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Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research
The process of cerebral vessels regulating constant cerebral blood flow over a wide range of systemic arterial pressures is termed cerebral autoregulation (CA). Static and dynamic autoregulation are two types of CA measurement techniques, with the main difference between these measures relating to t...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087842/ https://www.ncbi.nlm.nih.gov/pubmed/35557627 http://dx.doi.org/10.3389/fneur.2022.872731 |
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author | Sainbhi, Amanjyot Singh Gomez, Alwyn Froese, Logan Slack, Trevor Batson, Carleen Stein, Kevin Y. Cordingley, Dean M. Alizadeh, Arsalan Zeiler, Frederick A. |
author_facet | Sainbhi, Amanjyot Singh Gomez, Alwyn Froese, Logan Slack, Trevor Batson, Carleen Stein, Kevin Y. Cordingley, Dean M. Alizadeh, Arsalan Zeiler, Frederick A. |
author_sort | Sainbhi, Amanjyot Singh |
collection | PubMed |
description | The process of cerebral vessels regulating constant cerebral blood flow over a wide range of systemic arterial pressures is termed cerebral autoregulation (CA). Static and dynamic autoregulation are two types of CA measurement techniques, with the main difference between these measures relating to the time scale used. Static autoregulation looks at the long-term change in blood pressures, while dynamic autoregulation looks at the immediate change. Techniques that provide regularly updating measures are referred to as continuous, whereas intermittent techniques take a single at point in time. However, a technique being continuous or intermittent is not implied by if the technique measures autoregulation statically or dynamically. This narrative review outlines technical aspects of non-invasive and minimally-invasive modalities along with providing details on the non-invasive and minimally-invasive measurement techniques used for CA assessment. These non-invasive techniques include neuroimaging methods, transcranial Doppler, and near-infrared spectroscopy while the minimally-invasive techniques include positron emission tomography along with magnetic resonance imaging and radiography methods. Further, the advantages and limitations are discussed along with how these methods are used to assess CA. At the end, the clinical considerations regarding these various techniques are highlighted. |
format | Online Article Text |
id | pubmed-9087842 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90878422022-05-11 Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research Sainbhi, Amanjyot Singh Gomez, Alwyn Froese, Logan Slack, Trevor Batson, Carleen Stein, Kevin Y. Cordingley, Dean M. Alizadeh, Arsalan Zeiler, Frederick A. Front Neurol Neurology The process of cerebral vessels regulating constant cerebral blood flow over a wide range of systemic arterial pressures is termed cerebral autoregulation (CA). Static and dynamic autoregulation are two types of CA measurement techniques, with the main difference between these measures relating to the time scale used. Static autoregulation looks at the long-term change in blood pressures, while dynamic autoregulation looks at the immediate change. Techniques that provide regularly updating measures are referred to as continuous, whereas intermittent techniques take a single at point in time. However, a technique being continuous or intermittent is not implied by if the technique measures autoregulation statically or dynamically. This narrative review outlines technical aspects of non-invasive and minimally-invasive modalities along with providing details on the non-invasive and minimally-invasive measurement techniques used for CA assessment. These non-invasive techniques include neuroimaging methods, transcranial Doppler, and near-infrared spectroscopy while the minimally-invasive techniques include positron emission tomography along with magnetic resonance imaging and radiography methods. Further, the advantages and limitations are discussed along with how these methods are used to assess CA. At the end, the clinical considerations regarding these various techniques are highlighted. Frontiers Media S.A. 2022-04-26 /pmc/articles/PMC9087842/ /pubmed/35557627 http://dx.doi.org/10.3389/fneur.2022.872731 Text en Copyright © 2022 Sainbhi, Gomez, Froese, Slack, Batson, Stein, Cordingley, Alizadeh and Zeiler. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Sainbhi, Amanjyot Singh Gomez, Alwyn Froese, Logan Slack, Trevor Batson, Carleen Stein, Kevin Y. Cordingley, Dean M. Alizadeh, Arsalan Zeiler, Frederick A. Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research |
title | Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research |
title_full | Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research |
title_fullStr | Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research |
title_full_unstemmed | Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research |
title_short | Non-Invasive and Minimally-Invasive Cerebral Autoregulation Assessment: A Narrative Review of Techniques and Implications for Clinical Research |
title_sort | non-invasive and minimally-invasive cerebral autoregulation assessment: a narrative review of techniques and implications for clinical research |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9087842/ https://www.ncbi.nlm.nih.gov/pubmed/35557627 http://dx.doi.org/10.3389/fneur.2022.872731 |
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