Department of Radiological Technology, Koga General Hospital, Miyazaki, Japan.
Acad Radiol. 2010 Feb;17(2):230-8. doi: 10.1016/j.acra.2009.09.008. Epub 2009 Nov 11.
Atherothrombosis usually occurs on macrophage- and lipid-rich unstable plaque, but rarely on smooth muscle cell (SMC)-rich stable plaque. Magnetic resonance imaging (MRI) has been extensively applied for noninvasive vascular imaging. We therefore investigated whether MRI provides valuable information about the characteristics of atherosclerotic vessels using rabbit models of macrophage-rich or SMC-rich atherosclerotic arteries.
Rabbits were fed with a conventional (CD group, n = 3) or 0.5% cholesterol (ChD group, n = 3) diet for 1 week before and 3 weeks after balloon injury of the left iliac arteries. Three weeks later, these arteries were investigates by 1.5 T MRI and by conventional angiographic imaging, followed by histological and immunohistochemical analyses.
Three weeks after balloon injury, injured iliac arteries of both groups formed neointima with luminal stenosis. Conventional and MRI angiographic findings of the luminal diameter significantly and positively correlated. T1 relaxation time was significantly shorter and the lipid content was much higher in injured arteries from the ChD than from the CD group. The injured arteries from the ChD also contained more macrophages and less SMCs that those from the CD group. The T1 relaxation time and lipid content in injured arteries negatively and positively correlated with the degree of macrophage accumulation, respectively.
These results showed that MRI could provide valuable information about luminal stenosis and the characteristics of atherosclerotic vessels in rabbits.
动脉粥样硬化血栓形成通常发生在富含巨噬细胞和脂质的不稳定斑块上,但很少发生在富含平滑肌细胞(SMC)的稳定斑块上。磁共振成像(MRI)已广泛应用于无创血管成像。因此,我们使用富含巨噬细胞或富含 SMC 的动脉粥样硬化兔模型研究了 MRI 是否能为动脉粥样硬化血管的特征提供有价值的信息。
兔子在左髂动脉球囊损伤前 1 周和损伤后 3 周内分别给予常规饮食(CD 组,n = 3)或 0.5%胆固醇饮食(ChD 组,n = 3)。3 周后,通过 1.5 T MRI 和常规血管造影成像对这些动脉进行研究,然后进行组织学和免疫组织化学分析。
球囊损伤后 3 周,两组损伤的髂动脉均形成管腔狭窄的新生内膜。管腔直径的常规和 MRI 血管造影发现有显著的正相关。ChD 组损伤动脉的 T1 弛豫时间明显缩短,脂质含量明显高于 CD 组。ChD 组损伤动脉的巨噬细胞含量也明显多于 CD 组,SMC 含量明显少于 CD 组。T1 弛豫时间和脂质含量与巨噬细胞积聚程度呈负相关和正相关。
这些结果表明,MRI 可以为兔子的管腔狭窄和动脉粥样硬化血管的特征提供有价值的信息。