Klinik und Poliklinik für Neurochirurgie, Universität Regensburg, Germany.
Acta Neurochir (Wien). 2010 Dec;152(12):2175-82. doi: 10.1007/s00701-010-0777-4. Epub 2010 Aug 26.
We present the results of the visualisation of radial oxygen gradients in rats' cortices and their potential use in neurocritical management.
PO₂ maps of the cortex of ten sedated, intubated and controlled ventilated Wistar rats were obtained with a camera (SensiMOD, PCO, Kelheim, Germany). Those pictures were analysed and edited by a custom-made software. A virtual matrix, designed to evaluate the cortical O₂ partial pressure, was placed vertically to the artery under investigation, and afterwards multiple regions of interest were measured (width 10 pixels, length 15-50 pixels). The results showed a map of the cerebral oxygenation, which allowed us to calculate radial oxygen gradients over arterioles. Three groups were defined according to the level of the arterial pO₂: PaO₂ < 80, PaO₂ 80-120 and PaO₂ > 120. Gradients were analysed from the middle of the vessel to its border (1), from the border into the parenchyma next to the vessel (2) and a combination of both (3).
Gradient 1 showed significantly different cortical pO₂ values between the three different groups. The mean pO₂ values were 2.62, 5.29 and 5.82 mmHg/mm. Gradient 2 measured 0.56, 0.90 and 1.02 mmHg/mm respectively. Gradient 3 showed significant results between the groups with values of 3.18, 6.19 and 6.84 mmHg/mm.
Using these gradients, it is possible to describe and compare the distribution of oxygen to the brain parenchyma. With the presented technique, it is possible to detect pO₂ changes in the oxygen supply of the brain cortex.
我们展示了在大鼠皮质中可视化径向氧梯度的结果及其在神经危重症管理中的潜在用途。
使用相机(德国 PCO 的 SensiMOD)获得十只镇静、插管和控制通气的 Wistar 大鼠皮质的 PO₂ 图谱。通过定制软件对这些图像进行分析和编辑。一个虚拟矩阵被设计用于评估皮质氧分压,垂直放置在研究的动脉下,然后测量多个感兴趣区域(宽度 10 个像素,长度 15-50 个像素)。结果显示了大脑氧合的图谱,允许我们计算小动脉上的径向氧梯度。根据动脉 pO₂的水平将大鼠分为三组:PaO₂ < 80、PaO₂ 80-120 和 PaO₂ > 120。梯度分析是从血管中间到其边界(1)、从边界到紧邻血管的组织(2)和两者的组合(3)进行的。
梯度 1 显示三组之间的皮质 pO₂值有显著差异。平均 pO₂值分别为 2.62、5.29 和 5.82mmHg/mm。梯度 2 分别测量到 0.56、0.90 和 1.02mmHg/mm。梯度 3 显示组间差异显著,值分别为 3.18、6.19 和 6.84mmHg/mm。
使用这些梯度可以描述和比较氧向脑实质的分布。使用所提出的技术,可以检测到大脑皮质氧供应中 pO₂的变化。