Seminars in pediatric neurology
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Functional magnetic resonance imaging (fMRI) allows for the noninvasive mapping of the anatomical location of disparate functional brain activities. The means for carrying out fMRI involves the use of existing MR technology coupled with a special software image acquisition program or the use of a specially designed head coil. Thus far in pediatric neurology, fMRI has assisted in the presurgical localization of critical functions and the investigation of various developmental activities. The technique of fMRI, its applications in pediatric neuroscience, and future potential are outlined in this article.
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Semin Pediatr Neurol · Jun 1999
ReviewNew technologies in pediatric neurology. Near-infrared spectroscopy.
Near-infrared spectroscopy (NIRS) is a relatively new technology that offers the enormous advantage of making measurements in vivo of changes in cerebral hemodynamics and oxygenation. Because NIRS is noninvasive and portable, it can provide real-time measurements of these changes at the bedside. ⋯ This review outlines the basic principles, advantages, and limitations of the current state of NIRS technology. An emphasis is placed on the animal and clinical studies that are relevant to the field of child neurology, with an eye to the future evolution and potential applications of this promising technique.
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Monitoring of central nervous system function in the intensive care unit is becoming more widely accepted as an integral part of critical care. The history of developments in electroencephalogram (EEG) technology is reviewed to better appreciate the rate of technological developments and their application to clinical practice. Basic concepts of digital EEG are reviewed. Principals of intensive care unit monitoring as they apply to clinical neurophysiological techniques are examined to better understand the goals for an "ideal central nervous system monitor." Some current advances and directions for future development in computerized EEG monitoring are discussed.