Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-24T13:00:45.207Z Has data issue: false hasContentIssue false
  • English
  • Français

Near-Infrared Laser Spectroscopy as a Screening Tool for Detecting Hematoma in Patients with Head Trauma

Published online by Cambridge University Press:  28 June 2012

Hossein Ghalenoui ,
Hossein Saidi ,
Mazyar Azar ,
Seyyed Taha Yahyavi ,
Hamid Borghei Razavi  and
Mahmoudreza Khalatbari
Hossein Ghalenoui
Affiliation:
Department of Neurosurgery, Iran University of Medical Science (IUMS), Tehran, Iran
Hossein Saidi
Affiliation:
Department of Emergency Medicine IUMS, Tehran, Iran
Mazyar Azar
Affiliation:
Department of Neurosurgery, Iran University of Medical Science (IUMS), Tehran, Iran
Seyyed Taha Yahyavi*
Affiliation:
Research Committee, IUMS, Tehran, Iran
Hamid Borghei Razavi
Affiliation:
Research Committee, IUMS, Tehran, Iran
Mahmoudreza Khalatbari
Affiliation:
Department of Neurosurgery, Iran University of Medical Science (IUMS), Tehran, Iran
*
Number 11Boostan 4Pasdaran StreetTehran, Iran E-mail: seyyedtaha@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Among imaging techniques, computed tomography (CT) is a reliable method for detecting intracranial hematomas in patients with head trauma, but it is not generally available in special circumstances like prehospital situations and harsh conditions such as those following an earthquake.

Objective:

The objective of this study is to determine if near-infrared spectroscopy (NIRS) is useful for performing CT scans on patients with closed head trauma that present to medical centers that do not have the ability to perform a CT scan or in prehospital or harsh situations. Near-infrared spectroscopy and CT scan were compared according to sensitivity and specificity.

Methods:

This was an observational, prospective study. One hundred forty-eight patients admitted to Rasool Akram General Hospital in Tehran, Iran with head injuries during a one-month period were studied using NIRS and CT. The observational, prospective study was conducted and sensitivity, specificity, positive and negative predictive values of NIRS were calculated. Chi-square and Kappa analysis was performed, and a p-value <0.05 was considered significant.

Results:

According to the CT scan findings, 54 (36.5%) of the patients developed intracranial hematoma. The NIRS examination showed that 69 patients (46.6%) might have intracranial hematoma. The number of true negatives was 73 and the number of false negatives was six patients. The sensitivity and specificity of NIRS examination was 88.9% and 77.7%, respectively.

Conclusions:

This study speculates that NIRS may be a useful screening tool to detect intracranial hematoma. This capability could be useful in special situations like in a deprived area, medical centers without CT scan capabilities, prehospital situations, and in harsh conditions like those after an earthquake or other disasters that causes increased numbers of victims with closed head trauma.

