Changes In Total Hemoglobin Concentration Research Articles

Neural Function Desynchronisation in Left and Right Dorsolateral Prefrontal Cortices During Virtual Reality Earthquake Video Viewing.

During natural disasters such as earthquakes, individuals are required to evacuate calmly amidst significant emotional distress, presenting a considerable challenge. Very few studies have measured emotional responses during disasters, and the emotional responses and brain activity during natural disasters are poorly understood. Therefore, this study aimed to investigate emotional responses during an earthquake using immersive virtual reality (VR), focusing on changes in neural connectivity in the left and right dorsolateral prefrontal cortices (DLPFCs). We measured changes in total haemoglobin concentration (Δtotal-Hb) using 2-channel near infrared spectroscopy (NIRS) while 24 healthy young adults viewed earthquake and neutral videos through a head-mounted display (HMD). Spearman's correlation analysis was applied to the time variation in Δtotal-Hb in the left and right DLPFCs, independently for seismic or neutral video conditions. The findings revealed a negative correlation between the left and right total haemoglobin concentration changes during the earthquake video (ρ=-0.53). Conversely, individuals exposed to the neutral video exhibited a positive correlation (ρ=0.75). The present steady-state analysis suggests that emotional changes induced by virtual earthquake videos disturbed steady-state neural synchronisation between the left and right DLPFCs.

Using near-infrared spectroscopy and a random forest regressor to estimate intracranial pressure.

.SignificanceIntracranial pressure (ICP) measurements are important for patient treatment but are invasive and prone to complications. Noninvasive ICP monitoring methods exist, but they suffer from poor accuracy, lack of generalizability, or high cost.AimWe previously showed that cerebral blood flow (CBF) cardiac waveforms measured with diffuse correlation spectroscopy can be used for noninvasive ICP monitoring. Here we extend the approach to cardiac waveforms measured with near-infrared spectroscopy (NIRS).ApproachChanges in hemoglobin concentrations were measured in eight nonhuman primates, in addition to invasive ICP, arterial blood pressure, and CBF changes. Features of average cardiac waveforms in hemoglobin and CBF signals were used to train a random forest (RF) regressor.ResultsThe RF regressor achieves a cross-validated ICP estimation of , mean squared error (MSE), and 95% confidence interval (CI) of on oxyhemoglobin concentration changes; , MSE, and 95% CI of on total hemoglobin concentration changes; and , MSE, and 95% CI of on CBF changes.ConclusionsThis study provides a proof of concept for the use of NIRS in noninvasive ICP estimation.

Physiological and Pathological Brain Activation in the Anesthetized Rat Produces Hemodynamic-Dependent Cortical Temperature Increases That Can Confound the BOLD fMRI Signal.

Anesthetized rodent models are ubiquitous in pre-clinical neuroimaging studies. However, because the associated cerebral morphology and experimental methodology results in a profound negative brain-core temperature differential, cerebral temperature changes during functional activation are likely to be principally driven by local inflow of fresh, core-temperature, blood. This presents a confound to the interpretation of blood-oxygenation level-dependent (BOLD) functional magnetic resonance imaging (fMRI) data acquired from such models, since this signal is also critically temperature-dependent. Nevertheless, previous investigation on the subject is surprisingly sparse. Here, we address this issue through use of a novel multi-modal methodology in the urethane anesthetized rat. We reveal that sensory stimulation, hypercapnia and recurrent acute seizures induce significant increases in cortical temperature that are preferentially correlated to changes in total hemoglobin concentration (Hbt), relative to cerebral blood flow and oxidative metabolism. Furthermore, using a phantom-based evaluation of the effect of such temperature changes on the BOLD fMRI signal, we demonstrate a robust inverse relationship between both variables. These findings suggest that temperature increases, due to functional hyperemia, should be accounted for to ensure accurate interpretation of BOLD fMRI signals in pre-clinical neuroimaging studies.

