A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury

(1) Background: Traumatic brain injuries (TBI) result in high fatality and lifelong disability rates. Two of the primary biomarkers in assessing TBI are intracranial pressure (ICP) and brain oxygenation. Both are assessed using standalone techniques, out of which ICP can only be assessed utilizing i...

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Main Authors: Maria Roldan, Panicos A. Kyriacou
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/8/5211
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author Maria Roldan
Panicos A. Kyriacou
author_facet Maria Roldan
Panicos A. Kyriacou
author_sort Maria Roldan
collection DOAJ
description (1) Background: Traumatic brain injuries (TBI) result in high fatality and lifelong disability rates. Two of the primary biomarkers in assessing TBI are intracranial pressure (ICP) and brain oxygenation. Both are assessed using standalone techniques, out of which ICP can only be assessed utilizing invasive techniques. The motivation of this research is the development of a non-invasive optical multimodal monitoring technology for ICP and brain oxygenation which will enable the effective management of TBI patients. (2) Methods: a multiwavelength optical sensor was designed and manufactured so as to assess both parameters based on the pulsatile and non-pulsatile signals detected from cerebral backscatter light. The probe consists of four LEDs and three photodetectors that measure photoplethysmography (PPG) and near-infrared spectroscopy (NIRS) signals from cerebral tissue. (3) Results: The instrumentation system designed to acquire these optical signals is described in detail along with a rigorous technical evaluation of both the sensor and instrumentation. Bench testing demonstrated the right performance of the electronic circuits while a signal quality assessment showed good indices across all wavelengths, with the signals from the distal photodetector being of highest quality. The system performed well within specifications and recorded good-quality pulsations from a head phantom and provided non-pulsatile signals as expected. (4) Conclusions: This development paves the way for a multimodal non-invasive tool for the effective assessment of TBI patients.
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spelling doaj.art-e597711d1f874eb9a00be73ece5572b72023-11-17T18:15:10ZengMDPI AGApplied Sciences2076-34172023-04-01138521110.3390/app13085211A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain InjuryMaria Roldan0Panicos A. Kyriacou1Research Centre for Biomedical Engineering, City, University of London, London EC1V 0HB, UKResearch Centre for Biomedical Engineering, City, University of London, London EC1V 0HB, UK(1) Background: Traumatic brain injuries (TBI) result in high fatality and lifelong disability rates. Two of the primary biomarkers in assessing TBI are intracranial pressure (ICP) and brain oxygenation. Both are assessed using standalone techniques, out of which ICP can only be assessed utilizing invasive techniques. The motivation of this research is the development of a non-invasive optical multimodal monitoring technology for ICP and brain oxygenation which will enable the effective management of TBI patients. (2) Methods: a multiwavelength optical sensor was designed and manufactured so as to assess both parameters based on the pulsatile and non-pulsatile signals detected from cerebral backscatter light. The probe consists of four LEDs and three photodetectors that measure photoplethysmography (PPG) and near-infrared spectroscopy (NIRS) signals from cerebral tissue. (3) Results: The instrumentation system designed to acquire these optical signals is described in detail along with a rigorous technical evaluation of both the sensor and instrumentation. Bench testing demonstrated the right performance of the electronic circuits while a signal quality assessment showed good indices across all wavelengths, with the signals from the distal photodetector being of highest quality. The system performed well within specifications and recorded good-quality pulsations from a head phantom and provided non-pulsatile signals as expected. (4) Conclusions: This development paves the way for a multimodal non-invasive tool for the effective assessment of TBI patients.https://www.mdpi.com/2076-3417/13/8/5211photoplethysmography (PPG)near infrared spectroscopy (NIRS)instrumentation systemcerebral oxygenationintracranial pressurenon-invasive brain monitoring
spellingShingle Maria Roldan
Panicos A. Kyriacou
A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury
Applied Sciences
photoplethysmography (PPG)
near infrared spectroscopy (NIRS)
instrumentation system
cerebral oxygenation
intracranial pressure
non-invasive brain monitoring
title A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury
title_full A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury
title_fullStr A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury
title_full_unstemmed A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury
title_short A Non-Invasive Optical Multimodal Photoplethysmography-Near Infrared Spectroscopy Sensor for Measuring Intracranial Pressure and Cerebral Oxygenation in Traumatic Brain Injury
title_sort non invasive optical multimodal photoplethysmography near infrared spectroscopy sensor for measuring intracranial pressure and cerebral oxygenation in traumatic brain injury
topic photoplethysmography (PPG)
near infrared spectroscopy (NIRS)
instrumentation system
cerebral oxygenation
intracranial pressure
non-invasive brain monitoring
url https://www.mdpi.com/2076-3417/13/8/5211
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