Evidence map›Paper›PMID 29923371›Full record

ArticleJournal of biomedical optics2018

Laser safety in fiber-optic monitoring of spinal cord hemodynamics: a preclinical evaluation.

David R Busch, James Davis, Angela Kogler, Robert M Galler, Ashwin B Parthasarathy, Arjun G Yodh, Thomas F Floyd

Abstract read
In one paragraph

Article in Journal of biomedical optics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David R BuschUniversity of Texas Southwestern, Department of Anesthesiology and Pain Management, Dallas Texas, United States.
James DavisStony Brook University Medical Center, Department of Pathology, Stony Brook, New York, United States.
Angela KoglerStony Brook University Medical Center, Department of Anesthesiology, Stony Brook, New York, United States.
Robert M GallerStony Brook University Medical Center, Department of Neurosurgery, Stony Brook, New York, United States.
Ashwin B ParthasarathyUniversity of South Florida, Department of Electrical Engineering, Tampa, Florida, United States.
Arjun G YodhUniversity of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania, United States.
Thomas F FloydUniversity of Texas Southwestern, Department of Anesthesiology and Pain Management, Dallas Texas, United States.

Funding

Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
Spinal Fiber Optic MonitoringU01NS095761 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI BUSCH, DAVID RICHARD · 2016 to 2021
$6.1M
Diffuse Optics for Acute Stroke ManagementR01NS060653 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2008 to 2018
$5.5M
NIBIB NIH HHS P41 EB015893NINDS NIH HHS R01 NS060653
6 · The paper itself

Abstract

The prevention and treatment of spinal cord injury are focused upon the maintenance of spinal cord blood flow, yet no technology exists to monitor spinal cord ischemia. We recently demonstrated continuous monitoring of spinal cord ischemia with diffuse correlation and optical spectroscopies using an optical probe. Prior to clinical translation of this technology, it is critically important to demonstrate the safety profile of spinal cord exposure to the required light. To our knowledge, this is the first report of in situ safety testing of such a monitor. We expose the spinal cord to laser light utilizing a custom fiber-optic epidural probe in a survival surgery model (11 adult Dorset sheep). We compare the tissue illumination from our instrument with the American National Standards Institute maximum permissible exposures. We experimentally evaluate neurological and pathological outcomes of the irradiated sheep associated with prolonged exposure to the laser source and evaluate heating in ex vivo spinal cord samples. Spinal cord tissue was exposed to light levels at ∼18  ×   the maximum permissible exposure for the eye and ∼  (  1  /  3  )    ×   for the skin. Multidisciplinary testing revealed no functional neurological sequelae, histopathologic evidence of laser-related injury to the spinal cord, or significant temperature changes in ex vivo samples. Low tissue irradiance and the lack of neurological, pathological, and temperature changes upon prolonged exposure to the laser source offer evidence that spinal cord tissues can be monitored safely with near-infrared optical probes placed within the epidural space.

Indexed as

Fiber Optic TechnologyAnimalsDisease Models, AnimalHemodynamicsMonitoring, PhysiologicRegional Blood FlowSensitivity and SpecificitySheepSpinal Corddiffuse opticshemodynamicsintraoperative monitoringischemiaoptical monitoringspinal cord

Identifiers

PMID29923371
PMCPMC8357330

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.