Intrinsic optical signal imaging of the blood volume changes is sufficient for mapping the resting state functional connectivity in the rodent cortex

Objective. Resting state functional connectivity (RSFC) allows the study of functional organization in normal and diseased brain by measuring the spontaneous brain activity generated under resting conditions. Intrinsic optical signal imaging (IOSI) based on multiple illumination wavelengths has been used successfully to compute RSFC maps in animal studies. The IOSI setup complexity would be greatly reduced if only a single wavelength can be used to obtain comparable RSFC maps. Approach. We used anesthetized mice and performed various comparisons between the RSFC maps based on single wavelength as well as oxy-, deoxy- and total hemoglobin concentration changes. Main results. The RSFC maps based on IOSI at a single wavelength selected for sensitivity to the blood volume changes are quantitatively comparable to the RSFC maps based on oxy- and total hemoglobin concentration changes obtained by the more complex IOSI setups. Moreover, RSFC maps do not require CCD cameras with very high frame acquisition rates, since our results demonstrate that they can be computed from the data obtained at frame rates as low as 5 Hz. Significance. Our results will have general utility for guiding future RSFC studies based on IOSI and making decisions about the IOSI system designs.

Predicting Treatment Response of Breast Cancer to Neoadjuvant Chemotherapy Using Ultrasound-Guided Diffuse Optical Tomography

PURPOSE: To prospectively investigate ultrasound-guided diffuse optical tomography (US-guided DOT) in predicting breast cancer response to neoadjuvant chemotherapy (NAC). MATERIALS AND METHODS: Eighty-eight breast cancer patients, with a total of 93 lesions, were included in our study. Pre– and post–last chemotherapy, size and total hemoglobin concentration (THC) of each lesion were measured by conventional US and US-guided DOT 1 day before biopsy (time point t0, THC THC0, SIZE S0) and 1 to 2 days before surgery (time point tL, THCL, SL). The relative changes in THC and SIZE of lesions after the first and last NAC cycles were considered as the variables ΔTHC and ΔSIZE. Receiver operating characteristic curve was performed to calculate ΔTHC and ΔSIZE cutoff values to evaluate pathologic response of 93 breast cancers to NAC, which were then prospectively used to predicate response of 61 breast cancers to NAC. RESULTS: The cutoff values of ΔTHC and ΔSIZE for evaluation of breast cancers NAC treatment response were 23.9% and 42.6%. At ΔTHC 23.9%, the predicted treatment response in 61 breast lesions for the time points t1 to t3 was calculated by area under the curve (AUC), which were AUC1 0.534 (P=.6668), AUC2 0.604 (P=.1893), and AUC3 0.674(P =. 0.027), respectively; for ΔSIZE 42.6%, at time points t1 to t3, AUC1 0.505 (P=.9121), AUC2 0.645 (P=.0115), and AUC3 0.719 (P=.0018). CONCLUSION: US-guided DOT ΔTHC 23.9% and US ΔSIZE 42.6% can be used for the response evaluation and earlier prediction of the pathological response after three rounds of chemotherapy.

Quantitative phase-filtered wavelength-modulated differential photoacoustic radar tumor hypoxia imaging toward early cancer detection.

Overcoming the limitations of conventional linear spectroscopy used in multispectral photoacoustic imaging, wherein a linear relationship is assumed between the absorbed optical energy and the absorption spectra of the chromophore at a specific location, is crucial for obtaining accurate spatially-resolved quantitative functional information by exploiting known chromophore-specific spectral characteristics. This study introduces a non-invasive phase-filtered differential photoacoustic technique, wavelength-modulated differential photoacoustic radar (WM-DPAR) imaging that addresses this issue by eliminating the effect of the unknown wavelength-dependent fluence. It employs two laser wavelengths modulated out-of-phase to significantly suppress background absorption while amplifying the difference between the two photoacoustic signals. This facilitates pre-malignant tumor identification and hypoxia monitoring, as minute changes in total hemoglobin concentration and hemoglobin oxygenation are detectable. The system can be tuned for specific applications such as cancer screening and SO2 quantification by regulating the amplitude ratio and phase shift of the signal. The WM-DPAR imaging of a head and neck carcinoma tumor grown in the thigh of a nude rat demonstrates the functional PA imaging of small animals in vivo. The PA appearance of the tumor in relation to tumor vascularity is investigated by immunohistochemistry. Phase-filtered WM-DPAR imaging is also illustrated, maximizing quantitative SO2 imaging fidelity of tissues. Oxygenation levels within a tumor grown in the thigh of a nude rat using the two-wavelength phase-filtered differential PAR method.

