Analysis of microvascular blood flow and oxygenation: Discrimination between two haemodynamic steady states using nonlinear measures and multiscale analysis

This study investigates the feasibility of the use of nonlinear complexity methods as a tool to identify altered microvascular function often associated with pathological conditions. We evaluate the efficacy of multiscale nonlinear complexity methods to account for the multiple time-scales of proces...

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Veröffentlicht in:Computers in biology and medicine 2018-11, Vol.102, p.157-167
Hauptverfasser: Thanaj, Marjola, Chipperfield, Andrew J., Clough, Geraldine F.
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description This study investigates the feasibility of the use of nonlinear complexity methods as a tool to identify altered microvascular function often associated with pathological conditions. We evaluate the efficacy of multiscale nonlinear complexity methods to account for the multiple time-scales of processes modulating microvascular network perfusion. Microvascular blood flux (BF) and oxygenation (OXY: oxyHb, deoxyHb, totalHb and SO2%) signals were recorded simultaneously at the same site, from the skin of 15 healthy young male volunteers using combined laser Doppler fluximetry (LDF) and white light spectroscopy. Skin temperature was clamped at 33 °C prior to warming to 43 °C to generate a local thermal hyperaemia (LTH). Conventional and multiscale variants of sample entropy (SampEn) were used to quantify signal regularity and Lempel and Ziv (LZ) and effort to compress (ETC) to determine complexity. SampEn showed a decrease in entropy during LTH in BF (p = 0.007) and oxygenated haemoglobin (oxyHb) (p = 0.029). Complexity analysis using LZ and ETC also showed a significant reduction in complexity of BF (LZ, p = 0.003; ETC, p = 0.002) and oxyHb (p 
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We evaluate the efficacy of multiscale nonlinear complexity methods to account for the multiple time-scales of processes modulating microvascular network perfusion. Microvascular blood flux (BF) and oxygenation (OXY: oxyHb, deoxyHb, totalHb and SO2%) signals were recorded simultaneously at the same site, from the skin of 15 healthy young male volunteers using combined laser Doppler fluximetry (LDF) and white light spectroscopy. Skin temperature was clamped at 33 °C prior to warming to 43 °C to generate a local thermal hyperaemia (LTH). Conventional and multiscale variants of sample entropy (SampEn) were used to quantify signal regularity and Lempel and Ziv (LZ) and effort to compress (ETC) to determine complexity. SampEn showed a decrease in entropy during LTH in BF (p = 0.007) and oxygenated haemoglobin (oxyHb) (p = 0.029). Complexity analysis using LZ and ETC also showed a significant reduction in complexity of BF (LZ, p = 0.003; ETC, p = 0.002) and oxyHb (p &lt; 0.001, for both) with LTH. Multiscale complexity methods were better able to discriminate between haemodynamic states (p &lt; 0.001) than conventional ones over multiple time-scales. Our findings show that there is a good discrimination in complexity of both BF and oxyHb signals between two haemodynamic steady states which is consistent across multiple scales. Complexity-based and multiscale-based analysis of BF and OXY signals can identify different microvascular functional states and thus has potential for clinical application in the prognosis and the diagnosis of pathophysiological conditions such as microvascular dysfunction observed in non-alcoholic fatty liver disease and type 2 diabetes. [Display omitted] •We studied the utility of nonlinear methods as a tool for differentiating between haemodynamic steady states in human skin.•We analysed the complexity of blood flux (BF) and tissue oxygenation (OXY) signals derived from the microvasculature.•The local skin temperature clamped at 33 °C and during vasodilation induced through local thermal hyperaemia (LTH) at 43 °C.•Both signals presented lower values of complexity during LTH as compared with those at 33 °C and were well discriminated.•Complexity and multiscale-based analysis has potential in the prognosis and the diagnosis of pathophysiological conditions.