CW-NIRS |
Constant illumination |
Relative changes in [HbO] and [HbR] |
Continuous monitoring for relative changes in CBF in response to discrete clinical events/interventions |
Only relative changes |
Measures changes in NIR absorption of HbO and HbR using MBLL |
Susceptible to background light contamination |
Commercial devices available for clinical use |
Easily portable |
FD-NIRS |
Intensity-modulated illumination |
Absolute [HbO], [HbR], and
|
Compare absolute hemodynamic and oxygenation changes, |
Bulky size/expensive |
Lack of commercial devices |
Phase-resolved detection |
Make comparisons within patients over time and between patients |
Measures the average intensity of the detected light as well as fluctuating intensity and phase shift |
Less susceptible to background light artifact |
TD-NIRS |
Extremely short, pulsed illumination |
Absolute [HbO], [HbR], and
|
Compare absolute hemodynamic and oxygenation changes |
Bulky/expensive |
Lack of commercial devices |
Time-resolved detection of emerging photons (time of flight [TOF]) |
Detailed assessment of the tissue’s optical properties |
Make comparisons within and between-patients |
DCS |
Coherent NIR-range light |
Relative changes in CBF |
Detecting changes in CBF and cerebral ischemia |
Can only measure relative changes |
Detects fluctuations in light intensity over time produced by scattering particles |
Susceptible to motion and background light artifacts |
Paucity of commercially available devices |
DCS/NIRS |
Hybrid of DCS and NIRS |
Concurrent CBF, [HbO], [HbR], and
|
Detection of cerebral ischemia |
Repeated calibration with tracer injection if using CW-NIRS |
Can detect absolute changes in CBF if using contrast enhanced NIRS |
Can monitor cerebral oxygen metabolism |
Bulky/expensive |
Lack of commercially available devices |
DCT |
Analyzes CBF data from DCS using many source-detector pairs and a wide FOV |
Dynamic, 3D imaging of CBF |
Obtaining spatial information in focal injuries |
Susceptible to noise, artifacts |
Decreased penetration to deeper tissues |