Jito Junya, Fukami Tadateru, Nakasu Satoshi, Ito Ryuta, Morikawa Shigehiro, Inusushi Toshiro, Nozaki Kazuhiko
Department of Neurosurgery, Shiga University of Medical Science.
No Shinkei Geka. 2009 Feb;37(2):147-55.
Radiation-induced white matter injury has recently been evaluated by fractional anisotropy (FA) values using diffusion tensor image (DTI) data on magnetic resonance (MR) imaging. However, controversy remains as to which histological components affect anisotropy. FA values were compared with histological findings in rat irradiated brains. Forty Gy whole brain radiation was performed on 9 rats, with another 9 rats not subjected to irradiation prepared as the control group. DTI data for the corpus callosum were obtained using a 7.0 Tesla MR scanner at post radiation 18+2 to 48 +/- 2 weeks (p18w-p48w), and the mean FA value (mFA) was calculated. Histological parameters were assessed at p24w, p36w, and p48w in hematoxylin-eosin stained and immunohistochemically processed sections. Numbers of dilated vessels, hypertrophic glial fibrillary acidic protein (GFAP)-positive cells and Olig2-positive cells were quantitatively evaluated. Qualitative assessment of change in neurofilament (NF)-and myelin basic protein (MBP)-positive structures at each time point was also performed. The mFA decreased from p30w to p42w, significantly decreasing at p42w compared to the control group. However, It recovered to control levels at p48w. Histological examination showed that hypertrophic GFAP-positive cells and dilated vessels had increased at p48w. Olig2-positive cells decreased significantly at p48w compared to p24w and p36w (p<0.05). Although NF-positive structures continued to decrease over time, MBP-positive structures recovered at p48w in agreement with the change in mFA. In the subacute/chronic stage, rat irradiated brain FA value in the corpus callosum appears to mainly reflect the change in myelin structure.
最近,利用磁共振成像(MR)的扩散张量图像(DTI)数据通过分数各向异性(FA)值对辐射诱导的白质损伤进行了评估。然而,关于哪些组织学成分影响各向异性仍存在争议。将FA值与大鼠辐照脑的组织学结果进行了比较。对9只大鼠进行了40 Gy的全脑辐射,另外9只未接受辐射的大鼠作为对照组。在辐射后18±2至48±2周(p18w - p48w)使用7.0特斯拉MR扫描仪获取胼胝体的DTI数据,并计算平均FA值(mFA)。在p24w、p36w和p48w对苏木精 - 伊红染色和免疫组织化学处理的切片进行组织学参数评估。对扩张血管、肥大的胶质纤维酸性蛋白(GFAP)阳性细胞和少突胶质细胞转录因子2(Olig2)阳性细胞的数量进行了定量评估。还对每个时间点神经丝(NF)和髓鞘碱性蛋白(MBP)阳性结构的变化进行了定性评估。mFA从p30w到p42w下降,与对照组相比,在p42w时显著下降。然而,在p48w时恢复到对照水平。组织学检查显示,肥大的GFAP阳性细胞和扩张血管在p48w时增加。与p24w和p36w相比,Olig2阳性细胞在p48w时显著减少(p<0.05)。尽管NF阳性结构随时间持续减少,但MBP阳性结构在p48w时恢复,与mFA的变化一致。在亚急性/慢性期,大鼠辐照脑胼胝体的FA值似乎主要反映了髓鞘结构的变化。