analysis of muscle oxygenation parameters during … · 2019. 2. 21. · 2for thb: r = 0.87 results...

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RheinAhrCampus Remagen ● Department of Mathematics and Technology RESULTS Change in Oxygen Saturation DSO 2 with respect to baseline: mean ± SD - NIRO-200NX and moorVMS-NIRS monitors agree within errors Correlation of Changes in Oxygen Saturation DSO 2 for Hamamatsu NIRO200NX and moorVMS-NIRS High correlation between commercial monitors for SO 2 : R 2 = 0.99 for DSO 2 : R 2 = 0.97 for tHb: R 2 = 0.87 RESULTS Oxygen Saturation SO 2 : mean ± SD - decrease in SO 2 with exercise power - deoxygenation stronger in centre of muscle - agreement for the two commercial sensors Normalised total haemoglobin concentration tHb: mean ± SD - increase in haemoglobin concentration with power - larger changes in centre of muscle - within error agreement for two commercial monitors CONCLUSION within errors, haemoglobin parameters agree for Hamamatsu NIRO-200 NX and Moor Instruments moorVMS-NIRS - high correlation between monitors for SO 2 and DSO 2 - correlation for tHb is lower Differences between site and / or left right leg are larger than between monitors Oxygenation changes larger for centre of muscle compared to distal site Differences might be due to - positioning / site - pressure and fixation of sensor - differences in anatomy / adipose tissue thickness - physiology ANALYSIS OF MUSCLE OXYGENATION PARAMETERS DURING CYCLING: INFLUENCE OF SITE AND COMPARISON OF DIFFERENT COMMERCIAL NEAR-INFRARED SYSTEMS Norman Riedel, Eduard Lukanowski, Arved Reimann, Matthias Kohl-Bareis University of Applied Sciences Koblenz, RheinAhrCampus, Joseph-Rovan-Allee 2, 53424 Remagen, Germany BACKGROUND Near-Infrared Spectroscopy (NIRS) is widely used for the analysis of muscle oxygenation in microcirculation, parameters:haemoglobin concentration tHb, oxygen saturation SO 2 (ref. 1- 6) Remaining problems are - comparison of different monitors which differ in technical details (wavelength, detectors, algorithm) - influence of site / muscle group - there is no gold standard to compare with AIMS Comparison of two commercial monitors during incremental cycling Analysis of site dependence Hypothesis: - haemoglobin parameters agree for two commercial monitors - changes in deoxygenation are largest in the centre of the muscle METHODS Two commercial NIRS tissue oxygenation monitors - Hamamatsu NIRO-200 NX: - Moor Instruments moorVMS-NIRS - two channels each - algorithm: spatially-resolved spectroscopy - oxygen saturation SO 2 is main parameter - as haemoglobin and oxygenation depends on the site and the sensors have a size of about 5 cm, muscles of left and right legs were compared Protocol n= 11 (healthy, male, age = (22.3 ± 2.7) y, mass = (71.0 ± 8.1) kg, height = (180 ± 7) cm, adipose tissue thickness = (3.1 ± 2.2) mm) site: vastus lateralis of left & right leg, central and distal cycling, incremental power steps (DP = 30 W, t = 2 min each until P max , cadence: 80 cpm) descriptive statistical analysis power [Watt] 30 60 90 120 150 180 210 240 270 300 330 360 30 oxygen saturation SO 2 [%] 40 50 60 70 moorVMS-NIRS, central moorVMS-NIRS, distal Hamamatsu NIRO-200NX, distal Hamamatsu NIRO-200NX, central 11 11 11 11 11 11 11 9 8 6 3 1 11 Number of subjects: moorVMS-NIRS DSO 2 [%] -30 -20 -10 0 10 Hamamatsu NIRO-200NX D SO 2 [%] -30 -20 -10 0 10 DSO 2, Hama = 1.17*DSO 2, Moor - 0.24 % R 2 = 0.97 power [Watt] 30 60 90 120 150 180 210 240 270 300 330 360 30 change in oxygen saturation D SO2 [%] -30 -20 -10 0 10 moorVMS-NIRS. central Hamamatsu NIRO-200NX, central 11 11 11 11 11 11 11 9 8 6 3 1 11 Number of subjects: power step [Watt] 30 60 90 120 150 180 210 240 270 300 330 360 30 normalized total haemoglobin 0.8 1.0 1.2 1.4 1.6 1.8 moorVMS-NIRS, central moorVMS-NIRS, distal Hamamatsu NIRO-200NX, distal Hamamatsu NIRO-200NX, central 11 11 11 11 11 11 11 9 8 6 3 1 11 Number of subjects: REFERENCES 1. Wolf M, Ferrari M, Quaresima V. J Biomed Opt 12, 062104, 2007 2. Bhambhani Y. Can. J. Appl. Physiol. 29, 504-523, 2004 3. Matcher SJ, Kirkpatrick P, Nahid K, Cope M, Delpy DT. SPIE 1995; 2389: 486–95. 4. Suzuki S, Takasaki S, Ozaki T, Kobayashi Y. SPIE 1999; 3597: 582–92. 5. Geraskin D, Platen P, Franke J, Andre C, Bloch W, Kohl-Bareis M SPIE 2005; 5859: 58590L. 6. Geraskin D, Boeth H, Kohl-Bareis M. SPIE 2007; 6629: 66281H. Acknowledgment: The work was supported by Moor Instruments Ltd.