Near Infrared Spectroscopy (NIRS): A Pilot Study to Measure Hemoglobin Concentration Changes in the Brains of Persons who Stutter and Typically Fluent Speakers

Near infrared spectroscopy (NIRS) is a diffuse optical technique that has been used to measure oxy-, de-oxy, and total hemoglobin concentration changes in real-time at the surface of the brain. NIRS relies on neuro-vascular coupling—Blood-Oxygenation–Level-Dependent (BOLD) response—and measures hemoglobin concentration changes through the use of a light source (infra-red) in a safe region of the electromagnetic spectrum. We conducted a pilot study with NIRS to determine whether there were hemoglobin concentration changes in the brains of persons who stutter and typically fluent speakers during reading, counting, and free speech. Results indicate that as the complexity of the task increased, the magnitude of the hemoglobin concentration change increased.Overall, these three speech tasks caused hemoglobin concentration changes in Broca's area, Wernicke's area, and other areas of the brain.

Wavelength-Modulated Differential Photoacoustic Spectroscopy (WM-DPAS) for noninvasive early cancer detection and tissue hypoxia monitoring.

This study introduces a novel noninvasive differential photoacoustic method, Wavelength Modulated Differential Photoacoustic Spectroscopy (WM-DPAS), for noninvasive early cancer detection and continuous hypoxia monitoring through ultrasensitive measurements of hemoglobin oxygenation levels (StO2 ). Unlike conventional photoacoustic spectroscopy, WM-DPAS measures simultaneously two signals induced from square-wave modulated laser beams at two different wavelengths where the absorption difference between maximum deoxy- and oxy-hemoglobin is 680 nm, and minimum (zero) 808 nm (the isosbestic point). The two-wavelength measurement efficiently suppresses background, greatly enhances the signal to noise ratio and thus enables WM-DPAS to detect very small changes in total hemoglobin concentration (CHb ) and oxygenation levels, thereby identifying pre-malignant tumors before they are anatomically apparent. The non-invasive nature also makes WM-DPAS the best candidate for ICU bedside hypoxia monitoring in stroke patients. Sensitivity tunability is another special feature of the technology: WM-DPAS can be tuned for different applications such as quick cancer screening and accurate StO2 quantification by selecting a pair of parameters, signal amplitude ratio and phase shift. The WM-DPAS theory has been validated with sheep blood phantom measurements. Sensitivity comparison between conventional single-ended signal and differential signal.

Wavelength-Modulated Differential Photoacoustic Spectroscopy (WM-DPAS): Theory of a High-Sensitivity Methodology for the Detection of Early-Stage Tumors in Tissues

In the field of medical diagnostics, biomedical photoacoustics (PA) is a non-invasive hybrid optical-ultrasonic imaging modality. Due to the unique hybrid capability of optical and acoustic imaging, PA imaging has risen to the frontiers of medical diagnostic procedures such as human breast cancer detection. While conventional PA imaging has been mainly carried out by a high-power pulsed laser, an alternative technology, the frequency domain biophotoacoustic radar (FD-PAR) is under intensive development. It utilizes a continuous wave optical source with the laser intensity modulated by a frequency-swept waveform for acoustic wave generation. The small amplitude of the generated acoustic wave is significantly compensated by increased signal-to-noise ratio (several orders of magnitude) using matched-filter and pulse compression correlation processing in a manner similar to radar systems. The current study introduces the theory of a novel FD-PAR modality for ultra-sensitive characterization of functional information for breast cancer imaging. The newly developed theory of wavelength-modulated differential PA spectroscopy (WM-DPAS) detection has been introduced to address angiogenesis and hypoxia monitoring, two well-known benchmarks of breast tumor formation. Based on the WM-DPAS theory, this modality efficiently suppresses background absorptions and is expected to detect very small changes in total hemoglobin concentration and oxygenation levels, thereby identifying pre-malignant tumors before they are anatomically apparent. An experimental system design for the WM-DPAS is presented and preliminary single-ended laser experimental results were obtained and compared to a limiting case of the developed theoretical formalism.

