Mac Donald Christine L, Dikranian Krikor, Bayly Philip, Holtzman David, Brody David
Department of Biomedical Engineering, Washington University, St. Louis, Missouri 63130, USA.
J Neurosci. 2007 Oct 31;27(44):11869-76. doi: 10.1523/JNEUROSCI.3647-07.2007.
Traumatic axonal injury (TAI) may contribute greatly to neurological impairments after traumatic brain injury, but it is difficult to assess with conventional imaging. We quantitatively compared diffusion tensor imaging (DTI) signal abnormalities with histological and electron microscopic characteristics of pericontusional TAI in a mouse model. Two DTI parameters, relative anisotropy and axial diffusivity, were significantly reduced 6 h to 4 d after trauma, corresponding to relatively isolated axonal injury. One to 4 weeks after trauma, relative anisotropy remained decreased, whereas axial diffusivity "pseudo-normalized" and radial diffusivity increased. These changes corresponded to demyelination, edema, and persistent axonal injury. At every time point, DTI was more sensitive to injury than conventional magnetic resonance imaging, and relative anisotropy distinguished injured from control mice with no overlap between groups. Remarkably, DTI changes strongly predicted the approximate time since trauma. These results provide an important validation of DTI for pericontusional TAI and suggest novel clinical and forensic applications.
创伤性轴索损伤(TAI)可能在创伤性脑损伤后导致严重的神经功能障碍,但传统成像方法难以对其进行评估。我们在小鼠模型中,将弥散张量成像(DTI)信号异常与挫伤周围TAI的组织学和电子显微镜特征进行了定量比较。创伤后6小时至4天,两个DTI参数,即相对各向异性和轴向扩散率,显著降低,这与相对孤立的轴索损伤相对应。创伤后1至4周,相对各向异性持续降低,而轴向扩散率“假性归一化”,径向扩散率增加。这些变化与脱髓鞘、水肿和持续性轴索损伤相对应。在每个时间点,DTI对损伤的敏感性均高于传统磁共振成像,且相对各向异性能够区分损伤小鼠和对照小鼠,两组之间无重叠。值得注意的是,DTI变化能够强烈预测创伤后的大致时间。这些结果为DTI用于挫伤周围TAI提供了重要验证,并提示了新的临床和法医学应用。