Precision and normal values of cerebral blood volume in preterm neonates using time‐resolved near‐infrared spectroscopy

Abstract

AimTo investigate cerebral blood volume (CBV) in preterm neonates using time‐resolved near‐infrared spectroscopy.MethodsIn this prospective observational study, time‐resolved near‐infrared spectroscopy measurements of CBV using tNIRS‐1 were performed in 70 preterm neonates. For measurements, a sensor was placed for a duration of 1 min, followed by four further reapplications of the sensor, overall five measurements.ResultsIn this study, 70 preterm neonates with a mean ± SD gestational age of 33.4 ± 1.7 weeks and a birthweight of 1931 ± 398 g were included with a postnatal age of 4.7 ± 2.0 days. Altogether, 2383 CBV values were obtained with an overall mean of 1.85 ± 0.30 mL/100 g brain. A total of 95% of the measured CBV values varied in a range from −0.31 to 0.33 from the overall individual mean. Taking the deviation of the mean of each single application for each patient, this range reduced from −0.07 to 0.07. The precision of the measurement defined as within‐variation in CBV was 0.24 mL/100 g brain.ConclusionThe overall mean CBV in stable preterm neonates was 1.85 ± 0.30 mL/100 g brain. The within‐variation in CBV was 0.24 mL/100 g brain. Based on the precision obtained by our data, CBV of 1.85 ± 0.30 mL/100 g brain may be assumed as normal value for this cohort.