Concentrations Of Oxy Research Articles

Spontaneous oscillation of oxy- and deoxy- hemoglobin changes with a phase difference throughout the occipital cortex of newborn infants observed using non-invasive optical topography.

We investigated spontaneous changes in the cerebral oxygenation state of infants during quiet sleeping by using a form of multi-channel near-infrared spectroscopy: non-invasive optical topography. Eight infants born at 32-39 weeks were studied at postconceptional term age (38-43 weeks). Spatially synchronized oscillations of changes in the concentration of oxy- and deoxy- hemoglobin ([oxy-Hb] and [deoxy-Hb]) were observed throughout the occipital cortex. Time series analysis based on the theory of non-linear oscillators showed that the mean periods of the oscillation for each infant ranged from 11 to 18 s. The phase lag of [oxy-Hb] relative to [deoxy-Hb] was stable at about 3pi/4. This phase difference may result from interplay between the vasomotion and the oxygen consumption in relation to brain activity.

Oximetry based on diffuse photon density wave differentials.

The quantification of tissue optical properties for calculating blood saturation and hemoglobin concentration using measurements of diffuse photon density waves at some distance away from an intensity-modulated light source, generally requires the determination of the amplitude and phase of this light source. This determination may become a severe impediment for measurements performed in the clinical environment. In this work we extend a self-calibrating methodology developed for constant wave and modulation depth-phase measurements, to include amplitude and phase measurements of diffuse photon density waves. The method uses amplitude and phase changes of intensity modulated light, under the assumption of known index of refraction and invariant reduced scattering coefficient mu's, to quantify the absorption coefficient mu(a) without requiring initial amplitude and phase knowledge. Quantification of the mu(a) at selected time points during a measurement can then be employed to calibrate numerical solutions of the diffusion equation and compute the mu(a) for the remaining time points of the experiment. It is shown that the method is quite insensitive to the knowledge of the exact mu's value so that an assumption on the average mu's value for the tissue measured may be employed. The sensitivity of calculating blood saturation and hemoglobin concentration, as a function of the deviation of the mu's used in the calculation versus the real mu's value is investigated using simulated data. It is also demonstrated that the saturation calculation is especially insensitive to the mu's guess. The performance of the method to quantify blood oxygen saturation and the concentrations of oxy- and deoxy-hemoglobin is examined with experimental measurements at two wavelengths on specially constructed blood model phantoms. To validate the method the measurements are monitored by a time-resolved spectrometer. The method is shown to be accurate to within +/-5% in calculating blood saturation and to within +/-10% in calculating hemoglobin concentration compared to the results obtained with the time-resolved spectrometer and the expected theoretical values.

Suckling-Induced Change in Oxytocin but not in α-Msh Concentrations of the Median Eminence, The Neural-, Intermediate- and Anterior Lobes of the Pituitary Gland

Previous reports have implicated that pituitary-derived prolactin (PRL) is secreted from two distinct zones of mammotropes within the anterior lobe (AL). The inner zone (AL-IZ), located adjacent to the neuro-intermediate lobe (NIL), is supposed to be involved in the rapid and massive discharge of PRL from the pituitary gland due to suckling stimulus. Whereas the outer-zone (AL-OZ) gives the basal secretion and it does not play a role in the acute secretory response during nursing. Anatomically, the AL-IZ has an intimate contact with the NIL because the blood passing through the short portal vessels (SPV) bathes it first. Based on this fact it would be hypothesized that locally released and/or produced compounds, like OXY and a-MSH, can be delivered to the AL-IZ. In conjunction, OXY and a-MSH have already been implicated to play a role in the regulation of PRL release during suckling. Therefore, the purpose of this study was to examine the possible local transportation of these hormones into the median eminence and various regions of the pituitary gland of lactating rats. We have measured the concentrations of OXY and α-MSH from tissue samples of nonsuckled (NS) and 10 or 30 min after suckling (S) was initiated using specific RIAs. It has been shown that there are no changes in the concentration of OXY and α-MSH in the AL-IZ and AL-OZ due to suckling stimulus. In contrast, our data provide compelling evidence that OXY is transported into the IL, which can be further increased by suckling stimulus. These data suggest that blood transfusing NL passes through the IL before it is drained into the cavernous sinus, which opens the road for OXY into the general circulation. In addition, our data have unequivocally shown a lack of local delivery of either α MSH or OXY into the AL that raises serious doubt about their possible role in PRL secretion during suckling stimulus.

