“…Previously, spectroscopic optical monitoring (“near-infrared spectroscopy” (NIRS)) has been used for transcranial measurements of total hemoglobin concentration (THC), blood oxygen saturation [17, 18], and, indirectly, for CBF monitoring using an exogenous tracer [19]. In stroke patients, NIRS studies [20] have explored detection of hemispheric CBF and oxygenation reduction [19, 21–23], cerebrovascular reactivity [24, 25], and local functional changes [26–28]. Some studies have shown utility for monitoring acute ischemic stroke longitudinally [29], providing information complementary to the macrovascular CBF obtained with TCD [24].…”