Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology

The study of the brain using diffuse optical methods has progressed rapidly in the recent years. The possibility of studying the cerebral microvasculature in addition to the portability and low cost of these devices, opens a new door in the study of the cerebral pathophysiologies. In this scenario,...

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Detalhes bibliográficos
Autor: Blanco Núñez, Igor D.
Tipo de documento: tese
Data de publicação:2015
País:España
Recursos:Universitat Politècnica de Catalunya (UPC)
Repositório:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglês
OAI Identifier:oai:upcommons.upc.edu:2117/95608
Acesso em linha:https://hdl.handle.net/2117/95608
https://dx.doi.org/10.5821/dissertation-2117-95608
Access Level:Acceso aberto
Palavra-chave:Espectroscopis
Sistema nerviós -- Malalties
Àrees temàtiques de la UPC::Enginyeria de la telecomunicació
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oai_identifier_str oai:upcommons.upc.edu:2117/95608
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network_name_str España
repository_id_str
dc.title.none.fl_str_mv Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
title Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
spellingShingle Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
Blanco Núñez, Igor D.
Espectroscopis
Sistema nerviós -- Malalties
Àrees temàtiques de la UPC::Enginyeria de la telecomunicació
title_short Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
title_full Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
title_fullStr Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
title_full_unstemmed Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
title_sort Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurology
dc.creator.none.fl_str_mv Blanco Núñez, Igor D.
author Blanco Núñez, Igor D.
author_facet Blanco Núñez, Igor D.
author_role author
dc.contributor.none.fl_str_mv Durduran, Turgut
dc.subject.none.fl_str_mv Espectroscopis
Sistema nerviós -- Malalties
Àrees temàtiques de la UPC::Enginyeria de la telecomunicació
topic Espectroscopis
Sistema nerviós -- Malalties
Àrees temàtiques de la UPC::Enginyeria de la telecomunicació
description The study of the brain using diffuse optical methods has progressed rapidly in the recent years. The possibility of studying the cerebral microvasculature in addition to the portability and low cost of these devices, opens a new door in the study of the cerebral pathophysiologies. In this scenario, the study of the cerebral hemodynamics of ischemic patients might allow neurologists to improve the performance of the early medical treatments and therapies used up to date. In this thesis, I have conducted a pioneering study where cerebral autoregulation was studied in ischemic stroke patients during the early hours after the stroke. Similarly, some other diseases can provoke impaired cerebral autoregulation in the long term. One of them is the obstructive sleep apnoea (OSA) syndrome which can provoke a risk increase of developing cardiovascular diseases and ischemic stroke. In this regards, I have carried out the largest to date study conducted with Diffuse Correlation Spectroscopy in patients with OSA and I have compared their hemodynamical response to an orthostatic challenge test with a control group of healthy subjects. Finally, primary animal research is of great importance in the development of new therapies, medical strategies and in the validation of new drugs with the aim of reducing the high mortality and slow and costly recovery of ischemic patients. In consequence, many models of ischemia are reproduced in rodents where the cerebral hemodynamics are studied using expensive equipments such as MRI scanners or by techniques that involve invasive approaches like for instance removing the scalp or thinning the skull which in turn cause a worsening in the living conditions of the animal. In relation to this point, I have developed a fully non-invasive method to study the cerebral hemodynamics in rats that allows to proceed with longitudinal studies and which I hope will be useful in future biomedical research.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-31
2015
2015-02-11
dc.type.none.fl_str_mv doctoral thesis
http://purl.org/coar/resource_type/c_db06
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
dc.identifier.none.fl_str_mv https://hdl.handle.net/2117/95608
https://dx.doi.org/10.5821/dissertation-2117-95608
url https://hdl.handle.net/2117/95608
https://dx.doi.org/10.5821/dissertation-2117-95608
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2

http://creativecommons.org/licenses/by-nc-sa/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2