Human motor-cortex oxygenation changes induced by cyclic coupled movements of hand and foot.

Near-infrared spectroscopy (NIRS) was used to assess human motor-cortex oxygenation changes in response to cyclic coupled movements of hand and foot. Using a highly sensitive NIRS instrument, we showed that it was possible to detect reproducible oxygenation patterns using single cycles (20 s) of easy and difficult association tasks. No significant differences in the time corresponding to the maximal changes in concentration of oxy- and deoxyhemoglobin ([O(2)Hb] and [HHb], respectively) were found during easy and difficult association as well as cycles. Only [O(2)Hb] showed a significantly higher value at the end of the difficult association during the first cycle. No significant differences were found for [O(2)Hb] and [HHb] in the other cycles. We conclude that NIRS is a useful addition to functional magnetic resonance imaging in investigating the time course of cortical activation.

Effects of nitric oxide synthase inhibition on the cerebral circulation and brain damage during kainic acid-induced seizures in newborn rabbits.

The nitric oxide (NO) synthase inhibitor, N-omega-nitro-L-arginine methyl ester (L-NAME), was used to investigate the effect of endogenous NO on the cerebral circulation and brain damage during kainic acid (KA)-induced seizures in newborn rabbits. The cerebral blood flow (CBF), by laser doppler flowmetry, cerebral oxygenation (concentrations of oxy-(HbO2), deoxy-(HbR) and total hemoglobin (tHb) in brain tissue), by near-infrared spectroscopy (NIRS), mean arterial blood pressure (MABP), electroencephalography (EEG), and hippocampal neuronal damage were evaluated. Pretreatment with L-NAME caused significant decreases in CBF, HbO2, and tHb, and a significant increase in HbR during KA-induced seizures, compared with pretreatment with saline (P < 0.05), without a significant difference in MABP. Our study also demonstrated that pretreatment with L-NAME reduced the seizure activity and neuronal cell death in the hippocampus elicited by the systemic administration of KA in the neonatal brain. These results suggest that NO is of major importance in the neurodestructive process in spite of its roles in maintaining both the CBF and cerebral oxygenation during KA-induced seizures in the neonatal brain.

Systematic diffuse optical image errors resulting from uncertainty in the background optical properties

We investigated the diffuse optical image errors resulting from systematic errors in the background scattering and absorption coefficients, Gaussian noise in the measurements, and the depth at which the image is reconstructed when using a 2D linear reconstruction algorithm for a 3D object. The fourth Born perturbation approach was used to generate reflectance measurements and k-space tomography was used for the reconstruction. Our simulations using both single and dual wavelengths show large systematic errors in the absolute reconstructed absorption coefficients and corresponding hemoglobin concentrations, while the errors in the relative oxy- and deoxy- hemoglobin concentrations are acceptable. The greatest difference arises from a systematic error in the depth at which an image is reconstructed. While an absolute reconstruction of the hemoglobin concentrations can deviate by 100% for a depth error of ñ1 mm, the error in the relative concentrations is less than 5%. These results demonstrate that while quantitative diffuse optical tomography is difficult, images of the relative concentrations of oxy- and deoxy-hemoglobin are accurate and robust. Other results, not presented, confirm that these findings hold for other linear reconstruction techniques (i.e. SVD and SIRT) as well as for transmission through slab geometries.

Real-time optical imaging of experimental brain ischemia and hemorrhage in neonatal piglets.

