Yodh, A. G. | Search bioRxiv

bioRxiv2020

Spatially resolved optical monitoring of spinal cord blood flow with a minimally invasive, multi-level epidural probe

Spinal cord ischemia leads to iatrogenic injury in multiple surgical fields, and the ability to immediately identify onset and anatomic origin of ischemia is critical to its management. Current clinical monitoring, however, does not directly measure spinal cord blood flow, resulting in poor sensitivity/specificity, delayed alerts, and delayed intervention. We have developed an epidural device employing diffuse correlation spectroscopy (DCS) to monitor spinal cord ischemia continuously at multiple positions. We investigate the ability of this device to localize spinal cord ischemia in a porcine model and validate DCS versus Laser Doppler Flowmetry (LDF). Specifically, we demonstrate continuous (>0.1Hz) spatially resolved (3 locations) monitoring of spinal cord blood flow in a purely ischemic model with an epidural DCS probe. Changes in blood flow measured by DCS and LDF were highly correlated (r=0.83). Spinal cord blood flow measured by DCS caudal to aortic occlusion decreased 62%, with a sensitivity of 0.87 and specificity of 0.91 for detection of a 25% decrease in flow. This technology may enable early identification and critically important localization of spinal cord ischemia.

bioengineering↗

bioRxiv2019

Asymmetric, dynamic adaptation in prefrontal cortex during dichotic listening tasks

Speech comprehension relies on highly distributed, dynamically interconnected neuroanatomical loci. Accordingly, performance on complex speech processing tasks such as dichotic listening can be used to assess the integrity and health of many functional and structural aspects of the brain. Despite the potential merits as a clinical assessment tool, however, the neural substrates activated during dichotic listening remain relatively opaque at higher processing levels. Ultimately, this knowledge gap limits diagnostic use of the task. At the level of the prefrontal cortex, dichotic listening induces an asymmetric response wherein regions on the right hemisphere exhibit a higher functional activation than on the left. Superficially, this finding is counterintuitive given the left hemispheres dominance for speech and language. To obtain a more in-depth perspective on the potentially distinct roles of the right and left prefrontal cortex, we optically monitored cerebral blood flow in the dorsolateral prefrontal cortex (DLPFC) during dichotic listening tasks in human subjects. The method permitted us to avoid systematic experimental confounds that functional magnetic resonance imaging (fMRI) measurements suffer from, namely the influence of scanner noise. In addition to reproducing the documented larger activation amplitude in the right hemisphere, we also found that repeated listening task blocks were associated with altered kinetics of blood flow in the right, but not the left DLPFC. Interestingly, subjects with the most prominent regional blood flow changes in the right hemisphere also displayed large distortion product otoacoustic emissions (DPOAEs) in the left ear, possibly signaling a correlation between prefrontal activity and top-down listening control infrastructure through medial olivocochlear efferent projections to the inner ear. Overall, our results suggest that the right prefrontal cortical regions play an active role in optimizing task performance.

neuroscience↗