Blood volume and haemoglobin oxygen content changes in human bone marrow during orthostatic stress.
ABSTRACT The interest in, and the need for effective measures to be used in screening, diagnosis, and the follow-up of skeletal pathologies is growing markedly. This paper proposes a completely new and non-invasive technique allowing the study of the human tibia bone marrow (BM) haemodynamics with a time resolution of 1 s. The technique, based on near infrared spectroscopy, is sensitive enough to allow the detection of BM blood volume and/or oxygen saturation changes during orthostatic variations imposed by a tilt bed. An increase in the slope of the bed of 15 degrees is sufficient to detect this phenomenon. The ability to study the possible presence of a neural control of BM haemodynamics is also discussed. No other existing technique currently allows one to obtain the proposed results and this approach might open up a new field of study related to human BM physiology.
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ABSTRACT: Monte Carlo (MC) simulations significantly contributed to a better understanding of laser-Doppler flowmetry (LDF). Here it is shown that the data obtained from standard MC simulations can be reinterpreted and used to extract more information such as the photo-electric current (i(t)). This is important because i(t) is the starting point for evaluating any existing or new algorithm to be used in LDF instrumentation. This circumvents the tedious procedure of generating a specific model (often approximated if possible at all) each time a different algorithm is considered. By a series of tutorial examples, the influence of various parameters is investigated, e.g. sampling rate, total acquisition time and dc filtering. These cases also demonstrate the fundamental role played by the photons' random phase in the shaping of the LDF signal. In particular, it is demonstrated by MC simulation that when the number of photon-moving red blood cell interactions is too low, then the Siegert relation that exists between the field and photo-electric current autocorrelation functions does not hold. This is an important point because the validity of the Siegert relation is implicitly admitted in the majority of the classical analytical models for the autocorrelation function in LDF (the classical MC approach does not allow one to study this problem). The proposed method and examples could stimulate new ideas and help the scientific community develop, test and validate new approaches in LDF.Physics in Medicine and Biology 07/2009; 54(14):N303-18. · 2.70 Impact Factor
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ABSTRACT: A continuous wave near infrared instrument has been developed to monitor in vivo changes in the hemoglobin concentration of the trabecular compartment of human bone. The transmitter uses only two laser diodes of wavelengths 685 and 830 nm, and the receiver uses a single silicon photodiode operating in the photovoltaic mode. The functioning of the instrument and the depth of penetration of the near infrared signals was determined in vitro using tissue-equivalent phantoms. The instrument achieves a depth of penetration of approximately 2 cm for an optode separation of 4 cm and, therefore, has the capacity to interrogate the trabecular compartment of human bone. The functioning of the instrument was tested in vivo to evaluate the relative oxy-hemoglobin (HbO(2)) and deoxy-hemoglobin (Hb) concentrations of the proximal tibial bone of apparently healthy, normal weight, adult subjects in response to a 3 min on, 5 min off, vascular occlusion protocol. The traces of the relative Hb and HbO(2) concentrations obtained were reproducible in controlled conditions. The instrument is relatively simple and flexible, and offers an inexpensive platform for further studies to obtain normative data for healthy cohorts, and to evaluate disease-specific performance characteristics for cohorts with vasculopathies of bone.The Review of scientific instruments 04/2010; 81(4):043111. · 1.52 Impact Factor