Cerebral autoregulation in the microvasculature measured with near-infrared spectroscopy

J Cereb Blood Flow Metab. 2015 Jun;35(6):959-66. doi: 10.1038/jcbfm.2015.5. Epub 2015 Feb 11.

Abstract

Cerebral autoregulation (CA) is the mechanism that allows the brain to maintain a stable blood flow despite changes in blood pressure. Dynamic CA can be quantified based on continuous measurements of systemic mean arterial pressure (MAP) and global cerebral blood flow. Here, we show that dynamic CA can be quantified also from local measurements that are sensitive to the microvasculature. We used near-infrared spectroscopy (NIRS) to measure temporal changes in oxy- and deoxy-hemoglobin concentrations in the prefrontal cortex of 11 human subjects. A novel hemodynamic model translates those changes into changes of cerebral blood volume and blood flow. The interplay between them is described by transfer function analysis, specifically by a high-pass filter whose cutoff frequency describes the autoregulation efficiency. We have used pneumatic thigh cuffs to induce MAP perturbation by a fast release during rest and during hyperventilation, which is known to enhance autoregulation. Based on our model, we found that the autoregulation cutoff frequency increased during hyperventilation in comparison to normal breathing in 10 out of 11 subjects, indicating a greater autoregulation efficiency. We have shown that autoregulation can reliably be measured noninvasively in the microvasculature, opening up the possibility of localized CA monitoring with NIRS.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cerebellar Cortex / blood supply*
  • Cerebellar Cortex / chemistry*
  • Cerebellar Cortex / physiology
  • Cerebrovascular Circulation*
  • Computer Simulation
  • Female
  • Hemodynamics
  • Hemoglobins / analysis*
  • Hemoglobins / metabolism
  • Homeostasis
  • Humans
  • Male
  • Microvessels / chemistry
  • Microvessels / physiology*
  • Middle Aged
  • Models, Biological
  • Optical Imaging / methods
  • Oxyhemoglobins / analysis*
  • Oxyhemoglobins / metabolism
  • Spectroscopy, Near-Infrared / methods*
  • Young Adult

Substances

  • Hemoglobins
  • Oxyhemoglobins
  • deoxyhemoglobin