Kobayashi Masanori, Nakamura Akinori, Hasegawa Daisuke, Fujita Michio, Orima Hiromitsu, Takeda Shin'ichi
Department of Molecular Therapy, National Institute of Neuroscience, NCNP, 4-1-1 Ogawa-higashi, Kodaira, Tokyo 187-8502, Japan.
Muscle Nerve. 2009 Nov;40(5):815-26. doi: 10.1002/mus.21384.
Duchenne muscular dystrophy (DMD) is a devastating muscle disorder that is characterized by progressive muscle necrosis, fibrosis, and fatty infiltration. To examine the temporospatial pathological changes, a noninvasive evaluation method such as magnetic resonance imaging (MRI) is needed. The aim of this study was to precisely assess muscle necrosis and inflammation based on a sequence of T2-weighted imaging (T2WI), gadolinium-enhanced imaging, and selective fat suppression, chemical shift selective T2-weighted imaging (CHESS-T2WI), on a 3.0-Tesla MRI unit in 3-month-old and 7-year-old dogs with canine X-linked muscular dystrophy (CXMD(J)), a suitable animal model for DMD. The results show that CHESS-T2WI was more sensitive and useful from the early to late stages of CXMD(J) than T2WI or contrast enhancement imaging in the evaluation of muscle necrosis, because these latter sequences can be influenced by fatty infiltration or interstitial connective tissues.
杜氏肌营养不良症(DMD)是一种毁灭性的肌肉疾病,其特征为进行性肌肉坏死、纤维化和脂肪浸润。为了检查颞叶和空间的病理变化,需要一种非侵入性评估方法,如磁共振成像(MRI)。本研究的目的是在3.0特斯拉MRI设备上,基于一系列T2加权成像(T2WI)、钆增强成像、选择性脂肪抑制、化学位移选择性T2加权成像(CHESS-T2WI),精确评估3个月大及7岁患有犬X连锁肌营养不良症(CXMD(J))的犬的肌肉坏死和炎症,CXMD(J)是DMD的合适动物模型。结果表明,在评估肌肉坏死方面,从CXMD(J)的早期到晚期,CHESS-T2WI比T2WI或对比增强成像更敏感、更有用,因为后两种序列可能会受到脂肪浸润或间质结缔组织的影响。