Karlik S J, Gilbert J J, Wong C, Vandervoort M K, Noseworthy J H
Department of Radiology, University of Western Ontario, London.
Magn Reson Med. 1990 Apr;14(1):1-11. doi: 10.1002/mrm.1910140102.
To determine the factors which may alter NMR relaxation times in multiple sclerosis (MS) lesions we measured the proton T1 and T2, specific gravity (SG), and histology in the central nervous system (CNS; 13-19 levels per animal) in the myelin basic protein (MBP) and CNS-induced acute and relapsing EAE models in 44 juvenile Hartley guinea pigs. In the MBP model, T1 is unchanged but T2 is prolonged before symptoms and pathological changes occur. T2 remains prolonged during the acute phase of MBP-induced EAE. In the acute CNS model, T1 and T2 were not different from control despite advanced pathological changes of inflammation and demyelination and changes in specific gravity, indicating a marked change in tissue water content. No single variable, pathological or SG, could predict T1 or T2 values in the CNS-induced model. In active disease in the MBP model, when edema occurs in the presence or absence of parenchymal infiltration, T2 values are increased. However, as the factors which influence tissue NMR characteristics are complex in these MS models, it is likely difficult to infer specific pathological events from MRI findings in patients with MS.
为了确定可能改变多发性硬化症(MS)病灶中核磁共振弛豫时间的因素,我们在44只幼年哈特利豚鼠的髓鞘碱性蛋白(MBP)及中枢神经系统(CNS)诱导的急性和复发性实验性自身免疫性脑脊髓炎(EAE)模型中,测量了中枢神经系统(每只动物13 - 19个层面)的质子T1和T2、比重(SG)以及组织学情况。在MBP模型中,在症状和病理变化出现之前,T1不变但T2延长。在MBP诱导的EAE急性期,T2持续延长。在急性CNS模型中,尽管存在炎症和脱髓鞘的晚期病理变化以及比重改变,但T1和T2与对照组并无差异,这表明组织含水量有显著变化。在CNS诱导的模型中,没有任何一个病理或SG变量能够预测T1或T2值。在MBP模型的活动期疾病中,无论是否存在实质浸润,当出现水肿时,T2值都会升高。然而,由于在这些MS模型中影响组织核磁共振特征的因素较为复杂,因此很可能难以从MS患者的MRI结果推断出具体的病理事件。