</description><identifier>ISSN: 0010-4825</identifier><identifier>EISSN: 1879-0534</identifier><identifier>DOI: 10.1016/j.compbiomed.2018.09.026</identifier><identifier>PMID: 30286411</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Blood flow ; Complexity ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Effort to compress complexity ; Entropy ; Fatty liver ; Feasibility studies ; Flexibility ; Hemodynamics ; Hemoglobin ; Hyperemia ; Identification methods ; Lasers ; Lempel and Ziv complexity ; Liver ; Liver diseases ; Metabolic disorders ; Microvasculature ; Multiscale analysis ; Nonlinear analysis ; Oxygenation ; Perfusion ; Physiology ; Sample entropy ; Skin ; Skin temperature ; Spectroscopy ; Standard deviation ; Steady state ; Sulfur dioxide ; Tissue oxygenation ; Wavelet transforms ; White light</subject><ispartof>Computers in biology and medicine, 2018-11, Vol.102, p.157-167</ispartof><rights>2018</rights><rights>Copyright © 2018. 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We evaluate the efficacy of multiscale nonlinear complexity methods to account for the multiple time-scales of processes modulating microvascular network perfusion. Microvascular blood flux (BF) and oxygenation (OXY: oxyHb, deoxyHb, totalHb and SO2%) signals were recorded simultaneously at the same site, from the skin of 15 healthy young male volunteers using combined laser Doppler fluximetry (LDF) and white light spectroscopy. Skin temperature was clamped at 33 °C prior to warming to 43 °C to generate a local thermal hyperaemia (LTH). Conventional and multiscale variants of sample entropy (SampEn) were used to quantify signal regularity and Lempel and Ziv (LZ) and effort to compress (ETC) to determine complexity. SampEn showed a decrease in entropy during LTH in BF (p = 0.007) and oxygenated haemoglobin (oxyHb) (p = 0.029). Complexity analysis using LZ and ETC also showed a significant reduction in complexity of BF (LZ, p = 0.003; ETC, p = 0.002) and oxyHb (p &lt; 0.001, for both) with LTH. Multiscale complexity methods were better able to discriminate between haemodynamic states (p &lt; 0.001) than conventional ones over multiple time-scales. Our findings show that there is a good discrimination in complexity of both BF and oxyHb signals between two haemodynamic steady states which is consistent across multiple scales. Complexity-based and multiscale-based analysis of BF and OXY signals can identify different microvascular functional states and thus has potential for clinical application in the prognosis and the diagnosis of pathophysiological conditions such as microvascular dysfunction observed in non-alcoholic fatty liver disease and type 2 diabetes. [Display omitted] •We studied the utility of nonlinear methods as a tool for differentiating between haemodynamic steady states in human skin.•We analysed the complexity of blood flux (BF) and tissue oxygenation (OXY) signals derived from the microvasculature.•The local skin temperature clamped at 33 °C and during vasodilation induced through local thermal hyperaemia (LTH) at 43 °C.•Both signals presented lower values of complexity during LTH as compared with those at 33 °C and were well discriminated.•Complexity and multiscale-based analysis has potential in the prognosis and the diagnosis of pathophysiological conditions.</description><subject>Blood flow</subject><subject>Complexity</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Effort to compress complexity</subject><subject>Entropy</subject><subject>Fatty liver</subject><subject>Feasibility studies</subject><subject>Flexibility</subject><subject>Hemodynamics</subject><subject>Hemoglobin</subject><subject>Hyperemia</subject><subject>Identification methods</subject><subject>Lasers</subject><subject>Lempel and Ziv complexity</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Metabolic disorders</subject><subject>Microvasculature</subject><subject>Multiscale analysis</subject><subject>Nonlinear analysis</subject><subject>Oxygenation</subject><subject>Perfusion</subject><subject>Physiology</subject><subject>Sample entropy</subject><subject>Skin</subject><subject>Skin temperature</subject><subject>Spectroscopy</subject><subject>Standard deviation</subject><subject>Steady state</subject><subject>Sulfur dioxide</subject><subject>Tissue oxygenation</subject><subject>Wavelet transforms</subject><subject>White