Transfer function analysis of dynamic cerebral autoregulation: a CARNet white paper 2022 update

Autores da FMUP
Participantes de fora da FMUP
- Panerai, RB
- Brassard, P
- Burma, JS
- Claassen, JAHR
- van Lieshout, JJ
- Liu, J
- Lucas, SJ
- Minhas, JS
- Mitsis, GD
- Nogueira, RC
- Ogoh, S
- Payne, SJ
- Rickards, CA
- Robertson, AD
- Rodrigues, GD
- Smirl, JD
- Simpson, DM
- Cerebrovasc Res Network CARNet
Unidades de investigação
Abstract
Cerebral autoregulation (CA) refers to the control of cerebral tissue blood flow (CBF) in response to changes in perfusion pressure. Due to the challenges of measuring intracranial pressure, CA is often described as the relationship between mean arterial pressure (MAP) and CBF. Dynamic CA (dCA) can be assessed using multiple techniques, with transfer function analysis (TFA) being the most common. A 2016 white paper by members of an international Cerebrovascular Research Network (CARNet) that is focused on CA strove to improve TFA standardization by way of introducing data acquisition, analysis, and reporting guidelines. Since then, additional evidence has allowed for the improvement and refinement of the original recommendations, as well as for the inclusion of new guidelines to reflect recent advances in the field. This second edition of the white paper contains more robust, evidence-based recommendations, which have been expanded to address current streams of inquiry, including optimizing MAP variability, acquiring CBF estimates from alternative methods, estimating alternative dCA metrics, and incorporating dCA quantification into clinical trials. Implementation of these new and revised recommendations is important to improve the reliability and reproducibility of dCA studies, and to facilitate inter-institutional collaboration and the comparison of results between studies.
Dados da publicação
- ISSN/ISSNe:
- 0271-678X, 1559-7016
- Tipo:
- Review
- Páginas:
- 3-25
- Link para outro recurso:
- www.scopus.com
Journal of Cerebral Blood Flow and Metabolism SAGE Publications Inc.
Citações Recebidas na Web of Science: 39
Citações Recebidas na Scopus: 72
Documentos
- Não há documentos
Filiações
Keywords
- Cerebral hemodynamics; consensus guidelines; reference values; transfer function analysis
Campos de estudo
Financiamento
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Citar a publicação
Panerai RB,Brassard P,Burma JS,Castro P,Claassen J,van JJ,Liu J,Lucas SJ,Minhas JS,Mitsis GD,Nogueira RC,Ogoh S,Payne SJ,Rickards CA,Robertson AD,Rodrigues GD,Smirl JD,Simpson DM,Cerebrovasc Res Network C. Transfer function analysis of dynamic cerebral autoregulation: a CARNet white paper 2022 update. J. Cereb. Blood Flow Metab. 2023. 43(1):p. 3-25. IF:6,300. (1).