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  • Rh

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    RESULTS Change in Oxygen Saturation DSO2

    with respect to baseline: mean ± SD

    - NIRO-200NX and moorVMS-NIRS monitors agree within errors

    Correlation of Changes in Oxygen Saturation DSO2

    for Hamamatsu NIRO200NX and moorVMS-NIRS

    High correlation between commercial monitors

    for SO2: R2 = 0.99

    for DSO2: R2 = 0.97

    for tHb: R2 = 0.87

    RESULTS

    Oxygen Saturation SO2: mean ± SD

    - decrease in SO2 with exercise power

    - deoxygenation stronger in centre of muscle

    - agreement for the two commercial sensors

    Normalised total haemoglobin concentration tHb: mean ± SD

    - increase in haemoglobin concentration with power

    - larger changes in centre of muscle

    - within error agreement for two commercial monitors

    CONCLUSION

    • within errors, haemoglobin

    parameters agree for Hamamatsu

    NIRO-200 NX and

    Moor Instruments moorVMS-NIRS

    - high correlation between monitors

    for SO2 and DSO2

    - correlation for tHb is lower

    • Differences between site and / or

    left right leg are larger than

    between monitors

    • Oxygenation changes larger for

    centre of muscle compared to

    distal site

    • Differences might be due to

    - positioning / site

    - pressure and fixation of sensor

    - differences in anatomy / adipose

    tissue thickness

    - physiology

    ANALYSIS OF MUSCLE OXYGENATION PARAMETERS

    DURING CYCLING: INFLUENCE OF SITE AND COMPARISON OF DIFFERENT

    COMMERCIAL NEAR-INFRARED SYSTEMS

    Norman Riedel, Eduard Lukanowski, Arved Reimann, Matthias Kohl-Bareis University of Applied Sciences Koblenz, RheinAhrCampus, Joseph-Rovan-Allee 2, 53424 Remagen, Germany

    BACKGROUND • Near-Infrared Spectroscopy (NIRS) is widely used for the analysis of

    muscle oxygenation in microcirculation, parameters:haemoglobin

    concentration tHb, oxygen saturation SO2 (ref. 1- 6)

    • Remaining problems are

    - comparison of different monitors which differ in technical details

    (wavelength, detectors, algorithm)

    - influence of site / muscle group

    - there is no gold standard to compare with

    AIMS • Comparison of two commercial monitors during incremental cycling

    • Analysis of site dependence

    • Hypothesis:

