Department of Neurobiology, University of Eastern Finland, Kuopio, Finland .
J Neurotrauma. 2013 Apr 1;30(7):546-56. doi: 10.1089/neu.2012.2416. Epub 2013 Apr 3.
The present study was designed to test a hypothesis that functional magnetic resonance imaging (fMRI) can be used to monitor functional impairment and recovery after moderate experimental traumatic brain injury (TBI). Moderate TBI was induced by lateral fluid percussion injury in adult rats. The severity of brain damage and functional recovery in the primary somatosensory cortex (S1) was monitored for up to 56 days using fMRI, cerebral blood flow (CBF) by arterial spin labeling, local field potential measurements (LFP), behavioral assessment, and histology. All the rats had reduced blood-oxygen-level-dependent (BOLD) responses during the 1st week after trauma in the ipsilateral S1. Forty percent of these animals showed recovery of the BOLD response during the 56 day follow-up. Unexpectedly, no association was found between the recovery in BOLD response and the volume of the cortical lesion or thalamic neurodegeneration. Instead, the functional recovery occurred in rats with preserved myelinated fibers in layer VI of S1. This is, to our knowledge, the first study demonstrating that fMRI can be used to monitor post-TBI functional impairment and consequent spontaneous recovery. Moreover, the BOLD response was associated with the density of myelinated fibers in the S1, rather than with neurodegeneration. The present findings encourage exploration of the usefulness of fMRI as a noninvasive prognostic biomarker for human post-TBI outcomes and therapy responses.
本研究旨在验证一个假设,即功能磁共振成像(fMRI)可用于监测中度实验性创伤性脑损伤(TBI)后的功能障碍和恢复情况。采用侧方液压冲击伤诱导成年大鼠中度 TBI。通过 fMRI、动脉自旋标记测量脑血流(CBF)、局部场电位测量(LFP)、行为评估和组织学,监测初级体感皮层(S1)中的脑损伤严重程度和功能恢复,最长可达 56 天。所有大鼠在创伤后第 1 周对侧 S1 的血氧水平依赖性(BOLD)反应均降低。其中 40%的动物在 56 天的随访中出现 BOLD 反应的恢复。出乎意料的是,BOLD 反应的恢复与皮质病变或丘脑神经退行性变的体积之间没有关联。相反,功能恢复发生在 S1 层 VI 有髓纤维保留的大鼠中。据我们所知,这是第一项证明 fMRI 可用于监测创伤后 TBI 功能障碍和随后的自发恢复的研究。此外,BOLD 反应与 S1 中髓鞘纤维的密度有关,而与神经退行性变无关。这些发现鼓励探索 fMRI 作为人类创伤后 TBI 结局和治疗反应的非侵入性预后生物标志物的有用性。
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