Abstract

Cerebral edema is a common disease, secondary to craniocerebral injury, and real-time continuous monitoring of cerebral edema is crucial for treating patients after traumatic brain injury. This work established a noninvasive and noncontact system by monitoring the magnetic induction phase shift (MIPS) which is associated with brain tissue conductivity. Sixteen rabbits (experimental group n = 10, control group, n = 6) were used to perform a 24 h MIPS and intracranial pressure (ICP) simultaneously monitored experimental study. For the experimental group, after the establishment of epidural freeze-induced cerebral edema models, the MIPS presented a downward trend within 24 h, with a change magnitude of −13.1121 ± 2.3953°; the ICP presented an upward trend within 24 h, with a change magnitude of 12–41 mmHg. The ICP was negatively correlated with the MIPS. In the control group, the MIPS change amplitude was −0.87795 ± 1.5146 without obvious changes; the ICP fluctuated only slightly at the initial value of 12 mmHg. MIPS had a more sensitive performance than ICP in the early stage of cerebral edema. These results showed that this system is basically capable of monitoring gradual increases in the cerebral edema solution volume. To some extent, the MIPS has the potential to reflect the ICP changes.

Highlights

  • Cerebral edema is a common secondary disease following traumatic brain injury (TBI) which can be an important risk factor for mortality and poor outcome [1,2]

  • intracranial pressure (ICP) in the early stage of cerebral edema. These results showed that this system is basically capable of monitoring gradual increases in the cerebral edema solution volume

  • magnetic induction phase shift (MIPS) changed over time, but there was no clear upward or downward trend during the 24 h changed over time, but there was no clear upward or downward trend during the 24 h monitoring monitoring process

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Summary

Introduction

Cerebral edema is a common secondary disease following traumatic brain injury (TBI) which can be an important risk factor for mortality and poor outcome [1,2]. The real-time continuous monitoring of cerebral edema plays important roles in disease observation, treatment guidance, surgery timing determination and prognosis evaluation for patients after TBI. Cytotoxic (cellular) and vasogenic edema are two major types of edema. Both types of edema can develop into a vicious cycle until the brain swells uncontrollably, resulting in intracranial pressure (ICP) and permanent brain damage [3]. Cytotoxic cerebral edema is most commonly observed after TBI and can include cell swelling and the intracellular accumulation of water.

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