Adolfo Cotter,MD

Brain-Mind Interface

Dr. Cotter practices Telemedicine in Primary Care. Conducts a competent, highly responsive Telemedicine practice since 2012, treating a variety of medical conditions from simple to very complex. Proficient with electronic medical records using a wide range of software packages and other forms of computing. Dr. Cotter also practiced Medicine doing Home Care, Urgent Care and Hospital Work.

Dr. Cotter has medical licenses in the states of Michigan, Indiana, and telehealth registration in the states of Minnesota and Florida. The links to the states medical boards are: Florida, http://www.flhealthsource.gov/telehealth/ Minnesota, https://mn.gov/boards/medical-practice/ Indiana, https://mylicense.in.gov/everification/ Michigan, https://www.michigan.gov/lara/0,4601,7-154-89334_72600_85566—,00.html

Dr. Adolfo Cotter founded Cognimetrix in 2007, motivated by a tremendous personal interest in the use of brain imaging data in the development of bionic based software to enhance creativity and intelligence.

Throughout his career, Dr. Cotter has performed brain imaging research in academic institutions such as Unversity of Toronto, University of Pennsylvania, and Emory University. He has also conducted brain imaging research for commercial companies such as at Cerebral Diagnostics.

Dr. Cotter has given lectures in Brain Imaging and attended numerous Brain Imaging meetings where he has presented his research projects. He has experience in brain imaging data acquisition and analysis for technologies such as PET, SPECT, MRI, fMRI and EEG. During his brain imaging analysis work, he has done biostatistics using a variety of software programs.

Near-Infrared Spectroscopy (NIRS)

This technique consists of a light emitting diode and two distant sensors attached to the fronto-parietal side of the skull. The concentration of oxygen is calculated by the differential signal between these two sensors. NIRS is used in neonates for the evaluation of the concentration of oxygen and hemoglobin. In consequence it can evaluate the brain hemodynamics. In neonates suffering from perinatal asphyxia, this technique can be quite useful. By evaluating tissue oxygenation extraction, this can reflect the amount of brain oxygenation. A reduced fractional tissue oxygenation extraction reflects either an increase in consumption or decreased oxygen delivery. The opposite applies as well. aEEG is routinely used to evaluate neonatal asphyxia but NIRS is becoming more commonly used. NIRS has also other uses such as for Alzheimer’s disease and Brain Tumors. I think EEG should be able to show the brain consequences of hypoxia but NIRS because it detects the level of oxygenation directly; it should be able to detect the problem earlier. Here is a good paper-

Toet MC, etal, Brain Monitoring in Neonates, Early Human Development, 85, 77-84

Adolfo Cotter, MD

May 24/2010

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