Near-Infrared Spectroscopy at the Sagittal Sinus Region: Comparison with Jugular Bulb Oxymetry

  • Hidehiko Kushi
  • Tadashi Shibuya
  • Motoaki Fujii
  • Yoichi Katayama
  • Takashi Tsubokawa
Conference paper


Since the first clinical application during the 1940s [1, 2], infrared spectroscopy has become an important clinical technique through the development of a pulsed oxymeter [3]. More recently, near-infrared intracranial spectroscopy (NIS) has been introduced as a technique to monitor oxygénation of the brain noninvasively [4]. The NIS device is usually placed on the scalp of the forehead so that oxygenation of the frontal lobe at the depth of 2.5 cm is monitored [5–8]. Because the total blood volume of the brain consists of 75% venous blood, data from NIS can be regarded as reflecting the balance of oxygen supply and consumption [9, 10]


Glasgow Coma Scale Brain Death Severe Traumatic Brain Injury Superior Sagittal Sinus Jugular Bulb 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Jones RA (1985) Analytical application of vibrational spectroscopy: a historical review. In: Chemical, biological, and industrial application of infrared spectroscopy. New York, Wiley, pp 1–43Google Scholar
  2. 2.
    Dobriner K, Katzenellenbogen ER, Jones RN (1953) Infrared absorption spectra of sterid, vol 2. Interscience, New YorkGoogle Scholar
  3. 3.
    Takatani S, Cheung PW, Ernst EA (1980) A noninvasive tissue reflectance oximeter. Ann Biomed Eng 8:1–15PubMedCrossRefGoogle Scholar
  4. 4.
    McCormic PW, Stewart M, Goetting MG (1991) Noninvasive cerebral optical spectroscopy for monitoring cerebral oxygen delivery and hemodynamics. Crit Care Med 19:89–97CrossRefGoogle Scholar
  5. 5.
    James IA, Patrie WM, Melville S, Gary L, Gurusway B, Ghaus MN, Ramsis FG (1993) Cerebral oxygen metabolism during hypothermie circulatory arrest in humans. J Neurosurg 79:810–815CrossRefGoogle Scholar
  6. 6.
    McCormic PW, Stewart M, Goetting MG (1991) Regional cerebrovascular oxygen saturation measured by optical spectroscopy in humans. Stroke 22:596–602CrossRefGoogle Scholar
  7. 7.
    McCormic PW, Stewart M, Lewis G (1991) Noninvasive measurement of regional cerebrovascular oxygen saturation in human using optical spectroscopy. In: Time-resolved spectroscopy and imaging of tissues. Proceedings of the International Society for Optical Engineering, vol 1431. pp 294–302Google Scholar
  8. 8.
    Delpy DT, Cope M, van der Zee P (1988) Estimation of optical pathlength through tissue from direct time flight measurement. Phys Med Biol 33:1433–1442PubMedCrossRefGoogle Scholar
  9. 9.
    Smith DS, Levy W, Maris M (1990) Reperfusion hypoxia in brain after circulatory arrest in humans. Anesthesiology 73:12–19PubMedCrossRefGoogle Scholar
  10. 10.
    Mchedlishvili G (1986) Cerebral arterial behavior providing constant blood flow pressure and volume. In: Bevan JA (ed) Arterial behavior and blood circulation in the brain. Plenum, New York, pp 42–95Google Scholar
  11. 11.
    Katayama Y, Tsubokawa T, Hirayama T, Himi K (1994) Continuous monitoring of jugular bulb oxygen saturation as a measure of the shunt flow of cerebral arteriovenous malformations. J Neurosurg 80:826–833PubMedCrossRefGoogle Scholar
  12. 12.
    Wan S, Parrish JA, Anderson RR (1981) Transmittance of nonionizing radiation in human tissue. Photochem Photobiol 34:679–681PubMedGoogle Scholar
  13. 13.
    Chance B, Leigh JS, Miyaké H (1988) Comparison of time-resolved and-unresolved measurements of deoxyhemoglobin in brain. Proc Natl Acad Sci USA 85:4971–4975PubMedCrossRefGoogle Scholar
  14. 14.
    Hazeki O, Tamura M (1988) Quantitative analysis of hemoglobin oxygénation state of rat brain in situ by near-infrared spectrometry. J Appl Physiol 64:796–802PubMedGoogle Scholar
  15. 15.
    Seed JW, Cefalo RC, Proctor HJ (1984) The relationship of intracranial infrared light absorbance of fetal oxygénation: I. Methodology. Am J Obstet Gynecol 149:679–684Google Scholar
  16. 16.
    Willford DC, Hill EP, Moores WY (1986) Theoretical analysis of oxygen transport during hypothermia. J Clin Monit 2:30–43PubMedCrossRefGoogle Scholar
  17. 17.
    Cope M, Delpy DT, Reynolds EOR (1988) Methods of quantitating cerebral near infrared spectroscopy data. Adv Exp Med Biol 222:183–189PubMedGoogle Scholar
  18. 18.
    Jobisis FF (1977) Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 198:1264–1267CrossRefGoogle Scholar
  19. 19.
    Wiernsperger N, Sylvia AL, Jobsis FF (1981) Incomplete transient ischemia: a non-destructive evaluation of in vivo cerebral metabolism and hemodynamics in rat brain. Stroke 12:864–868PubMedCrossRefGoogle Scholar
  20. 20.
    Bouma GJ, Muizelaar JP, Choi SC, Newlon PG, Yong HF (1991) Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg 75:685–693PubMedCrossRefGoogle Scholar
  21. 21.
    Cruz J, Miner ME, Allen SJ, Alves WM, Gennarelli TA (1991) Continuous monitoring of cerebral oxygénation in acute brain injury: assessment of cerebral hemodynamic reserve. Neurosurgery 29:743–749PubMedCrossRefGoogle Scholar
  22. 22.
    Sheinberg M, Kanter MJ, Robertson CG, Contant CF, Narayan RK, Grossman RG (1992) Continuous monitoring of jugular venous saturation in head-injured patients. J Neurosurg 76:212–217PubMedCrossRefGoogle Scholar
  23. 23.
    Robertson CG, Contat CF, Narayan RK, Grossman RG (1992) Cerebral blood flow, AVDO2, and neurologic outcome in head-injured patients. J Neurotrauma 9(Suppl I):349–358Google Scholar
  24. 24.
    Tsubokawa T, Katayama Y (1992) Continuous monitoring of jugular venous oxygen saturation in the management of severe head injury. Crit Rev Neurosurg 2:210–219Google Scholar

Copyright information

© Springer-Verlag Tokyo 1995

Authors and Affiliations

  • Hidehiko Kushi
    • 1
  • Tadashi Shibuya
    • 1
  • Motoaki Fujii
    • 1
  • Yoichi Katayama
    • 1
  • Takashi Tsubokawa
    • 1
  1. 1.Department of Neurological SurgeryNihon University School of MedicineItabashi, 173 TokyoJapan

Personalised recommendations