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评估存在出血时经颅聚焦超声后血脑屏障破坏的对比增强 MRI 的脉冲序列和时间。

Pulse sequence and timing of contrast-enhanced MRI for assessing blood-brain barrier disruption after transcranial focused ultrasound in the presence of hemorrhage.

机构信息

Center for Optoelectronic Biomedicine, College of Medicine, National Taiwan University, Taipei, Taiwan.

出版信息

J Magn Reson Imaging. 2010 Jun;31(6):1323-30. doi: 10.1002/jmri.22174.

DOI:10.1002/jmri.22174
PMID:20512883
Abstract

PURPOSE

To optimize the timing of contrast-enhanced magnetic resonance imaging (MRI) that best indicates blood-brain barrier (BBB) disruption induced by focused ultrasound (FUS) along with an ultrasound contrast agent (UCA) and to verify that the contrast-enhanced spin-echo MRI sequence can indicate the degree and location of BBB disruption in the presence of hemorrhage better than a gradient-echo sequence.

MATERIALS AND METHODS

Sonication was applied to 12 rat brains with four different doses of UCA to cause variable degrees of hemorrhage. Two imaging sequences were performed to acquire T1-weighted (T1W) images at two time-points after the administration of a T1-shortening contrast agent. The contrast enhancement at the sonicated regions was quantified and correlated against Evans blue (EB) staining.

RESULTS

The spin-echo T1W images at 10 minutes post-contrast enhancement showed the best correlation with EB staining in both quantity of EB extravasation (r = 0.812; P < 0.01) and spatial distribution (r = 0.528, P < 0.01). This capability was more robust than the gradient-echo sequence.

CONCLUSION

Our results suggest that contrast-enhanced T1W spin-echo sequence acquired in the early phase post-contrast enhancement should be considered to monitor the degree and location of BBB disruption under the possibility of hemorrhage induced by FUS.

摘要

目的

优化对比增强磁共振成像(MRI)的时间,以最佳显示聚焦超声(FUS)联合超声造影剂(UCA)引起的血脑屏障(BBB)破坏,并验证对比增强自旋回波 MRI 序列在存在出血的情况下比梯度回波序列能更好地指示 BBB 破坏的程度和位置。

材料与方法

对 12 只大鼠脑进行超声处理,使用四种不同剂量的 UCA 造成不同程度的出血。在给予 T1 缩短造影剂后两个时间点进行两种成像序列以获取 T1 加权(T1W)图像。对超声区域的对比增强进行定量,并与 Evans 蓝(EB)染色进行相关性分析。

结果

增强后 10 分钟的自旋回波 T1W 图像与 EB 外渗的数量(r = 0.812;P < 0.01)和空间分布(r = 0.528,P < 0.01)均具有最佳相关性。这种能力比梯度回波序列更强大。

结论

我们的结果表明,应考虑在增强后早期获取对比增强 T1W 自旋回波序列,以监测 FUS 引起的出血情况下 BBB 破坏的程度和位置。

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