Our objective was to study the development of experimental brain ischemia and hemorrhage by real-time optical imaging. Optical imaging is based on the ability of near infrared light to non-invasively penetrate through the intact scalp and skull and measure brain concentrations of oxy- and deoxyhemoglobin, dominant brain absorbers. Optical imaging was performed in 7 anesthetized, instrumented, and ventilated newborn piglets subjected to the injection of 0.3 cc of saline followed by 2 cc of blood into the left frontal subcortical brain region via a needle inserted through the skull with stereotactic guidance. The image-acquisition rate of 5.26 images per sec allowed for real-time imaging. The detection threshold of the imager at the estimated depth of 1-1.5 cm was approximately 70 microL for saline and approximately 40 microL for blood. The imager readily detected five subcortical hematomas and two large bilateral subarachnoid hemorrhages. The imager detected a global decrease in brain absorption associated with the volume-injection-related increase in intracranial pressure in the surrounding ipsilateral and contralateral brain. Any decrease in brain absorption is an equivalent to brain ischemia. This study demonstrates the capability of optical imaging in detecting brain ischemia and hemorrhage in real-time with high temporal and spatial resolution.

Regional hemodynamic responses to visual stimulation in awake infants.

This study presents the first measurements using near infrared spectroscopy of changes in regional hemodynamics as a response to a visual stimulus in awake infants. Ten infants aged 3 d to 14 wk viewed a checkerboard with a 5-Hz pattern reversal. The emitter and detector (optodes) of a near infrared spectrophotometer were placed over the occipital region of the head. Changes in concentration of oxy- and deoxyhemoglobin (Hbo2 and Hb) were measured and compared during 10-s epochs of stimulus on and off. A control group of 10 infants aged 18 d to 13 wk were examined with the same setup, but with the optodes over the frontoparietal region. In the test group the total hemoglobin concentration (Hbo2 + Hb) increased while the stimulus was on by a mean (+/-SD) of 2.51 (+/-1.48) micromol x L(-1). Nine out of 10 infants showed an Hbo2 increase, and 9 out of 10 an Hb increase related to the stimulus. There was no significant change in any of these parameters in the control group. The results imply that there is increased cerebral blood flow due to stimulation that is specific to the visual cortex and that infants, unlike adults, show increased cerebral oxygen utilization during activation that outstrips this hemodynamic effect. The study demonstrates that near infrared spectroscopy can be used as a practical and noninvasive method of measuring visual functional activation and its hemodynamic correlates in the awake infant.

O2 EXTRACTION DURING EXERCISE IN NORMOXIA AND HYPOXIA

382 Exercise performance is impaired in ambient hypoxia. To test whether this impairment is due to inadequate muscle oxygenation, we studied small muscle exercise where blood flow would not be limited centrally by cardiac output. Five subjects completed rhythmic handgrip exercise (5 sec contraction / 5 sec rest) for 3 min at 17%, 33% and 50% of maximal voluntary contraction (MVC), while breathing 21% O2 or 10% O2 in a randomized, repeated measures fashion. Near-infrared spectroscopy measured relative concentrations of oxy- and deoxy-Hb+Mb in the flexor digitorum profundus. Values were normalized to the signal range observed from rest (defined = 100) and during 10 min of resting ischemia (defined = 0). We used the magnitude of the pre- to post-contraction signal change during a contraction cycle as an index of fractional O2 extraction. Mean ± SD values for the oxy-Hb+Mb signal were: (* different from normoxia, P < 0.05) TableTableHandgrip force was not different between conditions and did not decline over any 3 min exercise bout, suggesting that total muscle VO2 at a fixed%MVC was the same in normoxia and hypoxia; yet O2 extraction was reduced by ≈ 40%. We conclude that even in severe hypoxia, total oxygen uptake must be maintained in small muscle exercise by increasing muscle blood flow to compensate for decreased fractional oxygen extraction.

