Using transcranial near-infrared spectroscopy (NIRS) to measure changes in the redox state of
cerebral cytochrome c oxidase (Δ[oxCCO]) during functional activation
in healthy adults is hampered by instrumentation and algorithm issues. This study reports the
Δ[oxCCO] response measured in such a setting and investigates possible confounders of
this measurement. Continuous frontal lobe NIRS measurements were collected from 11 healthy
volunteers during a 6-minute anagram-solving task, using a hybrid optical spectrometer (pHOS)
that combines multi-distance frequency and broadband components. Only data sets showing a
hemodynamic response consistent with functional activation were interrogated for a
Δ[oxCCO] response. Simultaneous systemic monitoring data were also available. Possible
influences on the Δ[oxCCO] response were systematically investigated and there was no
effect of: 1) wavelength range chosen for fitting the measured attenuation spectra; 2) constant
or measured, with the pHOS in real-time, differential pathlength factor; 3) systemic
hemodynamic changes during functional activation; 4) changes in optical scattering during
functional activation. The Δ[oxCCO] response measured in the presence of functional
activation was heterogeneous, with the majority of subjects showing significant increase in
oxidation, but others having a decrease. We conclude that the heterogeneity in the
Δ[oxCCO] response is physiological and not induced by confounding factors in the
measurements.