Hemodynamic and affective correlates assessed during performance on the Columbia Card Task (CCT)

The study aimed to test the potential of functional near-infrared spectroscopy (fNIRS) in combination with electrodermal activity (EDA) in a decision paradigm by means of the Columbia card task (CCT). The CCT is a dynamic decision task characterized by assessing subjects' risk-taking via eliciting voluntary stopping points in a series of incrementally increasingly risky choices. Using the combined fNIRS-EDA approach, we aim to examine the hemodynamic and affective correlates of both decision and outcome responses during performance on the CCT. Twenty healthy subjects completed the Cold and Hot CCT version while fNIRS over prefrontal cortex and EDA were recorded. Results showed that (1) in the decision phase fNIRS revealed larger total hemoglobin concentration changes [tHb] in the Cold as compared to the Hot CCT, whereas EDA revealed an opposite pattern with larger skin conductance responses (SCRs) to the Hot as compared to the Cold CCT. (2) No significant [tHb] signals or SCRs were found in the outcome phase. (3) Coherence calculations between fNIRS and EDA in the heart rate frequency showed a significant increase during the Hot as compared to the Cold CCT. Our findings designate fNIRS as suitable tool for monitoring decision-making processes. The combination of fNIRS and EDA demonstrates the potential of simultaneously assessing the interaction between hemodynamic and affective responses which can provide additional information concerning the relationship between these two physiological systems for various research areas.

Between-brain coherence during joint n-back task performance: A two-person functional near-infrared spectroscopy study

The present study aimed to step into two-person neuroscience by investigating the hemodynamic correlates of between-brain connectivity during joint task performance. To test this approach, wireless functional near-infrared spectroscopy (fNIRS) was used to record brain signals during performance of a dual n-back task simultaneously in paired players as compared to single players.Evaluating functional connectivity between the paired players’ brains using wavelet transform coherence (WTC) analysis revealed (1) a significant increase in between-brain coherence during joint task performance as compared to baseline condition. These patterns were observed in two frequency bands, i.e. in the heart rate (HR) frequency and in low-frequency oscillations (LFOs). (2) Averaged hemodynamic responses revealed larger responses in total hemoglobin concentration changes [tHb] for the paired players as compared to the single players; in addition, within the paired players groups joint task performance revealed larger changes in [tHb] as compared to a rest period and to a baseline condition. (3) No increase in behavioral performance was found in the paired players as compared to the single players.Our findings designate fNIRS as suitable tool for monitoring interpersonal performances between two subjects. The results show that two-person performance leads to relevant and significant effects, which are detectable using between-brain connectivity analysis. Using this approach can provide additional insight into interpersonal activation patterns not detectable using typical one-person experiments. Our study demonstrates the potential of simultaneously assessing cerebral hemodynamic responses for various two-person experimental paradigms and research areas where interpersonal performances are involved.

Transcranial Imaging of Functional Cerebral Hemodynamic Changes in Single Blood Vessels using in vivo Photoacoustic Microscopy

Optical imaging of changes in total hemoglobin concentration (HbT), cerebral blood volume (CBV), and hemoglobin oxygen saturation (SO(2)) provides a means to investigate brain hemodynamic regulation. However, high-resolution transcranial imaging remains challenging. In this study, we applied a novel functional photoacoustic microscopy technique to probe the responses of single cortical vessels to left forepaw electrical stimulation in mice with intact skulls. Functional changes in HbT, CBV, and SO(2) in the superior sagittal sinus and different-sized arterioles from the anterior cerebral artery system were bilaterally imaged with unambiguous 36 × 65-μm(2) spatial resolution. In addition, an early decrease of SO(2) in single blood vessels during activation (i.e., 'the initial dip') was observed. Our results indicate that the initial dip occurred specifically in small arterioles of activated regions but not in large veins. This technique complements other existing imaging approaches for the investigation of the hemodynamic responses in single cerebral blood vessels.

Correlation of functional and resting state connectivity of cerebral oxy-, deoxy-, and total hemoglobin concentration changes measured by near-infrared spectrophotometry

The aim is to study cerebral vascular functional connectivity during motor tasks and resting state using multichannel frequency-domain near-infrared spectrophotometry. Maps of 5.7 × 10.8 cm size displaying changes in cerebral oxyhemoglobin (O(2)Hb), deoxyhemoglobin (HHb), and total hemoglobin (tHb) concentrations were measured in the motor cortex in 12 subjects (mean age of 28.8±12.7 yrs) during resting state and during two palm squeezing tasks with different timing. For each condition, phase plane plots, cross correlation functions, and connectivity indices were generated for O(2)Hb, HHb, and tHb. The amplitude of the concentration changes in O(2)Hb and HHb depends on the age of the subject. We found large regions of connectivity, which were similar for resting state and task conditions. This means the spatial relationships during resting state, when changes in O(2)Hb, HHb, and tHb corresponded to spontaneous oscillations, were correlated to the spatial patterns during the activation tasks, when changes in O(2)Hb, HHb, and tHb concentration were related to the alternation of stimulation and rest. Thus, the vascular functional connectivity was also present during resting state. The findings suggest that the vascular response to functional activation may be a nonlinear synchronization phenomenon and that resting state processes are more important than previously expected.

