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. 2023 Jun 30;10(2):023522. doi: 10.1117/1.NPh.10.2.023522

Table 1.

Comparison of different NIRS methods and related technologies.

NIRS modality Principles used Information provided Applications/advantages Disadvantages
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 rSO2 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 rSO2 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 rSO2 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