Evaluation of near infrared spectroscopy as screening tool for detecting intracranial hematomas in patients with traumatic brain injury

Trehan, Vijay; Maheshwari, Vikas; Kulkarni, Shrirang Vasant; Kapoor, Sanjeev; Gupta, Anurakshat

doi:10.1016/j.mjafi.2017.08.009

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…A report from New Delhi, India, demonstrated that non-contrast CT is an effective screening tool for predicting ICH in emergency situations and intensive care units, outperforming Near Infra-Red Spectroscopy (NIRS) which is unreliable for sub-acute to chronic hemorrhage and bilateral lesions (14). In Japan, CT is predominantly used for post-trauma ICH evaluation and provides essential information about brain structure, similar to the findings of this study (15).…”

Section: Discussionsupporting

confidence: 67%

Evaluation of Acute Intracerebral hemorrhage using Computed-Tomography and Magnetic Resonance imaging from Tertiary Care Hospital Peshawar

Loqman Shah,

Amir Afzal Khan,

Rubina Fazal

et al. 2024

JHRR

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Background: Acute intracerebral hemorrhage (ICH) is a severe form of stroke characterized by bleeding within the brain parenchyma, posing high risks of mortality and disability. Accurate and rapid diagnosis is crucial for effective management. This study aimed to evaluate the detection and diagnostic accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) in acute ICH. Objective: This study aimed to evaluate the detection of acute intracerebral hemorrhage and assess the diagnostic accuracy of computed tomography and magnetic resonance imaging. Methods: A descriptive cross-sectional study was conducted from February 2023 to June 2023 at Rehman Medical Institute and Kuwait Teaching Hospital in Peshawar, Khyber Pakhtunkhwa. The sample size was 110 patients, and data were analyzed using the Statistical Package for the Social Sciences (SPSS). Results: Out of 110 patients, 38 (34.5%) were aged 49-66. All patients (100%) had subarachnoid or other types of hemorrhage confirmed on scans. Hypertension was present in 41 (37.3%) patients, while 69 (62.7%) were not hypertensive. Loss of consciousness was observed in 26 (23.6%) patients, whereas 84 (76.4%) did not experience it. Subdural/epidural hematomas were found in 28 (25.5%) patients, and 82 (74.5%) had no such hematomas. Conclusion: The study concluded that the capabilities of detection and diagnostic accuracy of the computed tomography scan in acute intracerebral hemorrhage are superior to magnetic resonance imaging due to higher sensitivity and faster image acquisition time.

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Section: Discussionsupporting

confidence: 67%

Evaluation of Acute Intracerebral hemorrhage using Computed-Tomography and Magnetic Resonance imaging from Tertiary Care Hospital Peshawar

Loqman Shah,

Amir Afzal Khan,

Rubina Fazal

et al. 2024

JHRR

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“…NIRS is a method that has been studied by various clinics for its success in showing cerebral tissue oxygenation and is successful in different intracranial events ( 10 , 11 ). Although CT and magnetic resonance imaging are still the gold standard in cases of headache with suspected brain hemorrhage or infarction according to the literature, NIRS is used as an auxiliary and monitoring test between these devices as it provides less information ( 14 , 15 ). However, there are insufficient studies regarding its diagnostic value in suspicious intracranial events in EDs.…”

Section: Discussionmentioning

confidence: 99%

Is near-infrared spectroscopy a promising predictor for early intracranial hemorrhage diagnosis in the Emergency Department?

Çınaroğlu,

Bora,

Acar

et al. 2024

Braz J Med Biol Res

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Intracranial hemorrhage (ICH) is a serious medical condition that can lead to significant morbidity and mortality if not diagnosed and treated promptly. Early detection and treatment are essential for improving the outcome in patients with ICH. Near-infrared spectroscopy (NIRS) is a non-invasive imaging technique that has been used to detect changes in brain tissue oxygenation and blood flow in various conditions. The aim of this study was to investigate the predictive potential of NIRS for early diagnosis of ICH in patients presenting to the Emergency Department (ED) triage with headache. A total of 378 patients were included in the study. According to the final diagnosis of the patients, 4 groups were formed: migraine, tension-cluster headache, intracranial hemorrhage and intracranial mass, and control group. Cerebral NIRS values “rSO 2 ” were measured at the first professional medical contact with the patient. The right and left rSO 2 (RrSO 2 , LrSO 2 ) were significantly lower and the rSO 2 difference was significantly higher in the intracranial hemorrhage group compared to all other patient groups (P<0.001). The cut-off values determined in the receiver operating characteristics (ROC) analysis were RrSO 2 ≤67, LrSO 2 ≤67, and ΔrSO 2 ≥9. This study found that a difference of more than 9 in cerebral right-left NIRS values can be a non-invasive, easy-to-administer, rapid, and reliable diagnostic test for early detection of intracranial bleeding. NIRS holds promise as an objective method in ED triage for patients with intracranial hemorrhage. However, further research is needed to fully understand the potential benefits and limitations of this method.

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Near-infrared spectroscopy for intracranial hemorrhage detection in traumatic brain injury patients: A systematic review

Viderman

Ayapbergenov

Abilman

et al. 2021

The American Journal of Emergency Medicine

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Evaluation of near infrared spectroscopy as screening tool for detecting intracranial hematomas in patients with traumatic brain injury

Cited by 5 publications

References 15 publications

Evaluation of Acute Intracerebral hemorrhage using Computed-Tomography and Magnetic Resonance imaging from Tertiary Care Hospital Peshawar

Evaluation of Acute Intracerebral hemorrhage using Computed-Tomography and Magnetic Resonance imaging from Tertiary Care Hospital Peshawar

Is near-infrared spectroscopy a promising predictor for early intracranial hemorrhage diagnosis in the Emergency Department?

Near-infrared spectroscopy for intracranial hemorrhage detection in traumatic brain injury patients: A systematic review

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