ABSTRACT
Laser Doppler measurements of skeletal muscle blood flow were performed in 12 patients with neuromuscular disorders and 6 controls. The mean resting blood flows and postocclusive reactive hyperemias were similar for the patients with neuropathic disorders and for controls. The patients with myopathic disorders had higher resting muscle blood flows and reactive hyperemias. Correlation of blood flow results and muscle biopsy characteristics suggested that muscle type grouping was not associated with a change in skeletal muscle blood flow, whereas muscle fiber degeneration was associated with an increased blood flow.
Subject(s)
Lasers , Muscles/blood supply , Neuromuscular Diseases/physiopathology , Ultrasonography , Adult , Animals , Biopsy , Humans , Methods , Middle Aged , Muscles/pathology , Neuromuscular Diseases/pathology , Rats , Regional Blood Flow , RheologyABSTRACT
We have demonstrated the feasibility of using laser doppler spectroscopy to map regional blood flow distribution on the surface of the cerebral cortex. Rhesus monkeys underwent craniotomy, with replacement of part of the calvarium by a transparent plastic dome. A stroke was produced on one side by ligation of the middle cerebral artery. A flow index was computed from a weighted bandwidth of the doppler spectrum of helium-neon laser light scattered from the surface of the cortex, the doppler shift being due to scattering from moving blood cells in the microcirculation. By measuring the doppler flow index at a grid of points over the surface, the region of the stroke was easily delineated, and its progression with time observed. The method provides a rapid measurement with a spatial resolution of about 1 mm.
Subject(s)
Brain Mapping/methods , Cerebral Cortex/blood supply , Cerebrovascular Disorders/etiology , Doppler Effect , Lasers , Physics , Animals , Cerebrovascular Circulation , Haplorhini , Helium , Ligation , Macaca mulatta , Neon , Physical Phenomena , Spectrum Analysis/methodsABSTRACT
Laser light scattered from tissue in vivo is broadened in line width as a result of the Doppler shift produced by moving red cells in the microcirculation. A feasibility study was carried out to demonstrate use of this effect to measure and monitor tissue blood flow. Light from a helium-neon laser illuminated a 1-mm area of tissue (human skin or rat renal cortex), and the backscattered light was detected with a photomultiplier. The spectrum of the Doppler beat notes was analyzed directly with a digital spectrum analyzer, or processed by analog circuitry to yield a flow parameter based on the root-mean-square Doppler line width. This parameter was compared with 133Xe washout in the skin of volunteers subjected to UV-induced erythema and the skin of volunteers subjected to UV-induced erythema and was found to vary in an approximately linear manner with skin blood flow. The laser instrument provided continuous monitoring of blood flow fluctuations, including the pulsatile component. The instrument was used to monitor flow in the outer cortex of the rat kidney during administration of norepinephrine, angiotensin, hydralazine, dextran, dopamine, nitroprusside, and angiotensin blocked by saralasin. Dynamic and steady-state responses were consistent with known pharmacology and renal physiology, and with the assumption that vasoconstrictor angiotensin II receptors in the kidney are accessible to blood-borne inhibitors. The laser-Doppler method is a promising tool for rapid monitoring of dynamic changes in tissue perfusion.
