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Proceedings Paper

Investigation of prefrontal cerebral hemodynamics during quantitative autonomic testing using NIRS (Conference Presentation)

Paper Abstract

In this work, we analyzed the clinical applicability of NIRS for use during Quantitative Autonomic Testing (QAT). QAT is a protocol consisting of deep breathing, Valsalva maneuver, and tilt table examination. It is used to diagnose a patient with disorders of the autonomic nervous system (ANS). Disorders of ANS includes orthostatic hyper/hypotension, vasovagal syncope, and postural orthostatic tachycardia syndrome. The results of QAT are typically analyzed with the use of blood pressure and heart rate data, however these metrics may be influenced by factors such as arrhythmia, making the data interpretation and diagnosis difficult for clinicians. We tested our custom built 108-channel NIRS probe on 26 elderly patients during the QAT protocol with various ANS disorders. We found that prefrontal cerebral oxygenation correlated well with blood pressure and heart rate changes for all three tasks, making it a clinically feasible tool for observing ANS functionality. During the Valsalva maneuver, we observed a longer delayed and lower amplitude response of cerebral oxygenation to the prefrontal area in orthostatic intolerant patients. During the tilt table examination, we saw a larger response in cerebral oxygenation and less equal transient cerebral oxygenation during tilt up and tilt down in tilt table examinations that were positive (unhealthy), compared to tilt table examinations that were negative (healthy). Overall, our study showcases NIRS as an enhanced tool for understanding ANS disorders.

Paper Details

Date Published: 19 April 2017
PDF: 1 pages
Proc. SPIE 10050, Clinical and Translational Neurophotonics, 1005008 (19 April 2017); doi: 10.1117/12.2250711
Show Author Affiliations
Zephaniah Phillips V, Korea Univ. (Korea, Republic of)
Seung-Ho Paik, Korea Univ. (Korea, Republic of)
Yoohwan Kim, Korea Univ. Medical Ctr. (Korea, Republic of)
Byung-Jo Kim, Korea Univ. Medical Ctr. (Korea, Republic of)
Youngwoon Choi, Korea Univ. (Korea, Republic of)
Beop-Min Kim, Korea Univ. (Korea, Republic of)

Published in SPIE Proceedings Vol. 10050:
Clinical and Translational Neurophotonics
Steen J. Madsen; Victor X. D. Yang, Editor(s)

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