral tissue oximetry in both light scattering and absorption. Wide distance between the light source and detector was theoretically proved to increase substantial signal from cerebral tissue, however increase in signal to noise ratio was practically undesirable. The tight compression of the probe onto the head expels the subcutaneous blood, which is supposed to improve cerebral signal detection. The spectrophotometric effect of probe compression with a head band was examined by NIRS monitor having temporal resolution of 10 Hz which provided detailed information in tissue hemoglobin signals including pulsatile fluctuations. The measurement for healthy volunteers was done in both supine and sitting positions. The oxygenated Hb and total Hb levels significantly decreased with probe compression in supine position. Compared with pre-compression state, the amplitude of Oxy-Hb pulsation was reduced to 61.0 +/- 10.0 (mean +/- SD)% in sitting position, and 53.3 +/- 68% in supine position (p < 0.01). The postischemic hyperemia was also observed in every measurement. The results indicate that cutaneous blood in the scalp significantly contributes pulsatile Hb signals in cerebral NIRS, and probe compression is a good measure to reduce scalpel effect especially in supine position.

Paper Details

Date Published: 1 January 1998
PDF: 10 pages
Proc. SPIE 3194, Photon Propagation in Tissues III, (1 January 1998); doi: 10.1117/12.301086
Show Author Affiliations
Eiichi Chihara, Meiji Univ. of Oriental Medicine (Japan)
Toshikazu Shiga, Omron Institute of Life Science Co., Ltd. (Japan)
Kazuhisa Tanabe, Omron Institute of Life Science Co., Ltd. (Japan)
Yoshifumi Tanaka, Kyoto Prefectural Univ. of Medicine (Japan)

Published in SPIE Proceedings Vol. 3194:
Photon Propagation in Tissues III
David A. Benaron; Britton Chance; Marco Ferrari, Editor(s)

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