Raman spectroscopy as a neuromonitoring tool in traumatic brain injury: a systematic review and clinical perspectives
Stevens, Andrew R Stickland, Clarissa A Harris, Georgia Ahmed, Zubair Goldberg Oppenheimer, Pola Belli, Antonio Davies, David J
Stevens, Andrew R
Stickland, Clarissa A
Harris, Georgia
Ahmed, Zubair
Goldberg Oppenheimer, Pola
Belli, Antonio
Davies, David J
Abstract
Traumatic brain injury (TBI) is a significant global health problem, for which no disease-modifying therapeutics are currently available to improve survival and outcomes. Current neuromonitoring modalities are unable to reflect the complex and changing pathophysiological processes of the acute changes that occur after TBI. Raman spectroscopy (RS) is a powerful, label-free, optical tool which can provide detailed biochemical data in vivo. A systematic review of the literature is presented of available evidence for the use of RS in TBI. Seven research studies met the inclusion/exclusion criteria with all studies being performed in pre-clinical models. None of the studies reported the in vivo application of RS, with spectral acquisition performed ex vivo and one performed in vitro. Four further studies were included that related to the use of RS in analogous brain injury models, and a further five utilised RS in ex vivo biofluid studies for diagnosis or monitoring of TBI. RS is identified as a potential means to identify injury severity and metabolic dysfunction which may hold translational value. In relation to the available evidence, the translational potentials and barriers are discussed. This systematic review supports the further translational development of RS in TBI to fully ascertain its potential for enhancing patient care.
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Date
2022-04-05
Type
Article
Subject
Neurology
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Citation
Stevens AR, Stickland CA, Harris G, Ahmed Z, Goldberg Oppenheimer P, Belli A, Davies DJ. Raman Spectroscopy as a Neuromonitoring Tool in Traumatic Brain Injury: A Systematic Review and Clinical Perspectives. Cells. 2022 Apr 5;11(7):1227. doi: 10.3390/cells11071227.
Journal / Source Title
Cells
DOI
10.3390/cells11071227
PMID
35406790
Publisher
MDPI
Publisher’s URL
https://www.mdpi.com/journal/cells