Resolving extra- and intracranial signal changes during adult near infrared spectroscopy

Extracranial tissues have a significant effect on cerebral near infrared spectroscopy (NIRS) measurements in adults. Carotid surgery provides the opportunity to determine the relative contributions from the intra- and extracranial vascular territories. To assist/ a specifically gated Laser Doppler flowmetry probe can be inserted between the NIRS optodes to co-monitor cutaneous blood flow associated with external carotid artery (ECA) clamping, whilst transcranial Doppler can ge employed to monitor relative c;hahges in the intracranial blood flow seen during internal carotid artery (ICA) clamping. Established criteria for severe cerebral ischemia (SCI) following carotid cross clamping was applied to 703 consecutive patients undergoing carotid surgery for high grade stenosis. Ipsilateral frontal NIRS recorded the difference (Total-ΔHbdiff) in concentrations of oxy- and deoxy-hemoglobin. Interrupted time series analysis following clamping of the ECA and ICA allowed the different vascular components of Total-ΔHbdiff(ECA-ΔHbdiff and ICA-ΔHbdiff) to be identified. Data from 76 patients was suitable. Sixteen (27 %) patien.ts fulfilled the criteria for SCI. Patients who demonstrated an ICA-ΔHbdiff of > 6.8 μmol l-1 all showed SCI. No patient with an ICA-ΔHbdiff < 5.0 μmol l-1 showed SCI. Thus an ICA-t1Hbdiff threshold of 6.8μmol l-1 provided a 700%.specificity for SCI, whereas an ICA-tΔHbdiff < 5.0 Ilmoll-7 was 700% sensitive for excluding SCI. When Total-ΔHbdiff was used without removing the ECA component; thresholds for SCI could not be resolved. NIRS can provide quantified thresholds for severe ischemia in the adult. brain provided the extracranial component is removed. [Neural Res 1998; 20 (Suppl 1): 519–522]

Loss of functional hemispheric asymmetry in Alzheimer's dementia assessed with near-infrared spectroscopy

In a total of 10 patients with dementia of the Alzheimer-type (DAT) and in 10 healthy controls near-infrared spectroscopy (NIRS), a new non-invasive optical method, was used to measure the changes of concentrations of oxy- (O 2HB) and deoxyhemoglobin (HHB) in left and right hemispheric prefrontal brain tissue areas during performance of the Verbal Fluency Test (VFT). On a neuropsychological level, the healthy subjects performed better in the VFT than patients with DAT. Statistical analysis of the relative concentrations of O 2HB and HHB measured with NIRS during performance of the VFT revealed a significant interaction of the hemispheric effects with the diagnosis. A possible interpretation of this finding is that a good performance in the VFT relies on a predominantly left hemispheric activation observed in controls, whereas a low number of correct responses is associated with a loss of this asymmetric activation in patients with DAT. Although both, patients and controls, performed better in the category version of the VFT, the metabolic effects of this task were significantly less pronounced than in the letter version. This indicates that different energy demands, according to the type of access to the memory stores, may be interpreted as the result of a less energy-demanding access to categorically stored information and adds further evidence to the view that memory departments in humans are organized according to categorical principles.

Near-patient measurements of methemoglobin, oxygen saturation, and total hemoglobin: evaluation of a new instrument for adult and neonatal intensive care.

