Perfusion assessment in rat spinal cord tissue using photoplethysmography and laser Doppler flux measurements

Abstract. Animal models are widely used to investigate the pathological mechanisms of spinal cord injury (SCI), most commonly in rats. It is well known that compromised blood flow caused by mechanical disruption of the vasculature can produce irreversible damage and cell death in hypoperfused tissue regions and spinal cord tissue is particularly susceptible to such damage. A fiberoptic photoplethysmography (PPG) probe and instrumentation system were used to investigate the practical considerations of making measurements from rat spinal cord and to assess its suitability for use in SCI models. Experiments to assess the regional perfusion of exposed spinal cord in anesthetized adult rats using both PPG and laser Doppler flowmetry (LDF) were performed. It was found that signals could be obtained reliably from all subjects, although considerable intersite and intersubject variability was seen in the PPG signal amplitude compared to LDF. We present results from 30 measurements in five subjects, the two methods are compared, and practical application to SCI animal models is discussed.

[1]  M. Farooque,et al.  Spinal cord blood flow changes following systemic hypothermia and spinal cord compression injury: an experimental study in the rat using Laser-Doppler flowmetry , 2001, Spinal Cord.

[2]  E. Nemoto Pathogenesis of cerebral ischemia‐anoxia , 1978, Critical care medicine.

[3]  J. Grauer,et al.  Pathophysiology and pharmacologic treatment of acute spinal cord injury. , 2004, The spine journal : official journal of the North American Spine Society.

[4]  J. Priestley,et al.  An Optical Fiber Photoplethysmographic System for Central Nervous System Tissue , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[5]  D. Burke,et al.  Dural closure, cord approximation, and clot removal: enhancement of tissue sparing in a novel laceration spinal cord injury model. , 2004, Journal of neurosurgery.

[6]  H. J. Smith,et al.  Measurement of spinal cord blood flow by the microsphere technique. , 1978, Neurosurgery.

[7]  G. Feuerstein,et al.  Validation of laser-Doppler flowmetry in measurement of spinal cord blood flow. , 1989, The American journal of physiology.

[8]  G. Dudley,et al.  Blood flow response in individuals with incomplete spinal cord injuries , 2002, Spinal Cord.

[9]  D. Zvara,et al.  Spinal Cord Blood Flow after Ischemic Preconditioning in a Rat Model of Spinal Cord Ischemia , 2004, TheScientificWorldJournal.

[10]  A. Amar,et al.  Pathogenesis and pharmacological strategies for mitigating secondary damage in acute spinal cord injury. , 1999, Neurosurgery.

[11]  Charles Tator,et al.  Spinal cord blood flow and blood vessel permeability measured by dynamic computed tomography imaging in rats after localized delivery of fibroblast growth factor. , 2010, Journal of neurotrauma.

[12]  K. Ueki,et al.  Altered Blood Flow Distribution in the Rat Spinal Cord under Chronic Compression , 2011, Spine.

[13]  W. Kupsky,et al.  Pathophysiological classification of human spinal cord ischemia. , 1997, The journal of spinal cord medicine.

[14]  B. Ju,et al.  Valproic acid attenuates blood–spinal cord barrier disruption by inhibiting matrix metalloprotease‐9 activity and improves functional recovery after spinal cord injury , 2012, Journal of neurochemistry.

[15]  N. Theodore,et al.  Blood supply and vascular reactivity of the spinal cord under normal and pathological conditions. , 2011, Journal of neurosurgery. Spine.

[16]  Tissue motion--a disturbance in the laser-Doppler blood flow signal? , 1999, Technology and health care : official journal of the European Society for Engineering and Medicine.

[17]  J. Venes,et al.  Altered blood flow and secondary injury in experimental spinal cord trauma. , 1978, Journal of neurosurgery.

[18]  P. Kyriacou,et al.  Investigation of photoplethysmographic changes using a static compression model of spinal cord injury , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[19]  B. Nyström,et al.  Methodological analysis of an experimental spinal cord compression model in the rat , 1988, Acta neurologica Scandinavica.

[20]  B Matthews,et al.  Some aspects of the use of laser Doppler flow meters for recording tissue blood flow , 1993, Experimental physiology.

[21]  A. Granelli,et al.  Noninvasive peripheral perfusion index as a possible tool for screening for critical left heart obstruction , 2007, Acta paediatrica.

[22]  John Allen Photoplethysmography and its application in clinical physiological measurement , 2007, Physiological measurement.

[23]  Yamada Tomonori,et al.  Spinal cord blood flow and pathophysiological changes after transient spinal cord ischemia in cats. , 1998 .

[24]  S. Hunt,et al.  Co-treatment with riluzole and GDNF is necessary for functional recovery after ventral root avulsion injury , 2004, Experimental Neurology.

[25]  T. Carlstedt,et al.  Segmental spinal root avulsion in the adult rat: a model to study avulsion injury pain. , 2013, Journal of neurotrauma.

[26]  Deric P. Jones,et al.  Noninvasive Measurement of the Human Peripheral Circulation: Relationship Between Laser Doppler Flowmeter and Photoplethysmograph Signals from the Finger , 1988, Angiology.

[27]  Michael G Fehlings,et al.  Current status of acute spinal cord injury pathophysiology and emerging therapies: promise on the horizon. , 2008, Neurosurgical focus.

[28]  J. Caron,et al.  Delayed post-traumatic spinal cord infarction in an adult after minor head and neck trauma: a case report , 2012, Journal of Medical Case Reports.