Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature

We lack reliable methods to continuously assess localized, resting-state muscle activity that are comparable across individuals. Near-infrared spectroscopy (NIRS) provides a low-cost, non-invasive means to assess localized, resting-state muscle oxygen metabolism during venous or arterial occlusions...

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Main Authors: Scott E. Boebinger, Rowan O. Brothers, Sistania Bong, Bharat Sanders, Courtney McCracken, Lena H. Ting, Erin M. Buckley
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/11/8/496
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author Scott E. Boebinger
Rowan O. Brothers
Sistania Bong
Bharat Sanders
Courtney McCracken
Lena H. Ting
Erin M. Buckley
author_facet Scott E. Boebinger
Rowan O. Brothers
Sistania Bong
Bharat Sanders
Courtney McCracken
Lena H. Ting
Erin M. Buckley
author_sort Scott E. Boebinger
collection DOAJ
description We lack reliable methods to continuously assess localized, resting-state muscle activity that are comparable across individuals. Near-infrared spectroscopy (NIRS) provides a low-cost, non-invasive means to assess localized, resting-state muscle oxygen metabolism during venous or arterial occlusions (VO<sub>2VO</sub> and VO<sub>2AO</sub>, respectively). However, this technique is not suitable for continuous monitoring, and its utility is limited to those who can tolerate occlusions. Combining NIRS with diffuse correlated spectroscopy (DCS) enables continuous measurement of an index of muscle oxygen metabolism (VO<sub>2i</sub>). Despite the lack of previous validation, VO<sub>2i</sub> is employed as a measure of oxygen metabolism in the muscle. Here we characterized measurement repeatability and compared VO<sub>2i</sub> with VO<sub>2VO</sub> and VO<sub>2AO</sub> in the medial gastrocnemius (MG) in 9 healthy adults. Intra-participant repeatability of VO<sub>2i</sub>, VO<sub>2VO</sub>, and VO<sub>2AO</sub> were excellent. VO<sub>2i</sub> was not significantly correlated with VO<sub>2AO</sub> (<i>p</i> = 0.15) nor VO<sub>2VO</sub> (<i>p</i> = 0.55). This lack of correlation suggests that the variability in the calibration coefficient between VO<sub>2i</sub> and VO<sub>2AO</sub>/VO<sub>2VO</sub> in the MG is substantial across participants. Thus, it is preferable to calibrate VO<sub>2i</sub> prior to every monitoring session. Important future work is needed to compare VO<sub>2i</sub> against gold standard modalities such as positron emission tomography or magnetic resonance imaging.
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spelling doaj.art-fbb854f5cee745778f8fd0a2582f99052023-11-22T08:39:08ZengMDPI AGMetabolites2218-19892021-07-0111849610.3390/metabo11080496Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg MusculatureScott E. Boebinger0Rowan O. Brothers1Sistania Bong2Bharat Sanders3Courtney McCracken4Lena H. Ting5Erin M. Buckley6Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA 30332, USAWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA 30332, USAWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA 30332, USAWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA 30332, USACenter for Research and Evaluation, Kaiser Permanente of Georgia, Atlanta, GA 30309, USAWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA 30332, USAWallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Emory University, Atlanta, GA 30332, USAWe lack reliable methods to continuously assess localized, resting-state muscle activity that are comparable across individuals. Near-infrared spectroscopy (NIRS) provides a low-cost, non-invasive means to assess localized, resting-state muscle oxygen metabolism during venous or arterial occlusions (VO<sub>2VO</sub> and VO<sub>2AO</sub>, respectively). However, this technique is not suitable for continuous monitoring, and its utility is limited to those who can tolerate occlusions. Combining NIRS with diffuse correlated spectroscopy (DCS) enables continuous measurement of an index of muscle oxygen metabolism (VO<sub>2i</sub>). Despite the lack of previous validation, VO<sub>2i</sub> is employed as a measure of oxygen metabolism in the muscle. Here we characterized measurement repeatability and compared VO<sub>2i</sub> with VO<sub>2VO</sub> and VO<sub>2AO</sub> in the medial gastrocnemius (MG) in 9 healthy adults. Intra-participant repeatability of VO<sub>2i</sub>, VO<sub>2VO</sub>, and VO<sub>2AO</sub> were excellent. VO<sub>2i</sub> was not significantly correlated with VO<sub>2AO</sub> (<i>p</i> = 0.15) nor VO<sub>2VO</sub> (<i>p</i> = 0.55). This lack of correlation suggests that the variability in the calibration coefficient between VO<sub>2i</sub> and VO<sub>2AO</sub>/VO<sub>2VO</sub> in the MG is substantial across participants. Thus, it is preferable to calibrate VO<sub>2i</sub> prior to every monitoring session. Important future work is needed to compare VO<sub>2i</sub> against gold standard modalities such as positron emission tomography or magnetic resonance imaging.https://www.mdpi.com/2218-1989/11/8/496near-infrared spectroscopydiffuse correlation spectroscopymuscleoxygen metabolismblood flow
spellingShingle Scott E. Boebinger
Rowan O. Brothers
Sistania Bong
Bharat Sanders
Courtney McCracken
Lena H. Ting
Erin M. Buckley
Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature
Metabolites
near-infrared spectroscopy
diffuse correlation spectroscopy
muscle
oxygen metabolism
blood flow
title Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature
title_full Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature
title_fullStr Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature
title_full_unstemmed Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature
title_short Diffuse Optical Spectroscopy Assessment of Resting Oxygen Metabolism in the Leg Musculature
title_sort diffuse optical spectroscopy assessment of resting oxygen metabolism in the leg musculature
topic near-infrared spectroscopy
diffuse correlation spectroscopy
muscle
oxygen metabolism
blood flow
url https://www.mdpi.com/2218-1989/11/8/496
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