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大脑中动脉近端光化学闭塞诱导的啮齿动物中风:通过磁共振成像和组织病理学监测其演变

Rodent stroke induced by photochemical occlusion of proximal middle cerebral artery: evolution monitored with MR imaging and histopathology.

作者信息

Chen Feng, Suzuki Yasuhiro, Nagai Nobuo, Jin Lixin, Yu Jie, Wang Huaijun, Marchal Guy, Ni Yicheng

机构信息

Department of Radiology, Faculty of Medicine, Catholic University of Leuven, Belgium.

出版信息

Eur J Radiol. 2007 Jul;63(1):68-75. doi: 10.1016/j.ejrad.2007.01.005. Epub 2007 Mar 6.

Abstract

PURPOSE

To longitudinally investigate stroke in rats after photothrombotic occlusion of proximal middle cerebral artery (MCA) with magnetic resonance imaging (MRI) in correlation with histopathology.

MATERIALS AND METHODS

Forty-two rats were subjected to photochemical MCA occlusion and MRI at 1.5T, and sacrificed in seven groups (n=6 each) at the following time points: 1, 3, 6 and 12h, and at day 1, 3 and 9. T2-weighted (T2WI) and diffusion-weighted imaging (DWI) with apparent diffusion coefficient (ADC) map was performed in all rats. Contrast-enhanced T1-weighted imaging (CE-T1WI) was compared to intravital staining with Evans blue in one group for assessing blood-brain barrier (BBB) integrity. The brain was stained histochemically with triphenyl tetrazolium chloride (TTC) and processed for pathological assessment. The evolutional changes of relative lesion volume, signal intensity (SI), and the BBB integrity on MRI with corresponding histopathology were evaluated.

RESULTS

The ischemic lesion volume reached a maximum around 12h to day 1 as visualized successively by DWI, ADC map and T2WI, implicating the evolving pathology from cytotoxic edema through vasogenic edema to tissue death. The ADC of brain infarction underwent a significant reversion after 12h, reflecting the colliquative necrosis. On CE-T1WI, BBB leakage peaked at 6h and at day 3 with a transitional partial recovery around 24h. The infarct volume on T2WI, DWI and ADC map matched well with that on TTC staining at 12h and at day 1 (p>0.05).

CONCLUSION

The evolution of the present photothrombotic stroke model in rats could be characterized by MRI. The obtained information may help longitudinal studies of cerebral ischemia and anti-stroke agents using the same model.

摘要

目的

采用磁共振成像(MRI)纵向研究大鼠大脑中动脉(MCA)近端光血栓闭塞后的卒中情况,并与组织病理学进行相关性分析。

材料与方法

42只大鼠接受光化学MCA闭塞及1.5T MRI检查,并于以下时间点分为7组(每组n = 6)处死:1、3、6和12小时,以及第1、3和9天。对所有大鼠进行T2加权成像(T2WI)、扩散加权成像(DWI)及表观扩散系数(ADC)图检查。在一组中比较对比增强T1加权成像(CE-T1WI)与伊文思蓝活体染色,以评估血脑屏障(BBB)完整性。大脑用氯化三苯基四氮唑(TTC)进行组织化学染色并进行病理评估。评估MRI上相对病变体积、信号强度(SI)和BBB完整性的演变变化及其相应的组织病理学情况。

结果

通过DWI、ADC图和T2WI依次观察到,缺血性病变体积在12小时至第1天左右达到最大值,提示病理过程从细胞毒性水肿发展为血管源性水肿直至组织死亡。脑梗死的ADC在12小时后发生显著逆转,反映了液化性坏死。在CE-T1WI上,BBB渗漏在6小时和第3天达到峰值,在24小时左右有短暂的部分恢复。T2WI、DWI和ADC图上的梗死体积与12小时和第1天TTC染色的梗死体积匹配良好(p>0.05)。

结论

MRI可对大鼠当前的光血栓性卒中模型的演变进行特征性描述。所获得的信息可能有助于使用同一模型对脑缺血和抗卒中药物进行纵向研究。

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