    - haemoglobin parameters agree for two commercial monitors

    - changes in deoxygenation are largest in the centre of the muscle

    METHODS • Two commercial NIRS tissue oxygenation monitors

    - Hamamatsu NIRO-200 NX:

    - Moor Instruments moorVMS-NIRS

    - two channels each

    - algorithm: spatially-resolved spectroscopy

    - oxygen saturation SO2 is main parameter

    - as haemoglobin and oxygenation depends on the site

    and the sensors have a size of about 5 cm, muscles of

    left and right legs were compared

    Protocol • n= 11 (healthy, male, age = (22.3 ± 2.7) y, mass = (71.0 ± 8.1) kg,

    height = (180 ± 7) cm, adipose tissue thickness = (3.1 ± 2.2) mm) • site: vastus lateralis of left & right leg, central and distal

    • cycling, incremental power steps (DP = 30 W, t = 2 min each until Pmax, cadence: 80 cpm)

    • descriptive statistical analysis

    oxygen saturation

    power [Watt]

    30 60 90 120 150 180 210 240 270 300 330 360 30

    oxyg

    en

    sa

    tura

    tio

    n S

    O2 [%

    ]

    40

    50

    60

    70

    moorVMS-NIRS, central

    moorVMS-NIRS, distal

    Hamamatsu NIRO-200NX, distal

    Hamamatsu NIRO-200NX, central

    11 11 11 11 11 11 11 9 8 6 3 1 11

    Number ofsubjects:

    Channel 1 Moor

    Channel 2 Moor

    Channel 1 Hama

    Channel 2 Hama

    Correlation of differentiated oxygen saturation between Ch1 Moor & Ch2 Hamamatsu

    moorVMS-NIRS DSO2 [%]

    -30 -20 -10 0 10

    Ha

    mam

    ats

    u N

    IRO

    -200

    NX

    DS

    O2 [%

    ]

    -30

    -20

    -10

    0

    10

    DSO2, Hama

    = 1.17*DSO2, Moor

    - 0.24 %

    R2 = 0.97

    differentiated oxygen saturation

    power [Watt]

    30 60 90 120 150 180 210 240 270 300 330 360 30

    chan

    ge in o

    xygen

    satu

    ration D

    SO

    2 [%

    ]

    -30

    -20

    -10

    0

    10

    moorVMS-NIRS. central

    Hamamatsu NIRO-200NX, central

    11 11 11 11 11 11 11 9 8 6 3 1 11 Number ofsubjects:

    normalized total Haemoglobin

    power step [Watt]

    30 60 90 120 150 180 210 240 270 300 330 360 30

    norm

    alized tota

    l haem

    oglo

    bin

    0.8

    1.0

    1.2

    1.4

    1.6

    1.8

    moorVMS-NIRS, central

    moorVMS-NIRS, distal

    Hamamatsu NIRO-200NX, distal

    Hamamatsu NIRO-200NX, central

    11 11 11 11 11 11 11 9 8 6 3 1 11

    Number ofsubjects:

    REFERENCES

    1. Wolf M, Ferrari M, Quaresima V. J Biomed Opt 12,

    062104, 2007

    2. Bhambhani Y. Can. J. Appl. Physiol. 29, 504-523,

    2004

    3. Matcher SJ, Kirkpatrick P, Nahid K, Cope M, Delpy

    DT. SPIE 1995; 2389: 486–95.

    4. Suzuki S, Takasaki S, Ozaki T, Kobayashi Y. SPIE

    1999; 3597: 582–92.

    5. Geraskin D, Platen P, Franke J, Andre C, Bloch W,

    Kohl-Bareis M SPIE 2005; 5859: 58590L.

    6. Geraskin D, Boeth H, Kohl-Bareis M. SPIE 2007;

    6629: 66281H.

    Acknowledgment:

    The work was supported by Moor Instruments Ltd.