http://creativecommons.org/licenses/by-nc-sa/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universitat Politècnica de Catalunya
publisher.none.fl_str_mv Universitat Politècnica de Catalunya
dc.source.none.fl_str_mv reponame:UPCommons. Portal del coneixement obert de la UPC
instname:Universitat Politècnica de Catalunya (UPC)
instname_str Universitat Politècnica de Catalunya (UPC)
reponame_str UPCommons. Portal del coneixement obert de la UPC
collection UPCommons. Portal del coneixement obert de la UPC
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repository.mail.fl_str_mv
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spelling Diffuse optical monitoring of cerebral hemodynamics in experimental and clinical neurologyBlanco Núñez, Igor D.EspectroscopisSistema nerviós -- MalaltiesÀrees temàtiques de la UPC::Enginyeria de la telecomunicacióThe study of the brain using diffuse optical methods has progressed rapidly in the recent years. The possibility of studying the cerebral microvasculature in addition to the portability and low cost of these devices, opens a new door in the study of the cerebral pathophysiologies. In this scenario, the study of the cerebral hemodynamics of ischemic patients might allow neurologists to improve the performance of the early medical treatments and therapies used up to date. In this thesis, I have conducted a pioneering study where cerebral autoregulation was studied in ischemic stroke patients during the early hours after the stroke. Similarly, some other diseases can provoke impaired cerebral autoregulation in the long term. One of them is the obstructive sleep apnoea (OSA) syndrome which can provoke a risk increase of developing cardiovascular diseases and ischemic stroke. In this regards, I have carried out the largest to date study conducted with Diffuse Correlation Spectroscopy in patients with OSA and I have compared their hemodynamical response to an orthostatic challenge test with a control group of healthy subjects. Finally, primary animal research is of great importance in the development of new therapies, medical strategies and in the validation of new drugs with the aim of reducing the high mortality and slow and costly recovery of ischemic patients. In consequence, many models of ischemia are reproduced in rodents where the cerebral hemodynamics are studied using expensive equipments such as MRI scanners or by techniques that involve invasive approaches like for instance removing the scalp or thinning the skull which in turn cause a worsening in the living conditions of the animal. In relation to this point, I have developed a fully non-invasive method to study the cerebral hemodynamics in rats that allows to proceed with longitudinal studies and which I hope will be useful in future biomedical research.El estudio del cerebro mediante métodos de óptica difusa ha progresado rápidamente en los últimos años. La posibilidad de estudiar la microvasculatura cerebral junto con la portabilidad y bajo coste de estos equipos abre una ventana de posibilidades para el estudio de fisiopatologías cerebrales. En este escenario, el estudio de la hemodinámica cerebral en pacientes isquémicos podría permitir a los neurólogos mejorar el rendimiento de los tratamientos médicos tempranos y de las terapias utilizadas hasta la fecha. En esta tesis he realizado un estudio pionero al respecto, estudiando por primera vez la hemodinámica cerebral de pacientes isquémicos durante las primeras horas después del infarto cerebral. De igual manera, existen otro tipo de enfermedades que pueden desarrollar un empeoramiento a largo plazo de la autorregulación cerebral. Entre ellas destaca el síndrome de apnea obstructivo (SAO), debido al cual el empeoramiento de la hemodinámica cerebral provoca un aumento del riesgo directo de sufrir enfermedades cardiovasculares y un aumento del riesgo de infarto cerebral. Al respecto, he llevado a cabo el mayor estudio hasta la fecha con pacientes con SAO donde he estudiado su respuesta hemodinámica a un test ortostático comparado estos resultados con los obtenidos en grupo de control de pacientes sanos. Finalmente, la investigación primaria en animales es de vital importancia en el desarrollo de nuevas terapias y estrategias médicas así como en la validación de nuevos fármacos que reduzcan la alta mortalidad y la lenta y costosa recuperación de los pacientes isquémicos. En consecuencia, numerosos modelos de isquemia son reproducidos en roedores donde se estudia la hemodinámica cerebral mediante caros equipos como los resonadores magnéticos o mediante técnicas que implican someter al animal a cierta cirugía en la que se le sustrae el cuero cabelludo o se le lima el cráneo. En relación con esto último, he desarrollado un método completamente no invasivo para estudiar la hemodinámica cerebral en ratas y que permite llevar a cabo estudios longitudinales, el cual espero sea utilidad en futuras investigaciones biomédicas.Universitat Politècnica de CatalunyaDurduran, Turgut20152015-01-3120152015-02-11doctoral thesishttp://purl.org/coar/resource_type/c_db06VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/doctoralThesisapplication/pdfhttps://hdl.handle.net/2117/95608https://dx.doi.org/10.5821/dissertation-2117-95608reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2http://creativecommons.org/licenses/by-nc-sa/3.0/es/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/956082026-05-27T15:37:01Z
score 15,301603

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