Abstract
The use of a mathematical model of cerebral physiology and metabolism may aid the interpretation of experimentally measured data. In this study, model outputs of tissue oxygen saturation (TOS) and velocity of blood in the middle cerebral artery (Vmca) were compared with experimentally measured signals (TOS using near-infrared spectroscopy and Vmca using transcranial Doppler) acquired during hypercapnia in healthy volunteers. Initially, some systematic discrepancies between predicted and measured values of these variables were identified. The model was optimised to best fit the measured data by adjusting model parameters. To improve the fit, three additional model mechanisms were considered. These were: an extracerebral contribution to TOS, a change in venous volume with CO2 levels and a change in oxygen consumption with CO2 levels. Each mechanism, when used alone, improved the fit of the model to the data, although significant parameter changes were necessary. It is likely that a combination of these mechanisms will improve the success of modelling of TOS and Vmca changes during hypercapnia.
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Acknowledgments
The authors would like to thank the Wellcome Trust (088429/Z/09/Z) and the Centre for Mathematics and Physics in the Life Sciences and Experimental Biology for the financial support of this work. This work was undertaken at University College London Hospitals and partially funded by the UK Department of Health’s National Institute for Health Research Centres funding scheme.
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Moroz, T., Banaji, M., Tisdall, M., Cooper, C.E., Elwell, C.E., Tachtsidis, I. (2012). Development of a Model to Aid NIRS Data Interpretation: Results from a Hypercapnia Study in Healthy Adults. In: Wolf, M., et al. Oxygen Transport to Tissue XXXIII. Advances in Experimental Medicine and Biology, vol 737. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1566-4_43
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DOI: https://doi.org/10.1007/978-1-4614-1566-4_43
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