Optical Imaging: A New Window to the Adult Brain

Noninvasive optical imaging is an emerging method of functional neuroimaging that has major advantages that make it particularly suited to both basic and clinical neuroscience research as well as to clinical practice.2–7 It has great promise for contributing to neuropsychiatry.2 The required equipment is compact and portable, it is relatively easy to use, and the method is relatively tolerant of subject movement. Studies can be performed in almost any location including at the bedside and in natural settings. Patients who are not good candidates for more traditional functional imaging methods (e.g., functional MRI [fMRI] and positron emission tomography [PET]) often do well with optical imaging, as it does not require absolute stillness or confinement and has no associated loud noises. It is also safe to use in the presence of metal (e.g., plates, pins, pacemakers), an important consideration for some populations of interest. It has much faster time resolution than most other functional imaging techniques and can easily provide repeated within-subject measures. Other major advantages are low cost and high safety. Like surface electroencephalography (EEG), optical imaging captures activation-related changes only from the cerebral cortex. Historically, the major disadvantages of optical imaging have been its lower spatial resolution and smaller regions of coverage, areas of major improvement over the last decade. Use of optical imaging for monitoring of cerebral state in high-risk situations (e.g., neurosurgery, intensive care unit), while an important clinical application, is outside the scope of this review.8–10

Imaging brain hemodynamic changes during rat forepaw electrical stimulation using functional photoacoustic microscopy

The present study reported the development of a novel functional photoacoustic microscopy (fPAM) system for investigating hemodynamic changes in rat cortical vessels associated with electrical forepaw stimulation. Imaging of blood optical absorption by fPAM at multiple appropriately-selected and distinct wavelengths can be used to probe changes in total hemoglobin concentration (HbT, i.e., cerebral blood volume [CBV]) and hemoglobin oxygen saturation (SO 2). Changes in CBV were measured by images acquired at a wavelength of 570 nm ( λ 570), an isosbestic point of the molar extinction spectra of oxy- and deoxy-hemoglobin, whereas SO 2 changes were sensed by pixel-wise normalization of images acquired at λ 560 or λ 600 to those at λ 570. We demonstrated the capacity of the fPAM system to image and quantify significant contralateral changes in both SO 2 and CBV driven by electrical forepaw stimulation. The fPAM system complements existing imaging techniques, with the potential to serve as a favorable tool for explicitly studying brain hemodynamics in animal models.

Identifying Cortical Lateralization of Speech Processing in Infants Using Near-Infrared Spectroscopy

We investigate the utility of near-infrared spectroscopy (NIRS) as an alternative technique for studying infant speech processing. NIRS is an optical imaging technology that uses relative changes in total hemoglobin concentration and oxygenation as an indicator of neural activation. Procedurally, NIRS has the advantage over more common methods (e.g., fMRI) in that it can be used to study the neural responses of behaviorally active infants. Older infants (aged 6–9 months) were allowed to sit on their caretakers' laps during stimulus presentation to determine relative differences in focal activity in the temporal region of the brain during speech processing. Results revealed a dissociation of sensory-specific processing in two cortical regions, the left and right temporal lobes. These findings are consistent with those obtained using other neurophysiological methods and point to the utility of NIRS as a means of establishing neural correlates of language development in older (and more active) infants.

Assessing infants' cortical response to speech using near-infrared spectroscopy

Sensitivity to spoken language is an integral part of infants' formative development, yet relatively little is known about the neural mechanisms that underlie the emerging ability to perceive and process speech. This is in large part because there are a limited number of non-invasive techniques available to measure brain functioning in human infants. Near-infrared spectroscopy (NIRS), an optical imaging technique that estimates changes in neuronal activity by measuring changes in total hemoglobin concentration and oxygenation, may be a viable procedure for assessing the relation between speech processing and brain function in human infants. While auditory processing data have been gathered from newborn and preterm infants using NIRS, such data have not been collected from older infants. Many behavioral measures used to establish linguistic sensitivity in this population are accompanied by visual stimuli; however, it is unclear how coupling of auditory and visual stimuli influences neural processing. Here we studied cortical activity in infants aged 6–9 months, as measured by NIRS, during exposure to linguistic stimuli paired with visual stimuli and compared this to the activity observed in the same regions during exposure to visual stimuli alone. Results dissociate infants' hemodynamic responses to multimodal and unimodal stimuli, demonstrating the utility of NIRS for studying perceptual development in infants. In particular, these findings support the use of NIRS to study the neurobiology of language development in older infants, a task that is difficult to accomplish without the use of attention-getting visual stimuli.

