A comparative analysis of thermal blood perfusion measurement techniques

The object of this study was to devise a unified method for comparing different thermal techniques for the estimation of blood perfusion rates and to perform a comparison for several common techniques. The approach used was to develop analytical models for the temperature response for all combinations of five power deposition geometries (spherical, one- and two-dimensional cylindrical, and one- and two-dimensional Gaussian) and three transient heating techniques (temperature pulse-decay, temperature step function, and constant-power heat-up) plus one steady-state heating technique. The transient models were used to determine the range of times (the time window) when a significant portion of the transient temperature response was due to blood perfusion. This time window was defined to begin when the difference between the conduction-only and the conduction-plus-blood flow transient temperature (or power) responses exceeded a specified value, and to end when the conduction-plus-blood flow transient temperature (or power) reached a specified fraction of its steady-state value. The results are summarized in dimensionless plots showing the size of the time windows for each of the transient perfusion estimation techniques. Several conclusions were drawn, in particular: (a) low perfusions are difficult to estimate because of the dominance of conduction, (b) large heated regions are better suited for estimation of low perfusions, (c) noninvasive heating techniques are superior because they have the potential to minimize conduction effects, and (d) none of the transient techniques appears to be clearly superior to the others.     

Reduction of cutaneous blood flow in cold fingers

Blood flow to fingers is reduced during cold exposure. This is generally attributed to vasoconstriction. We tested the hypothesis that increased blood viscosity, not vasoconstriction, accounts for reductions of cutaneous flow after fingers cool. Blood viscosity was higher at 10 degree C than at 27 degree C and independent of hematocrit at low shear rates. The increase of finger vascular resistance may be due to increased vascular hindrance early in cold exposure (< 15 min) and is more likely due to increased viscosity after 20-30 min, a factor that may dominate the peripheral microcirculaton during prolonged cold exposure.     

Myocardial blood perfusion and transport modeling using inert-tracer techniques: a review and recent investigations

The inert-gas clearance method for measuring blood perfusion in the heart may be useful in detecting and assessing coronary disease and myocardial infarctions. Estimating perfusion from clearance data requires a model of tracer transport. The tracer transport models in use are the compartmental model, the kinetic model, and more complex models which yield estimates by optimal estimation techniques. The implementation of one such complex model in which tissue need not be assumed homogeneous, and the resulting myocardial perfusion and diffusibility estimates, are discussed. Methods are reviewed which may be used to detect and assess coronary disease by average and regional myocardial-perfusion measurements. Possible explanations for the observed multicompartment myocardial clearance curve are discussed.     

Computerised topographical mapping of scalp recorded event-related potentials

A technique is described for the recording of multichannel cerebral evoked potential data and their conversion to colour-coded displays of scalp electrical activity at up to 40 instants in time. Such mapping gives a more readily assimilated picture of the evolution of the potential changes over the scalp than the raw waveforms. The method employs a PDP 11/23 computer for data collection and surface topography calculation, and a Tektronix 4662 digital plotter with 8 colour option for the display of spatio-temporal maps.     

Assessment of bactericidal and growth-inhibiting activity of blood serum using flow cytometry and photometry

Method of measurement of biological fluids bactericidal activity against Staphylococcus aureus using laser flow cytometry has been developed and proposed for clinical use. Overall bactericidal activity of sera of healthy donors has been assessed by this method. Strong positive correlation between bactericidal activity measured by flow cytometry and ability of the sera of healthy donors to inhibit bacterial growth assessed by photometric method was determined. High degree of positive correlation between results of cytometry and classical microbiological method of measurement of mentioned parameters has been shown.     

Influence of blood flow on cutaneous permeability to inert gas

A thermally regulated Plexiglas chamber was designed for investigation of transcutaneous diffusion of N2 and helium (He) in the human hand. Influence of cutaneous blood flow in this process was studied simultaneously with gas diffusion measurements. Changes in cutaneous blood flow (Q, in ml X min-1 X 100 ml tissue-1) were effected by altering ambient temperature (T) from 20 to 40 degrees C (Q = 0.08 X 100.07T). We found that the rate of inert gas diffusion through human skin, expressed as conductance (G, in ml STPD X h-1 X m-2 X atm-1), increases exponentially as a function of blood flow, and was indistinguishable between He and N2 (G = 21.19 X 100.0124Q). The permeability, diffusion coefficient per unit diffusion distance (D/h, in cm/h), also rose exponentially as a function of blood flow. But permeability for He (D/h = 0.1748 X 100.0203Q) was greater than that for N2 (D/h = 0.1678 X 100.0114Q). As cutaneous blood flow rises, because of increased temperature, the apparent diffusion distance falls linearly for both N2 and He. The change is more prominent for He than for N2 diffusion. Estimated replacement time for the body stores of N2 by transcutaneous diffusion alone was shortened from 26.8 h at 31 degrees C to 15.1 h at 37 degrees C. It is suggested from this study that beneficial results may be derived during decompression procedure 1) by maintaining an appropriate transcutaneous pressure gradient of inert gases, and 2) by elevating ambient temperature.     