Keywords

closed head traumaintracranial hematomanear infrared spectroscopy
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 23 , Issue 6 , December 2008 , pp. 558 - 561
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Hennes, HJ, Lott, C., Windirsch, M, Hanley, DF, Boor, S, Brambrink, A, Dick, W: Noninvasive detection of intracerebral hemorrhage using near-infrared spectroscopy (NIRS). Proc SPIE 1997;3194:42–54.CrossRefGoogle Scholar
2.Gopinath, SP, Robertson, CS, Contant, CF, Narayan, RK, Grossman, RG, Chance, R: Early detection of delayed traumatic intracranial hematomas using near-infrared spectroscopy. J Neurosurg 1995;83:438–444.CrossRefGoogle ScholarPubMed
3.Bein, B, Meybohm, P, Cavus, E, Tonner, PH, Steinfath, M, Scholz, J, Deorges, V: A comparison of transcranial Doppler with near infrared spectroscopy and indocyanine green during hemorrhagic shock: A prospective experimental study. Crit Care 2006;10(1):R18.CrossRefGoogle ScholarPubMed
4.Baumgartner, RW, Mattle, HP, Aaslid, R: Transcranial color-coded duplex sonography, magnetic resonance angiography, and computed tomography angiography: Methods applications, advantages, and limitation. J Clin Ultrasound 1995;23:89–111.CrossRefGoogle Scholar
5.Jobsis, FF: Non-invasive infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 1977;198:1264–1267.CrossRefGoogle Scholar
6.Brazy, JE, Lewis, DV: Changes in cerebral blood volume and cytochrome aa3 during hypertensive peaks in preterm infants. Pediatrics 1986;108:983–987.Google ScholarPubMed
7.Ferrari, M, De Marchis, C., Giannini, I, DiNicola, A, Agostino, R, Nodari, S, Bucci, G: Cerebral blood volume and haemoglobin oxygen saturation monitoring in neonatal brain by near infrared spectroscopy. Adv Exp Med Biol 1986;200:203–211.CrossRefGoogle Scholar
8.Francis, SV, Ravindran, G, Visvanathan, K, Ganapathy, K: Screening for uni-lateral intracranial abnormalities using near infrared spectroscopy: A preliminary report. J Clin Neurosci 2005;12(3):291–295.CrossRefGoogle Scholar
9.McCorrnick, PW, Goetting, MG, Dujovny, M, Ausman, JL: Noninvasive cerebral optical spectroscopy for monitoring cerebral oxygen delivery and hemo-dynamics. Crit Care Med 1991;19:89–97.CrossRefGoogle Scholar
10.Owen-Reece, H, Smith, M, Elwell, CE, Goldstone, JC: Near infrared spectroscopy. Br J Anaesth 1999;82:418–426.CrossRefGoogle ScholarPubMed
11.Wyatt, JS: Near-infrared spectroscopy in asphyxial brain injury. Clin Perinatol 1993;20:369–378.CrossRefGoogle ScholarPubMed
12.Van Bel, F, Dorrepaal, CA, Benders, MJ, Zeeuwe, PE, Van de Bor, M, Berger, HM: Changes in cerebral hemodydynamics and oxygenation in the first 24 hours after birth asphyxia. Pediatrics 1993;92:365–372.CrossRefGoogle ScholarPubMed
13.Ausman, J, McCorrnick, PW, Stewart, M, Lewis, G, Dujovny, M, Balakrishnan, G, Malik, GM, Ghaly, RF: Cerebral oxygen metabolism during hypothermic circulatory arrest in humans. J Neurosurg 1993;61:810–875.CrossRefGoogle Scholar
14.Daubeney, PE, Pilkington, SN, Janke, E, Charlton, GA, Smith, DC, Webber, SA: Cerebral oxygenation measured by near infrared spectroscopy. Ann Thorac Surg 1996;61:930–934.CrossRefGoogle ScholarPubMed
15.Kurth, CD, Steven, JM, Nicolson, SC: Cerebral oxygenation during pediatric cardiac surgery using deep hypothermic circulatory arrest. Anesthesiology 1995;82:74–82.CrossRefGoogle ScholarPubMed
16.Kirkpatrick, PJ, Smielewski, P, Czosnyka, M, Menon, DK, Pickard, JD: Near-infrared spectroscopy use in patients with head injury. J Neurosurg 1995;83:963–970.CrossRefGoogle ScholarPubMed
17.Gopinath, SP, Robertson, CS, Grossman, RG, Chance, B: Near-infrared spectroscopic localization of intracranial hematomas. J Neurosurg 1993;79(1):43–47.CrossRefGoogle ScholarPubMed
18.Goldberg, S, Lott, C., Ostermeyer, M, Hennes, HJ: Near-infrared spectroscopy (NIRS) as a diagnostic tool in patients with suspected stroke or traumatic brain injury. Proceedings of SPIE 2001;4432:310–311.CrossRefGoogle Scholar
19.Robertson, CS, Gopinath, SP, Chance, B: Use of near-infrared spectroscopy to identify traumatic intracranial hematomas. J Biomedical Optics 1997;02(01):31–41CrossRefGoogle Scholar
20.Francis, SV, Ravindran, G, Visvanathan, K, Ganapathy, K: Screening for uni-lateral intracranial abnormalities using near infrared spectroscopy. A preliminary report. J Clin Neuro 2005;12(3):291–295CrossRefGoogle Scholar
21.Litscher, G, Schikora, D: Near-infrared spectroscopy for objectifying cerebral effects of needle and laserneedle acupuncture. The Internet Journal of Neuromonitoring 2003;3(1).Google Scholar