Dr. Guoqiang Yu <http://www.uky.edu/~gyu2/>
(PhD), Assistant Professor in the Center for Biomedical Engineering, was
recently awarded a 5-year R01 Bioengineering Research Grant (BRG) from the NIH
for a project entitled, ÒDiffuse Optical Monitoring of Head and Neck Tumor
TherapyÓ. This study is a multidisciplinary effort involving collaboration with
Dr. Mahesh Kudrimoti (MD, Associate Professor of Radiation Medicine), Dr. Scott
Stevens (MD, Assistant Professor of Diagnostic Radiology), and Dr. Brent
Shelton (PhD, Professor of Biostatistics). The projectÕs narrative follows.
Treatment with radiation alone or in combination with chemotherapy is standard
therapy for the head and neck cancers, but this treatment is well known to be
less efficacious in patients with poorly-vascularized/hypoxic tumors. The objective
of this project is to develop and test a low-cost clinical-level optical
instrument that can quickly assess tumor hemodynamic and metabolic status and
responses to cancer therapy in the early stages of treatment. This in depth
assessment of tumor hemodynamic and metabolic properties will provide essential
information for the early prediction and evaluation of treatment outcomes, thus
enabling clinicians to optimize individual treatment. Dr. Guoqiang Yu awarded AHA grant
Dr. Guoqiang Yu (PhD), Assistant Professor in the Center for Biomedical
Engineering, was recently awarded a two year grant from the American Heart
Association (AHA) for a project entitled, ÒA Portable
Optical Flow-Oximeter for Assessment of Cerebral Hemodynamics and Metabolism
during Obstructive Sleep Apnea (OSA)Ó. This study is a multi-disciplinary effort
involving collaboration with Dr. Don Hayes (MD, Co-Investigator),
Assistant Professor of Pediatrics–Pulmonology at the University of Kentucky Good Samaritan Hospital Sleep Disorders Center. The abstract follows.
Obstructive Sleep Apnea (OSA) is associated with fluctuations in blood
pressure, hypercapnia, and cerebral blood flow (CBF). These perturbations can
adversely affect CBF autoregulation and tissue metabolism, leading to
physiological impairment or brain dysfunction.
Advancing diagnostic technologies that elucidate information about
physiological changes during those events would result in new insights about the
pathophysiology of OSA-induced cerebral impairments and diseases (e.g.,
cognitive defect, stroke) and allow for individualized medical management based
on the underlying pathophysiology. Although techniques exist to study cerebral
metabolism such as MRI and PET, the routine use of these techniques is limited
due to availability, expense, and difficulty to use at the clinical bedside. Optical signals, however, provide an
exciting alternative to costly MRI and PET measurements. The goal of this study
is to advance diffuse optical technologies by developing a high-throughput and
portable optical device to simultaneously monitor CBF, cerebral oxygenation,
and oxygen metabolism for the assessment of brain function in patients with
OSA. Given the health burden of cerebrovascular events across a range of
serious chronic conditions, this technology development project may
significantly advance understanding of a range of cerebral impairments linked
to oxygenation and metabolism, ultimately leading to significant improvements
in human health.