Assessment of skin flaps using optically based methods for measuring blood flow and oxygenation

The objective of this study was to compare two noninvasive techniques, laser Doppler and optical spectroscopy, for monitoring hemodynamic changes in skin flaps. Animal models for assessing these changes in microvascular free flaps and pedicle flaps were investigated. A 2 x 3-cm free flap model based on the epigastric vein-artery pair and a reversed MacFarlane 3 x 10-cm pedicle flap model were used in this study. Animals were divided into four groups, with groups 1 (n = 6) and 2 (n = 4) undergoing epigastric free flap surgery and groups 3 (n = 3) and 4 (n = 10) undergoing pedicle flap surgery. Groups 1 and 4 served as controls for each of the flap models. Groups 2 and 3 served as ischemia-reperfusion models. Optical spectroscopy provides a measure of hemoglobin oxygen saturation and blood volume, and the laser Doppler method measures blood flow. Optical spectroscopy proved to be consistently more reliable in detecting problems with arterial in flow compared with laser Doppler assessments. When spectroscopy was used in an imaging configuration, oxygen saturation images of the entire flap were generated, thus creating a visual picture of global flap health. In both single-point and imaging modes the technique was sensitive to vessel manipulation, with the immediate post operative images providing an accurate prediction of eventual outcome. This series of skin flap studies suggests a potential role for optical spectroscopy and spectroscopic imaging in the clinical assessment of skin flaps.     

Assessment of cell viability by flow cytometric analysis using DNase exclusion

A new method was developed for selective measurement of DNA distributions in viable cell populations. The method is based on the fact that non-viable cells lose membrane integrity and treatment of such cells with DNase should remove their DNA. The DNase-treated cells were stained with DNA fluorochrome 4′-6-diamidino-2-phenylindole (DAPI) in the presence of Triton X-100. DNA distribution was measured by flow cytometry prior to and after treatment with DNase. Percentage of cells stained after DNase treatment was considered as an index of cell viability. Optimal conditions for DNase treatment and application of DNase exclusion test for the analysis of spontaneous cell death, selective death of cells arrested in S/G2 phases, instant cell disintegration induced by cytotoxic compounds and cell death induced by hyperthermia are described.     

Software for genome mapping by fingerprinting techniques

A genome mapping package has been developed for reading andassembling data from clones analysed by restriction enzyme fragmentationand polyacrylamide gel electrophoresis. The package comprises:data entry; matching; assembly; statistical analysis; modelling.Data entry can be either manual or by a semiautomatic systembased on a scanning densitometer. The primary emphasis in theanalytical routines is on flexibility and interactive convenience,so that the operator has full knowledge of and control overthe growing map, but a variety of automatic options are included.The package continually grows to meet the needs of the Caenorhabditisproject. Received on July 17, 1987; accepted on November 20, 1987     

Effects of ambient and local cutaneous temperatures on hand blood flow

The hand blood flow ( ) was investigated in response to a wide range of general and local cutaneous thermal stimuli (0–36°C and 4–42°C respectively), the local stimulus consisting of a thermostatically controlled water bath for the right hand (T_w), and the general stimulus, the ambient room temperature (T_a). was measured at the right wrist by strain gauge plethysmography; it was seen to respond more significantly to variations in T_w than to those in T_a at cold to comfortable ambient temperatures (T_a<22°C). A paradoxical vasodilatation was observed at T_w=4°C (Lewis' hunting phenomenon). The graphs of versus T at average to high local cutaneous temperatures (T_w > 33°C) are remarkably similar, except for an upward shift at successively higher values of T_w. The slope (or vasomotor reactivity) is interpreted as being controlled by variations in T_a. The curves exhibited maximum values at T_a = 31°C. Their subsequent decrease could represent a thermoregulatory adaptation to environment-organism heat transfer, the relative vasoconstriction tending to reduce the transfer. Although the qualitative response was the same for both sexes, the absolute value of was generally greater in male than in female subjects.     