a) To evaluate the performance of a compact, new instrument that uses disposable cuvettes to measure total hemoglobin concentration, oxygen content, and the relative concentrations of oxy- and methemoglobin in 50-microL blood samples; b) to determine whether the instrument can be used for near-patient assessment of methemoglobinemia; and c) to ascertain whether problems commonly encountered in neonatal blood samples affect the instrument's performance. Prospective study, in which the test instrument was compared with a standard method. Samples of whole blood with and without bilirubin, fetal hemoglobin, and hemolysis were analyzed on the new (test) instrument and on a widely used cooximeter (OSM3 hemoximeter, Radiometer; reference instrument). In vitro analyses of blood samples in clinical and university laboratories. There was a close linear correlation between the methomoglobin measurements of the test instrument and those measurements of the reference instrument (slope = 0.989; r2 = .989). The average difference in mean assay values between the reference instrument and the test instrument was -0.59%, i.e., < 1% methemoglobin. Repeated measurements indicated the precision was 0.5% methemoglobin. Complete hemolysis of the sample reduced the methemoglobin reading by only 0.40%. Adding bilirubin (10 to 11 mg/dL [171 to 188.1 mumol/L]), increased the methemoglobin reading by 0.23%, increased the oxyhemoglobin reading by 0.45%, and increased total hemoglobin by 0.21 g/dL. Fetal hemoglobin also had minimal effects on the readings. The test instrument is fast and easy to operate. No sample preparation or pipetting is required. To operate the instrument, the user simply connects a syringe containing the blood sample to one of the disposable cuvettes, injects 50 microL of blood into the cuvette, and inserts the cuvette into the instrument. The test instrument automatically detects the presence of the cuvette, analyzes the sample, and displays the results in < 10 secs. The findings in this study indicate that the test instrument has sufficient accuracy for near-patient testing in intensive care units. The errors introduced by hemolysis, fetal hemoglobin, and bilirubin were too small to be of clinical importance. Thus, the test instrument is essentially unaffected by complications commonly encountered in neonatal blood. The capacity of the test instrument to measure methemoglobin makes it particularly useful if inhaled nitric oxide therapy becomes a standard clinical practice.

Non-invasive monitoring of the redox state of cytochrome oxidase in living tissue using near-infrared laser lights.

A triple wavelength spectrophotometric method was developed to monitor changes in the concentrations of oxygenated and deoxygenated hemoglobin, and in the redox state of cytochrome oxidase in living tissue. Three wavelengths of an NIR (near-infrared) laser beam were used to monitor hemoglobin (780, 805 and 830 nm) and cytochrome (cyt.) oxidase (780, 790 and 830 nm). Algorithms for calculating changes in the concentrations of oxidized cyt. oxidase (aa3), and oxygenated and deoxygenated hemoglobin were developed using NIR spectral analysis of these chromatophores. To assess the ability of these algorithms to measure independent changes in the concentration of oxy-, deoxyhemoglobin and oxidized cyt. oxidase in tissue, experiments involving a fluorocarbon (FC-43) exchange transfusion at very low hematocrits were conducted in anesthetized rats. The observed data indicate that FC-43 circulation at FiO2 1.0 can supply sufficient oxygen to the rat brain to maintain the oxidation state of mitochondrial oxidase (cyt.aa3) near pre-exchange levels. The relationships between changes in oxidized cyt. oxidase and oxyhemoglobin content in response to variations in FiO2 of inspired gas were then examined in the rat brain. These results also confirmed the ability of the triple wavelength algorithms to distinguish changes in the oxidized copper band of cyt.aa3 from those in absorption by oxy- and deoxyhemoglobin. NIR monitoring of skeletal muscle to determine the redox state of cyt. oxidase was performed in a few human cases and the results indicated that these observations can increase our understanding of the process of oxygen transport to tissues.

The Oxygen Affinity of Chlorocruorin

CHLOROCRUORIN is the respiratory pigment in the blood of certain polychaete worms. Working in the laboratory of Dr. R. Wurmser in Paris, I have investigated the oxygen affinity of the specific chlorocruorin of Spirographis spallanzanii. The blood was diluted to approximately 6 parts in 1000 parts of 0.6 M phosphate buffers. In each experiment, 3 c.c. of the diluted blood was placed in a 300 c.c. glass saturator, to one end of which a small trough with parallel glass faces 2 cm. apart was attached. The oxygen pressure in the saturator was varied by measured amounts, and the solution equilibrated at each oxygen pressure by rotating the saturator horizontally in a thermostat. The saturator was then placed vertically with its trough in the course of the light beam of a spectrophotometer. The relative concentrations of oxy- and reduced chlorocruorin were obtained by measuring the light absorption at the wave-lengths in the visible region of the spectrum (604.5 and 580.5 mμ) where there is the greatest difference between the oxidised and reduced pigment.1