Obenaus Andre, Jacobs Russell E
Non-Invasive Imaging Laboratory, Radiation Medicine Department, Loma Linda University, Loma Linda, California 92354, USA.
Epilepsia. 2007;48 Suppl 4:11-7. doi: 10.1111/j.1528-1167.2007.01237.x.
Neuroimaging has greatly assisted the diagnosis and treatment of epilepsy. Volumetric analysis, diffusion-weighted imaging, and other magnetic resonance imaging (MRI) modalities provide a clear picture of altered anatomical structures in both focal and nonfocal disease. More recently, advances in novel imaging methodologies have provided unique insights into this disease. Two examples include manganese-enhanced MRI (MEMRI) and diffusion tensor imaging (DTI). MEMRI involves injection of MnCl(2) to evaluate neuronal activity where it is actively transported. Areas of neuronal hyperactivity are expected to have altered uptake and transport. Mapping of activation along preferential uptake pathways can be confirmed by T(1)-weighted imaging. DTI uses the intrinsic preferential mobility of water movement along axonal pathways to map anatomical regions. DTI has been used to investigate white matter disease and is now being applied to clinical and, to a lesser extent, animal investigations of seizure disorders. These two diverse MRI methods can be applied to animal models to provide important information about the functional status of anatomical regions that may be altered by epilepsy.
神经影像学极大地辅助了癫痫的诊断和治疗。容积分析、弥散加权成像以及其他磁共振成像(MRI)方式能够清晰呈现局灶性和非局灶性疾病中解剖结构的改变情况。最近,新型成像方法的进展为这种疾病提供了独特的见解。两个例子包括锰增强MRI(MEMRI)和弥散张量成像(DTI)。MEMRI通过注射MnCl₂来评估神经元活动,MnCl₂在其中被主动转运。预计神经元活动亢进的区域会有摄取和转运的改变。沿着优先摄取途径的激活映射可通过T₁加权成像得到证实。DTI利用水沿着轴突途径移动的内在优先流动性来绘制解剖区域。DTI已被用于研究白质疾病,目前正应用于癫痫疾病的临床研究,在较小程度上也应用于动物研究。这两种不同的MRI方法可应用于动物模型,以提供有关可能因癫痫而改变的解剖区域功能状态的重要信息。