Noninvasive, optoacoustic monitoring of cerebral venous blood oxygenation in newborns

Irene Y. Petrov, Karon E. Wynne, Yuriy Petrov, Rinat Esenaliev, Carol Richardson, Donald Prough

Research output: Chapter in Book/Report/Conference proceedingConference contribution

10 Scopus citations

Abstract

Cerebral ischemia after birth and during labor is a major cause of death and severe complications such as cerebral palsy. In the USA alone, cerebral palsy results in permanent disability of 10,000 newborns per year and approximately 500,000 of the total population. Currently, no technology is capable of direct monitoring of cerebral oxygenation in newborns. This study proposes the use of an optoacoustic technique for noninvasive cerebral ischemia monitoring by probing the superior sagittal sinus (SSS), a large central cerebral vein. We developed and built a multi-wavelength, near-infrared optoacoustic system suitable for noninvasive monitoring of cerebral ischemia in newborns with normal weight (NBW), low birth-weight (LBW, 1500 - 2499 g) and very low birth-weight (VLBW, < 1500 g). The system was capable of detecting SSS signals through the open anterior and posterior fontanelles as well as through the skull. We tested the system in NBW, LBW, and VLBW newborns (weight range: from 675 g to 3,000 g) admitted to the neonatal intensive care unit. We performed single and continuous measurements of the SSS blood oxygenation. The data acquisition, processing and analysis software developed by our group provided real-time, absolute SSS blood oxygenation measurements. The SSS blood oxygenation ranged from 60% to 80%. Optoacoustic monitoring of the SSS blood oxygenation provides valuable information because adequate cerebral oxygenation would suggest that no therapy was necessary; conversely, evidence of cerebral ischemia would prompt therapy to increase cerebral blood flow.

Original languageEnglish (US)
Title of host publicationProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume8223
DOIs
StatePublished - 2012
EventPhotons Plus Ultrasound: Imaging and Sensing 2012 - San Francisco, CA, United States
Duration: Jan 22 2012Jan 24 2012

Other

OtherPhotons Plus Ultrasound: Imaging and Sensing 2012
CountryUnited States
CitySan Francisco, CA
Period1/22/121/24/12

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Keywords

  • Cerebral ischemia
  • Cerebral oxygenation
  • Imaging
  • Neonatal
  • Noninvasive monitoring
  • Optoacoustic

ASJC Scopus subject areas

  • Atomic and Molecular Physics, and Optics
  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Radiology Nuclear Medicine and imaging

Cite this

Petrov, I. Y., Wynne, K. E., Petrov, Y., Esenaliev, R., Richardson, C., & Prough, D. (2012). Noninvasive, optoacoustic monitoring of cerebral venous blood oxygenation in newborns. In Progress in Biomedical Optics and Imaging - Proceedings of SPIE (Vol. 8223). [82231M] https://doi.org/10.1117/12.914657