The Local Index Formula in Semifinite von Neumann Algebras I: Spectral   Flow
  We generalise the local index formula of Connes and Moscovici to the case of spectral triples for a *-subalgebra \A of a general semifinite von Neumann algebra. In this setting it gives a formula for spectral flow along a path joining an unbounded self adjoint Breuer-Fredholm operator, affiliated to the von Neumann algebra, to a unitarily equivalent operator. Our proof is novel even in the setting of the original theorem and relies on the introduction of a function valued cocycle which is `almost' a (b,B)-cocycle in the cyclic cohomology of \A. 
Alan L. Carey, John Phillips, Adam Rennie, Fyodor A. Sukochev