DNA mapping of gastric cancers using flow cytometric analysis

Although numerous studies of gastric cancers on DNA ploidy have been reported, differences in the degree of aneuploidy (DNA index, DI) during progression have not been identified. We attempted to chart the differences in DIs during progression to clarify the role of aneuploidy in gastric cancers. We classified the gastric cancers examined into intestinal (n = 88) and diffuse (n = 48) types, and then analyzed 136 gastric cancers (intramucosal cancer, 42; submucosal cancer, 39; advanced cancer, 55) by flow cytometry using multiple sampling. In addition, we examined the DNA ploidy pattern of mucosal and submucosal lesions using the same submucosal cancers to study the tumor progression in individual cancers. Intratumoral DNA differences in DNA ploidy were observed in both types of gastric cancers. In intestinal-type cancers, multiple subclones indicated by a different DI occurred during the early stage of gastric cancers, whereas in diffuse-type cancers, multiple subclones were found primarily in advanced cancers. Although the DI varied widely in early intestinal-type cancers between 1.0 and 2.0, in early diffuse-type cancers, the DI tended to be less than 1.2. However, in advanced stage gastric cancers, the DI distribution was similar for both histological types. In intestinal-type cancers, high DI (>1.3) aneuploidy was frequently found in mucosal lesions. In contrast, only low DI (<1.2) aneuploid clones were observed in mucosal lesions of diffuse-type cancers. The present results suggest that high DI aneuploid tumor clones in intramucosal cancers acquire invasive ability when they progress to submucosal cancers, whereas DNA aneuploidy itself plays an important role in submucosal invasion of diffuse-type cancers.     

Dependence of transcutaneous O2 partial pressure on cutaneous blood flow

Transcutaneous PO2 was measured using a transcutaneous PO2 electrode heated to 45 degrees C on the forearm of 19 healthy volunteers. Cutaneous blood flow (CBF) was estimated indirectly from the heating power of the electrode (HP) and with an 8-MHz bidirectional ultrasonic probe by Doppler shift in a fingertip at 45 degrees C (DF). Blood flow was regulated by an upper arm cuff. Mean transcutaneous PO2 during air respiration was 86.0 +/- 6.2 Torr, and the correlation to arterial PO2 (Pao2) was 0.96 at normal blood flow. The arterial inflow was intermittently reduced in 10-15% stages of effective perfusion pressure (Peff). There was a hyperbolic decrease in PO2 when CBF was restricted in stages. A linear dependence between Peff, HP, and DF was found, which means that there is no autoregulation in the capillary bed at 45 degrees C. Transcutaneous PO2 can be also taken as an indication of CBF. The transcutaneous index, transcutaneous PO2/Pao2, is helpful for estimating local O2 availability.     

Assessment of heterogeneity of residual variances using changepoint techniques

Several studies using test-day models show clear heterogeneity of residual variance along lactation. A changepoint technique to account for this heterogeneity is proposed. The data set included 100 744 test-day records of 10 869 Holstein-Friesian cows from northern Spain. A three-stage hierarchical model using the Wood lactation function was employed. Two unknown changepoints at times T₁ and T₂, (0 <T₁ <T₂ <t_max), with continuity of residual variance at these points, were assumed. Also, a nonlinear relationship between residual variance and the number of days of milking t was postulated. The residual variance at a time t() in the lactation phase i was modeled as: for (i = 1, 2, 3), where λ_ι is a phase-specific parameter. A Bayesian analysis using Gibbs sampling and the Metropolis-Hastings algorithm for marginalization was implemented. After a burn-in of 20 000 iterations, 40 000 samples were drawn to estimate posterior features. The posterior modes of T₁, T₂, λ₁, λ₂, λ₃, , , were 53.2 and 248.2 days; 0.575, -0.406, 0.797 and 0.702, 34.63 and 0.0455 kg², respectively. The residual variance predicted using these point estimates were 2.64, 6.88, 3.59 and 4.35 kg² at days of milking 10, 53, 248 and 305, respectively. This technique requires less restrictive assumptions and the model has fewer parameters than other methods proposed to account for the heterogeneity of residual variance during lactation.