light</subject><issn>0010-4825</issn><issn>1879-0534</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc2O1TAMhSMEYi4Dr4AisWHT4qRNmrIbhl9pJDawjtLUGXLVJpemnUvfhYclVWeExIaVZfvzseVDCGVQMmDyzbG0cTx1Po7YlxyYKqEtgctH5MBU0xYgqvoxOQAwKGrFxQV5ltIRAGqo4Cm5qIArWTN2IL-vghnW5BONjo7eTvHOJLsMZqLdEGNP3RDP1ISexl_rLQYz-xje0vc-2cmPfs9ph_MZMdD5HOkPg2Ps12CyGk0zmn7NwcyY6JJ8uKUhhsEHzBtGNGmZcmPTH5dhzqpmwJzuNz0nT5wZEr64j5fk-8cP364_FzdfP325vropbC34XDS9ZU5KZZzkrq2EFdh0CNbWyrW5KiwzorGVda5XtaiY49iohislobaSVZfk9a57muLPBdOsx3wJDoMJGJekOWNSCQagMvrqH_QYlynfu1FcSN5UrcyU2qn8z5QmdPqUv2WmVTPQm4P6qP86qDcHNbQ6O5hHX94vWLqt9zD4YFkG3u0A5o_ceZx0sh6Dxd5PaGfdR___LX8ADgu2Rg</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Thanaj, Marjola</creator><creator>Chipperfield, Andrew J.</creator><creator>Clough, Geraldine F.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AL</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0N</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20181101</creationdate><title>Analysis of microvascular blood flow and oxygenation: Discrimination between two haemodynamic steady states using nonlinear measures and multiscale analysis</title><author>Thanaj, Marjola ; 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We evaluate the efficacy of multiscale nonlinear complexity methods to account for the multiple time-scales of processes modulating microvascular network perfusion. Microvascular blood flux (BF) and oxygenation (OXY: oxyHb, deoxyHb, totalHb and SO2%) signals were recorded simultaneously at the same site, from the skin of 15 healthy young male volunteers using combined laser Doppler fluximetry (LDF) and white light spectroscopy. Skin temperature was clamped at 33 °C prior to warming to 43 °C to generate a local thermal hyperaemia (LTH). Conventional and multiscale variants of sample entropy (SampEn) were used to quantify signal regularity and Lempel and Ziv (LZ) and effort to compress (ETC) to determine complexity. SampEn showed a decrease in entropy during LTH in BF (p = 0.007) and oxygenated haemoglobin (oxyHb) (p = 0.029). Complexity analysis using LZ and ETC also showed a significant reduction in complexity of BF (LZ, p = 0.003; ETC, p = 0.002) and oxyHb (p &lt; 0.001, for both) with LTH. Multiscale complexity methods were better able to discriminate between haemodynamic states (p &lt; 0.001) than conventional ones over multiple time-scales. Our findings show that there is a good discrimination in complexity of both BF and oxyHb signals between two haemodynamic steady states which is consistent across multiple scales. Complexity-based and multiscale-based analysis of BF and OXY signals can identify different microvascular functional states and thus has potential for clinical application in the prognosis and the diagnosis of pathophysiological conditions such as microvascular dysfunction observed in non-alcoholic fatty liver disease and type 2 diabetes. [Display omitted] •We studied the utility of nonlinear methods as a tool for differentiating between haemodynamic steady states in human skin.•We analysed the complexity of blood flux (BF) and tissue oxygenation (OXY) signals derived from the microvasculature.•The local skin temperature clamped at 33 °C and during vasodilation induced through local thermal hyperaemia (LTH) at 43 °C.•Both signals presented lower values of complexity during LTH as compared with those at 33 °C and were well discriminated.•Complexity and multiscale-based analysis has potential in the prognosis and the diagnosis of pathophysiological conditions.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>30286411</pmid><doi>10.1016/j.compbiomed.2018.09.026</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Blood flow
Complexity
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Effort to compress complexity
Entropy
Fatty liver
Feasibility studies
Flexibility
Hemodynamics
Hemoglobin
Hyperemia
Identification methods
Lasers
Lempel and Ziv complexity
Liver
Liver diseases
Metabolic disorders
Microvasculature
Multiscale analysis
Nonlinear analysis
Oxygenation
Perfusion
Physiology
Sample entropy
Skin
Skin temperature
Spectroscopy
Standard deviation
Steady state
Sulfur dioxide
Tissue oxygenation
Wavelet transforms
White light
title Analysis of microvascular blood flow and oxygenation: Discrimination between two haemodynamic steady states using nonlinear measures and multiscale analysis
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