Journal of Applied Physiology
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J Appl Physiol 68: 1086-1091, 1990;
8750-7587/90 $5.00
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Journal of Applied Physiology, Vol 68, Issue 3 1086-1091, Copyright © 1990 by American Physiological Society


ARTICLES

Quantitation of cerebral blood volume in human infants by near-infrared spectroscopy

J. S. Wyatt, M. Cope, D. T. Delpy, C. E. Richardson, A. D. Edwards, S. Wray and E. O. Reynolds
Department of Paediatrics, University College London, United Kingdom.

Current methods for measuring cerebral blood volume (CBV) in newborn infants are unsatisfactory. A new method is described in which the effect of a small change (5-10%) in arterial oxygen saturation (SaO2) on cerebral oxyhemoglobin [HbO2] and deoxyhemoglobin [Hb] concentration is observed by near-infrared (NIR) spectroscopy. Previous experiments in which the NIR absorption characteristics of HbO2 and Hb and the pathlength of NIR light through the brain were defined allowed changes in [HbO2] and [Hb] to be quantified from the Beer-Lambert law. It is shown here that CBV can then be derived from the expression CBV = (delta[HbO2] - delta[Hb])/(2. delta SaO2.H.R.), where H is the large vessel total hemoglobin concentration and R to the cerebral-to-large vessel hematocrit ratio. Observations on 12 newborn infants with normal brains, born at 25-40 wk of gestation and aged 10-240 h, gave a mean value for CBV of 2.22 +/- 0.40 (SD) ml/100 g, whereas mean CBV was significantly higher 3.00 +/- 1.04 ml/100 g in 10 infants with brain injury born at 24 to 42 wk of gestation and aged 4-168 h (P less than 0.05).


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