Shen Yimin, Kou Zhifeng, Kreipke Christian W, Petrov Theodor, Hu Jiani, Haacke E Mark
Department of Radiology, Wayne State University, Detroit, MI 48201, USA.
Magn Reson Imaging. 2007 Feb;25(2):219-27. doi: 10.1016/j.mri.2006.09.018. Epub 2006 Nov 28.
Traumatic brain injury (TBI) is a prevalent disease, and many TBI patients experience disturbed cerebral blood flow (CBF) after injury. Moreover, TBI is difficult to quantify with conventional imaging modalities. In this paper, we utilized susceptibility weighted imaging (SWI) as a means to monitor functional blood oxygenation changes and to quantify CBF changes in animals after trauma. In this study using six rats, brain trauma was induced by a weight drop model and the brain was scanned over four time points: pre trauma, and 4 h, 24 h and 48 h post trauma. Five rats survived and one died after trauma. A blood phase analysis using filtered SWI phase images suggested that three rats recovered after 48 h and two rats deteriorated. SWI also suggested that CBF decreased by up to 26%. The CBF change is in agreement with the results of arterial spin labeling methods conducted in this study and with previously published results. Furthermore, SWI revealed an enlargement of the major venous vasculature in deep brain structures, in accordance with the location of diffuse axonal injury. Compared with the traditional, invasive, clinical monitoring of cerebral vascular damage and reduction in blood flow, this method offers a novel, safe and noninvasive approach to quantify changes in oxygen saturation and CBF and to visualize structural changes in blood vasculature after TBI.
创伤性脑损伤(TBI)是一种常见疾病,许多TBI患者在受伤后会出现脑血流(CBF)紊乱。此外,TBI难以用传统成像方式进行量化。在本文中,我们利用磁敏感加权成像(SWI)来监测功能血氧变化,并量化创伤后动物的CBF变化。在这项使用六只大鼠的研究中,通过重物坠落模型诱导脑损伤,并在四个时间点对脑部进行扫描:创伤前、创伤后4小时、24小时和48小时。五只大鼠在创伤后存活,一只死亡。使用滤波后的SWI相位图像进行的血相分析表明,三只大鼠在48小时后恢复,两只大鼠病情恶化。SWI还表明CBF下降了多达26%。CBF变化与本研究中进行的动脉自旋标记方法的结果以及先前发表的结果一致。此外,SWI显示深部脑结构中主要静脉血管系统扩大,这与弥漫性轴索损伤的位置一致。与传统的、侵入性的脑血管损伤和血流减少的临床监测相比,该方法提供了一种新颖、安全且无创的方法来量化氧饱和度和CBF的变化,并可视化TBI后血管系统的结构变化。