Time-resolved diffuse optical tomographic imaging for the provision of both anatomical and functional information about biological tissue

We present in vivo images of near-infrared (NIR) diffuse optical tomography (DOT) of human lower legs and forearm to validate the dual functions of a time-resolved (TR) NIR DOT in clinical diagnosis, i.e., to provide anatomical and functional information simultaneously. The NIR DOT system is composed of time-correlated single-photon-counting channels, and the image reconstruction algorithm is based on the modified generalized pulsed spectral technique, which effectively incorporates the TR data with reasonable computation time. The reconstructed scattering images of both the lower legs and the forearm revealed their anatomies, in which the bones were clearly distinguished from the muscles. In the absorption images, some of the blood vessels were observable. In the functional imaging, a subject was requested to do handgripping exercise to stimulate physiological changes in the forearm tissue. The images of oxyhemoglobin, deoxyhemoglobin, and total hemoglobin concentration changes in the forearm were obtained from the differential images of the absorption at three wavelengths between the exercise and the rest states, which were reconstructed with a differential imaging scheme. These images showed increases in both blood volume and oxyhemoglobin concentration in the arteries and simultaneously showed hypoxia in the corresponding muscles. All the results have demonstrated the capability of TR NIR DOT by reconstruction of the absolute images of the scattering and the absorption with a high spatial resolution that finally provided both the anatomical and functional information inside bulky biological tissues.

Using near-infrared spectroscopy to assess neural activation during object processing in infants

The capacity to represent the world in terms of numerically distinct objects (i.e., object individuation) is a milestone in early cognitive development and forms the foundation for more complex thought and behavior. Over the past 10 to 15 yr, infant researchers have expended a great deal of effort to identify the origins and development of this capacity. In contrast, relatively little is known about the neural mechanisms that underlie the ability to individuate objects, in large part because there are a limited number of noninvasive techniques available to measure brain functioning in human infants. Recent research suggests that near-IR spectroscopy (NIRS), an optical imaging technique that uses relative changes in total hemoglobin concentration and oxygenation as an indicator of neural activation, may be a viable procedure for assessing the relation between object processing and brain function in human infants. We examine the extent to which increased neural activation, as measured by NIRS, could be observed in two neural areas known to be involved in object processing, the primary visual cortex and the inferior temporal cortex, during an object processing task. Infants aged 6.5 months are presented with a visual event in which two featurally distinct objects emerge successively to opposite sides of an occluder and neuroimaging data are collected. As predicted, increased neural activation is observed in both the primary visual and inferior cortex during the visual event, suggesting that these neural areas support object processing in the young infant. The outcome has important implications for research in cognitive development, developmental neuroscience, and optical imaging.

Estimated fraction of tumor vascular blood contents sampled by near infrared spectroscopy and ^19F magnetic resonance spectroscopy

This study introduces an experimental approach to estimate percentage of hemoglobin content and volume sampled by near infrared spectroscopy (NIRS). Carbogen (5% CO2, 95% O2) respiratory intervention was used to induce physiological changes in a group of six Fisher rat breast tumors. Changes in total hemoglobin concentration, [Hb]total, and in total blood volume, VT-blood, of the tumors were measured by NIRS and 19F magnetic resonance spectroscopy of perflubron, respectively. The ratio of [Hb]total/VT-blood was used to calculate the fraction of hemoglobin contents sampled by NIRS. The results showed that the mean value of estimated fractions is within a range of 15~30% of total hemoglobin content in the tumor tissues. Based on the results, we suggest that NIRS does not sample the entire hemoglobin volume of the tissue vasculature, but is more sensitive to microvasculature. This study helps to understand the blood vascular volume sampled by NIRS, and demonstrates that the low cost, portable NIRS system may be a reliable, non-invasive, real-time, monitoring tool for changes in tumor blood contents.