Validation of near-infrared spectroscopy in humans
Abstract
Near-infrared (NIR) spectroscopy is a noninvasive technique that uses the differential absorption properties of hemoglobin to evaluate skeletal muscle oxygenation. Oxygenated and deoxygenated hemoglobin absorb light equally at 800 nm, whereas at 760 nm absorption is primarily from deoxygenated hemoglobin. Therefore, monitoring these two wavelengths provides an index of deoxygenation. To investigate whether venous oxygen saturation and absorption between 760 and 800 nm (760-800 nm absorption) are correlated, both were measured during forearm exercise. Significant correlations were observed in all subjects (r = 0.92 +/- 0.07; P < 0.05). The contribution of skin flow to the changes in 760-800 nm absorption was investigated by simultaneous measurement of skin flow by laser flow Doppler and NIR recordings during hot water immersion. Changes in skin flow but not 760-800 nm absorption were noted. Intra-arterial infusions of nitroprusside and norepinephrine were performed to study the effect of alteration of muscle perfusion on 760-800 nm absorption. Limb flow was measured with venous plethysmography. Percent oxygenation increased with nitroprusside and decreased with norepinephrine. Finally, the contribution of myoglobin to the 760-800 nm absorption was assessed by using 1H-magnetic resonance spectroscopy. At peak exercise, percent NIR deoxygenation during exercise was 80 +/- 7%, but only one subject exhibited a small deoxygenated myoglobin signal. In conclusion, 760-800 nm absorpti…
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NIRS is a validated tool for measuring venous oxygen saturation during exercise and rest.
“Near-infrared spectroscopy (NIRS) is a validated tool for measuring venous oxygen saturation during exercise and rest (Mancini et al., 1985).”
From The relationship of muscle oxygen saturation analyzer with other monitoring and quantification tools in a maximal incremental treadmill test (2023) · cites this paper as Mancini et al., 1985
Invasive experiments, such as isolated hindlimb experiments with animal subjects or venous blood draw in humans performing exercise protocols, show good results when validating NIRS.
“Invasive experiments, such as isolated hindlimb experiments with animal subjects13,14 or venous blood draw in humans performing exercise protocols,15 show good results.”
From Near-infrared spectroscopy-derived muscle oxygen saturation on a 0% to 100% scale: reliability and validity of the Moxy Monitor (2019) · cites this paper as [15]
All three of these investigations included NIRS measurements.
“All three of these investigations included NIRS measurements.”
From Near-infrared spectroscopy-derived muscle oxygen saturation on a 0% to 100% scale: reliability and validity of the Moxy Monitor (2019) · cites this paper as Mancini et al.15
For Mancini et al., the NIRS data collected correlated with the SvO2 data, but for both Costes et al. and Macdonald et al. this was not the case under the normoxic condition.
“While for Mancini et al.15 the NIRS data collected correlated with the SvO2 data, for both Costes et al.16 and Macdonald et al.17 this was not the case under the normoxic condition.”
From Near-infrared spectroscopy-derived muscle oxygen saturation on a 0% to 100% scale: reliability and validity of the Moxy Monitor (2019) · cites this paper as Mancini et al.15
Mancini et al. and Macdonald et al. showed SvO2 ranges following small muscle and lower body isolated kicking exercises of 30.4±6.8%, and then 40.1±2.2 (N) and 33.9±1.8 (H).
“Mancini et al.15 and Macdonald et al.17 showed SvO2 ranges following small muscle and lower body isolated kicking exercises of 30.4±6.8%, and then 40.1±2.2 (N) and 33.9±1.8 (H).”
From Near-infrared spectroscopy-derived muscle oxygen saturation on a 0% to 100% scale: reliability and validity of the Moxy Monitor (2019) · cites this paper as Mancini et al.15
SvO2 range has also been established during high-intensity exercise, during small muscle activation, and during full body exercise.
“This range has also been established during high-intensity exercise, during small muscle activation, and during full body exercise.”
From Near-infrared spectroscopy-derived muscle oxygen saturation on a 0% to 100% scale: reliability and validity of the Moxy Monitor (2019) · cites this paper as Mancini et al.15
NIRS measurements accurately reflect venous oxygen saturation.
“Mechanistically this makes sense, as NIRS measurements have been shown to accurately reflect venous oxygen saturation (Mancini et al., 1994).”
From Muscle Oxygen Saturation Breakpoints Reflect Ventilatory Thresholds in Both Cycling and Running (2022) · cites this paper as Mancini et al., 1994
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Cited by 669
- Authors
- Mancini, D. M., Bolinger, L., Li, H., Kendrick, K., Chance, B., & Wilson, J. R.
- Affiliations
- Hospital of the University of Pennsylvania (US)
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 1994-12-01
- Volume
- 77
- Issue
- 6
- Pages
- 2740-2747
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W1914691075
- Cited by
- 669
- References
- 0
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 14 · 2023: 16 · 2022: 17 · 2021: 17 · 2020: 20 · 2019: 28 · 2018: 14 · 2017: 31 · 2016: 28 · 2015: 24 · 2014: 25 · 2013: 36 · 2012: 36
- FWCI
- 8.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Optical Imaging and Spectroscopy Techniques
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Keywords
- near-infrared spectroscopy, skeletal muscle oxygenation, deoxyhemoglobin, venous oxygen saturation, skin blood flow, limb perfusion, sodium nitroprusside, norepinephrine, myoglobin, forearm exercise, hot water immersion
- MeSH terms
- Absorption, Adult, Forearm, Hemoglobins, Humans, Infrared Rays, Myoglobin, Magnetic Resonance Spectroscopy, Oxygen, Regional Blood Flow, Skin, Veins, Muscle, Skeletal
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