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Application of optical methods in the monitoring of traumatic brain injury: A review
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.
Polish Acad Sci, Nalecz Inst Biocybernet & Biomed Engn, Warsaw 42, Poland..
Polish Acad Sci, Nalecz Inst Biocybernet & Biomed Engn, Warsaw 42, Poland..
Polish Acad Sci, Nalecz Inst Biocybernet & Biomed Engn, Warsaw 42, Poland..
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2016 (English)In: Journal of Cerebral Blood Flow and Metabolism, ISSN 0271-678X, E-ISSN 1559-7016, Vol. 36, no 11, p. 1825-1843Article, review/survey (Refereed) Published
Abstract [en]

We present an overview of the wide range of potential applications of optical methods for monitoring traumatic brain injury. The MEDLINE database was electronically searched with the following search terms: traumatic brain injury, head injury, or head trauma, and optical methods, NIRS, near-infrared spectroscopy, cerebral oxygenation, or cerebral oximetry. Original reports concerning human subjects published from January 1980 to June 2015 in English were analyzed. Fifty-four studies met our inclusion criteria. Optical methods have been tested for detection of intracranial lesions, monitoring brain oxygenation, assessment of brain perfusion, and evaluation of cerebral autoregulation or intracellular metabolic processes in the brain. Some studies have also examined the applicability of optical methods during the recovery phase of traumatic brain injury . The limitations of currently available optical methods and promising directions of future development are described in this review. Considering the outstanding technical challenges, the limited number of patients studied, and the mixed results and opinions gathered from other reviews on this subject, we believe that optical methods must remain primarily research tools for the present. More studies are needed to gain confidence in the use of these techniques for neuromonitoring of traumatic brain injury patients.

Place, publisher, year, edition, pages
2016. Vol. 36, no 11, p. 1825-1843
Keyword [en]
Cerebral oximetry, near-infrared spectroscopy, neuromonitoring, optical methods, traumatic brain injury
National Category
Endocrinology and Diabetes Hematology Neurology
Identifiers
URN: urn:nbn:se:uu:diva-311078DOI: 10.1177/0271678X16667953ISI: 000387263300001PubMedID: 27604312OAI: oai:DiVA.org:uu-311078DiVA, id: diva2:1058610
Funder
EU, FP7, Seventh Framework Programme, 201076
Available from: 2016-12-21 Created: 2016-12-21 Last updated: 2017-11-29Bibliographically approved

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