Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure

<italic>Goal:</italic> Cerebrovascular impedance is modulated by a vasoactive autoregulative mechanism in response to changes in cerebral perfusion pressure. Characterization of impedance and the limits of autoregulation are important biomarkers of cerebral health. We developed a method...

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Main Authors: Jason Yang, Deepshikha Acharya, William B. Scammon, Samantha Schmitt, Emily C. Crane, Matthew A. Smith, Jana M. Kainerstorfer
Format: Article
Language:English
Published: IEEE 2023-01-01
Series:IEEE Open Journal of Engineering in Medicine and Biology
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10015702/
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author Jason Yang
Deepshikha Acharya
William B. Scammon
Samantha Schmitt
Emily C. Crane
Matthew A. Smith
Jana M. Kainerstorfer
author_facet Jason Yang
Deepshikha Acharya
William B. Scammon
Samantha Schmitt
Emily C. Crane
Matthew A. Smith
Jana M. Kainerstorfer
author_sort Jason Yang
collection DOAJ
description <italic>Goal:</italic> Cerebrovascular impedance is modulated by a vasoactive autoregulative mechanism in response to changes in cerebral perfusion pressure. Characterization of impedance and the limits of autoregulation are important biomarkers of cerebral health. We developed a method to quantify impedance based on the spectral content of cerebral blood flow and volume at the cardiac frequency, measured with diffuse optical methods. <italic>Methods:</italic> In three non-human primates, we modulated cerebral perfusion pressure beyond the limits of autoregulation. Cerebral blood flow and volume were measured with diffuse correlation spectroscopy and near-infrared spectroscopy, respectively. <italic>Results:</italic> We show that impedance can be used to identify the lower and upper limits of autoregulation. <italic>Conclusions:</italic> This impedance method may be an alternative method to measure autoregulation and a way of assessing cerebral health non-invasively at the clinical bedside.
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spelling doaj.art-70445dc4a1db41368c5a3ed36063af842024-01-26T00:02:07ZengIEEEIEEE Open Journal of Engineering in Medicine and Biology2644-12762023-01-0149610110.1109/OJEMB.2023.323626710015702Cerebrovascular Impedance as a Function of Cerebral Perfusion PressureJason Yang0https://orcid.org/0000-0002-9970-3333Deepshikha Acharya1https://orcid.org/0000-0002-5933-0528William B. Scammon2Samantha Schmitt3Emily C. Crane4https://orcid.org/0000-0002-6207-3163Matthew A. Smith5https://orcid.org/0000-0003-1192-9942Jana M. Kainerstorfer6https://orcid.org/0000-0002-9481-8377Department of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USADepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USADepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USADepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USADepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USADepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USADepartment of Biomedical Engineering, Carnegie Mellon University, Pittsburgh, PA, USA<italic>Goal:</italic> Cerebrovascular impedance is modulated by a vasoactive autoregulative mechanism in response to changes in cerebral perfusion pressure. Characterization of impedance and the limits of autoregulation are important biomarkers of cerebral health. We developed a method to quantify impedance based on the spectral content of cerebral blood flow and volume at the cardiac frequency, measured with diffuse optical methods. <italic>Methods:</italic> In three non-human primates, we modulated cerebral perfusion pressure beyond the limits of autoregulation. Cerebral blood flow and volume were measured with diffuse correlation spectroscopy and near-infrared spectroscopy, respectively. <italic>Results:</italic> We show that impedance can be used to identify the lower and upper limits of autoregulation. <italic>Conclusions:</italic> This impedance method may be an alternative method to measure autoregulation and a way of assessing cerebral health non-invasively at the clinical bedside.https://ieeexplore.ieee.org/document/10015702/Cerebral autoregulationcerebral hemodynamicscerebrovascular impedancediffuse correlation spectroscopynear-infrared spectroscopy
spellingShingle Jason Yang
Deepshikha Acharya
William B. Scammon
Samantha Schmitt
Emily C. Crane
Matthew A. Smith
Jana M. Kainerstorfer
Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure
IEEE Open Journal of Engineering in Medicine and Biology
Cerebral autoregulation
cerebral hemodynamics
cerebrovascular impedance
diffuse correlation spectroscopy
near-infrared spectroscopy
title Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure
title_full Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure
title_fullStr Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure
title_full_unstemmed Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure
title_short Cerebrovascular Impedance as a Function of Cerebral Perfusion Pressure
title_sort cerebrovascular impedance as a function of cerebral perfusion pressure
topic Cerebral autoregulation
cerebral hemodynamics
cerebrovascular impedance
diffuse correlation spectroscopy
near-infrared spectroscopy
url https://ieeexplore.ieee.org/document/10015702/
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