Non-Invasive Estimation of Intracranial Pressure-Derived Cerebrovascular Reactivity Using Near-Infrared Spectroscopy Sensor Technology in Acute Neural Injury: A Time-Series Analysis

The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO )-based indices of CVR which are less invasive and...

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Published in:	Sensors (Basel, Switzerland) Vol. 24; no. 2; p. 499
Main Authors:	Gomez, Alwyn, Froese, Logan, Bergmann, Tobias J G, Sainbhi, Amanjyot Singh, Vakitbilir, Nuray, Islam, Abrar, Stein, Kevin Y, Marquez, Izabella, Ibrahim, Younis, Zeiler, Frederick A
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 01-01-2024 MDPI
Subjects:	Blood Brain Brain research Catheters cerebrovascular reactivity monitoring Health sciences Hematoma Humans Infrared spectroscopy Injuries Intensive care Intracranial Pressure intracranial pressure monitoring Linear algebra Medicin och hälsovetenskap near-infrared spectroscopy neurotrauma Patients Research Design Retrospective Studies Sensors Software upgrading Spectroscopy, Near-Infrared Technology Tomography Traumatic brain injury Canada United Kingdom Manitoba United States > US near-infrared spectroscopy intracranial pressure monitoring neurotrauma cerebrovascular reactivity monitoring
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Abstract	The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO )-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO -based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO -based indices of CVR to model ICP-based indices. It was found that rSO -based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO -based indices of CVR and potential greatly expands the scope of CVR monitoring.
AbstractList	The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO[sub.2])-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO[sub.2]-based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO[sub.2]-based indices of CVR to model ICP-based indices. It was found that rSO[sub.2]-based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO[sub.2]-based indices of CVR and potential greatly expands the scope of CVR monitoring. The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO2)-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO2-based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO2-based indices of CVR to model ICP-based indices. It was found that rSO2-based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO2-based indices of CVR and potential greatly expands the scope of CVR monitoring.The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO2)-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO2-based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO2-based indices of CVR to model ICP-based indices. It was found that rSO2-based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO2-based indices of CVR and potential greatly expands the scope of CVR monitoring. The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO 2 )-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO 2 -based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO 2 -based indices of CVR to model ICP-based indices. It was found that rSO 2 -based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO 2 -based indices of CVR and potential greatly expands the scope of CVR monitoring. The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO2)-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO2-based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO2-based indices of CVR to model ICP-based indices. It was found that rSO2-based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO2-based indices of CVR and potential greatly expands the scope of CVR monitoring. The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application. Interest is shifting towards near-infrared spectroscopic regional cerebral oxygen saturation (rSO )-based indices of CVR which are less invasive and have improved spatial resolution. This study aims to examine and model the relationship between ICP and rSO -based indices of CVR. Through a retrospective cohort study of prospectively collected physiologic data in moderate to severe traumatic brain injury (TBI) patients, linear mixed effects modeling techniques, augmented with time-series analysis, were utilized to evaluate the ability of rSO -based indices of CVR to model ICP-based indices. It was found that rSO -based indices of CVR had a statistically significant linear relationship with ICP-based indices, even when the hierarchical and autocorrelative nature of the data was accounted for. This strengthens the body of literature indicating the validity of rSO -based indices of CVR and potential greatly expands the scope of CVR monitoring.
Audience	Academic
Author	Stein, Kevin Y Zeiler, Frederick A Gomez, Alwyn Ibrahim, Younis Sainbhi, Amanjyot Singh Marquez, Izabella Bergmann, Tobias J G Islam, Abrar Froese, Logan Vakitbilir, Nuray
AuthorAffiliation	5 Undergraduate Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada 7 Division of Anaesthesia, Department of Medicine, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK 6 Centre on Aging, University of Manitoba, Winnipeg, MB R3E 0W2, Canada 2 Department of Human Anatomy and Cell Science, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada 3 Department of Biomedical Engineering, Price Faculty of Engineering, University of Manitoba, Winnipeg, MB R3T 5V6, Canada; log.froese@gmail.com (L.F.); amanjyot.s.sainbhi@gmail.com (A.S.S.); vakitbir@myumanitoba.ca (N.V.); islama9@myumanitoba.ca (A.I.); steink34@myumanitoba.ca (K.Y.S.); younis.ibrahim@umanitoba.ca (Y.I.) 4 Department of Biosystems Engineering, Price Faculty of Engineering, University of Manitoba, Winnipeg, MB R3T 5V6, Canada; bergmant@myumanitoba.ca (T.J.G.B.); marquezi@myumanitoba.ca (I.M.) 8 Department of Clinical Neurosciences, Karolinksa
AuthorAffiliation_xml	– name: 4 Department of Biosystems Engineering, Price Faculty of Engineering, University of Manitoba, Winnipeg, MB R3T 5V6, Canada; bergmant@myumanitoba.ca (T.J.G.B.); marquezi@myumanitoba.ca (I.M.) – name: 5 Undergraduate Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada – name: 6 Centre on Aging, University of Manitoba, Winnipeg, MB R3E 0W2, Canada – name: 3 Department of Biomedical Engineering, Price Faculty of Engineering, University of Manitoba, Winnipeg, MB R3T 5V6, Canada; log.froese@gmail.com (L.F.); amanjyot.s.sainbhi@gmail.com (A.S.S.); vakitbir@myumanitoba.ca (N.V.); islama9@myumanitoba.ca (A.I.); steink34@myumanitoba.ca (K.Y.S.); younis.ibrahim@umanitoba.ca (Y.I.) – name: 7 Division of Anaesthesia, Department of Medicine, Addenbrooke’s Hospital, University of Cambridge, Cambridge CB2 0QQ, UK – name: 8 Department of Clinical Neurosciences, Karolinksa Institutet, 171 77 Stockholm, Sweden – name: 1 Section of Neurosurgery, Department of Surgery, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada; frederick.zeiler@umanitoba.ca – name: 2 Department of Human Anatomy and Cell Science, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada
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Keywords	near-infrared spectroscopy intracranial pressure monitoring neurotrauma cerebrovascular reactivity monitoring
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Snippet	The contemporary monitoring of cerebrovascular reactivity (CVR) relies on invasive intracranial pressure (ICP) monitoring which limits its application....
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SubjectTerms	Blood Brain Brain research Catheters cerebrovascular reactivity monitoring Health sciences Hematoma Humans Infrared spectroscopy Injuries Intensive care Intracranial Pressure intracranial pressure monitoring Linear algebra Medicin och hälsovetenskap near-infrared spectroscopy neurotrauma Patients Research Design Retrospective Studies Sensors Software upgrading Spectroscopy, Near-Infrared Technology Tomography Traumatic brain injury
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Title	Non-Invasive Estimation of Intracranial Pressure-Derived Cerebrovascular Reactivity Using Near-Infrared Spectroscopy Sensor Technology in Acute Neural Injury: A Time-Series Analysis
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