Low frequency oscillations in cephalic vessels assessed by near infrared spectroscopy
Article first published online: 16 AUG 2012
© 2012 The Authors. European Journal of Clinical Investigation © 2012 Stichting European Society for Clinical Investigation Journal Foundation
European Journal of Clinical Investigation
Volume 42, Issue 11, pages 1180–1188, November 2012
How to Cite
Phillip, D., Schytz, H. W., Selb, J., Payne, S., Iversen, H. K., Skovgaard, L. T., Boas, D. A. and Ashina, M. (2012), Low frequency oscillations in cephalic vessels assessed by near infrared spectroscopy. European Journal of Clinical Investigation, 42: 1180–1188. doi: 10.1111/j.1365-2362.2012.02704.x
- Issue published online: 18 OCT 2012
- Article first published online: 16 AUG 2012
- Accepted manuscript online: 18 JUN 2012 10:31AM EST
- Received 14 October 2011; accepted 13 June 2012
- Cerebral autoregulation;
- low frequency oscillations;
- near infrared spectroscopy;
- transcranial Doppler
Eur J Clin Invest 2012; 42 (11): 1180–1188
Background and Methods Low frequency oscillations (LFO) of cerebral vessels are believed to reflect cerebral autoregulation. We investigated day-to-day and hemispheric variations in 0·1 Hz LFO with near infrared spectroscopy (NIRS) and transcranial Doppler (TCD) to determine phase shift and gain of oxygenated haemoglobin (oxyHb) and the velocity of the middle cerebral artery (Vmca) to the arterial blood pressure (ABP). The direct left–right phase shifts of oxyHb and Vmca were also assessed. We examined 44 healthy volunteers by simultaneous recordings of ABP, oxyHb and Vmca during spontaneous and paced breathing at 6 breaths per minute on two separate days.
Results The variation between hemispheres had a prediction interval (PI) of ±39° for ABP–oxyHb phase shift and ±69% for gain. ABP–Vmca showed ±57° PI phase shift and ±158% PI for gain. The variation from day to day showed ±61° PI for ABP–oxyHb phase shift and ±297% PI for gain. ABP–Vmca showed ±45° PI phase shift and ±166% PI for gain. We found a linear relation between phase shift of oxyHb and Vmca at paced breathing (P = 0·0005), but not at rest (P = 0·235).
Conclusion Our results show that LFO phase shift ABP–oxyHb may be used as a robust measurement of differences in autoregulation between hemispheres and over time. In addition, we found a strong relation between oxyHb and Vmca during paced breathing. Gain showed too large variation for clinical use, as the SD was up to 100-fold of mean values.