Assessment of a noninvasive cerebral oxygenation monitor in patients with severe traumatic brain injury

Rosenthal, Guy; Furmanov, Alex; Itshayek, Eyal; Shoshan, Yigal; Singh, Vineeta

doi:10.3171/2013.12.jns131089

Cited by 50 publications

(52 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, no comment was made on the clinical significance of these events and any differing agreement between the modalities with tissue hypoxia of differing magnitude. A largely negative outcome was reported in a more recent investigation by Rosenthal and coworkers 40 that evaluated the effectiveness of NIRS technology when combined with ultrasound pulsing against invasive multimodal monitoring in 18 patients with severe TBI. They concluded that the parameters recovered by NIRS did not correlate to PbrO 2 consistently (using the Licox Ò system).…”

Section: Davies Et Almentioning

confidence: 99%

“…They concluded that the parameters recovered by NIRS did not correlate to PbrO 2 consistently (using the Licox Ò system). These three aforementioned studies 15,19,40 utilized the Licox (Clarke cell based) system for PbrO 2 monitoring, without frequency domain or depth-resolved NIRS data acquisition. To date, no study has compared these modalities using either the alternative systems of measuring PbrO 2 or any of the data manipulation techniques discussed, including better depth-resolved outputs such as the TOI and THI.…”

Section: Davies Et Almentioning

confidence: 99%

See 1 more Smart Citation

Near-Infrared Spectroscopy in the Monitoring of Adult Traumatic Brain Injury: A Review

Davies

Clancy

et al. 2015

Journal of Neurotrauma

128

101

View full text Add to dashboard Cite

Cerebral near-infrared spectroscopy (NIRS) has long represented an exciting prospect for the noninvasive monitoring of cerebral tissue oxygenation and perfusion in the context of traumatic brain injury (TBI), although uncertainty still exists regarding the reliability of this technology specifically within this field. We have undertaken a review of the existing literature relating to the application of NIRS within TBI. We discuss current ''state-of-the-art'' NIRS monitoring, provide a brief background of the technology, and discuss the evidence regarding the ability of NIRS to substitute for established invasive monitoring in TBI.

show abstract

Section: Davies Et Almentioning

confidence: 99%

Section: Davies Et Almentioning

confidence: 99%

Near-Infrared Spectroscopy in the Monitoring of Adult Traumatic Brain Injury: A Review

Davies

Clancy

et al. 2015

Journal of Neurotrauma

128

101

View full text Add to dashboard Cite

show abstract

“…It remains uncertain whether neuroimaging provides additional or similar information as continuous neuromonitoring utilizing invasive probes [13][14][15][16][17][18][19] or noninvasive cerebral hemodynamic and electrophysiologic methods [20][21][22][23]. While a detailed discussion of the latter methods is outside the scope of this review, multiple imaging studies have sought to assess how imaging may facilitate detection of edema, tissue shifts, and herniation in order to guide management.…”

Section: Head Computed Tomographymentioning

confidence: 99%

Diagnostic, Prognostic, and Advanced Imaging in Severe Traumatic Brain Injury

Edlow

Rosenthal

2015

Curr Trauma Rep

View full text Add to dashboard Cite

Neuroimaging techniques such as head computed tomography (CT) are frequently used to guide neurosurgical and neurocritical care of civilian and military patients with severe traumatic brain injury (sTBI). Although less widely available, brain magnetic resonance imaging (MRI) enhances detection of traumatic axonal injury and therefore improves the accuracy of outcome prediction for patients with sTBI. Nevertheless, over the past several years, emerging evidence has revealed that conventional MRI also has limitations as a prognostic tool in sTBI. Thus, there is growing interest in the development of advanced imaging techniques to guide prognostication and therapeutic decision-making. These advanced imaging techniques enable measurement of the brain's structural and functional connectivity, as well as its perfusion, metabolism, and responses to stimuli. In this review, we discuss the clinical applications and limitations of head CT and conventional MRI, as well as evidence demonstrating that advanced imaging techniques may improve the accuracy of prognostication for patients with sTBI.

show abstract

“…In this vein, Leal-Noval et al 25 illustrated that PbtO 2 and rSO 2 are significantly related, but concluded that NIRS diagnostic accuracy is too limited and not sensitive enough regarding small changes in cerebral oxygenation to replace invasive PbO 2 monitoring. Studies examining the correlation of NIRS measures to jugular bulb venous oxygen saturation, [26][27][28] as well as microdialysis, 29 show a similar degree of uncertainty, largely due to technological limitations of the NIRS monitoring devices as well as difficulties in computational methodology.…”

Section: Near-infrared Spectroscopy For Monitoring Cerebral Autoregulmentioning

confidence: 99%

Clinical application of near-infrared spectroscopy in patients with traumatic brain injury: a review of the progress of the field

2016

View full text Add to dashboard Cite

Abstract. Near-infrared spectroscopy (NIRS) is a technique by which the interaction between light in the nearinfrared spectrum and matter can be quantitatively measured to provide information about the particular chromophore. Study into the clinical application of NIRS for traumatic brain injury (TBI) began in the 1990s with early reports of the ability to detect intracranial hematomas using NIRS. We highlight the advances in clinical applications of NIRS over the past two decades as they relate to TBI. We discuss recent studies evaluating NIRS techniques for intracranial hematoma detection, followed by the clinical application of NIRS in intracranial pressure and brain oxygenation measurement, and conclude with a summary of potential future uses of NIRS in TBI patient management. © The Authors. Published by SPIE under a Creative Commons Attribution 3.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.

show abstract

Assessment of a noninvasive cerebral oxygenation monitor in patients with severe traumatic brain injury

Cited by 50 publications

References 36 publications

Near-Infrared Spectroscopy in the Monitoring of Adult Traumatic Brain Injury: A Review

Near-Infrared Spectroscopy in the Monitoring of Adult Traumatic Brain Injury: A Review

Diagnostic, Prognostic, and Advanced Imaging in Severe Traumatic Brain Injury

Clinical application of near-infrared spectroscopy in patients with traumatic brain injury: a review of the progress of the field

Contact Info

Product

Resources

About