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